Midterm Flashcards

(62 cards)

1
Q

What is the definition of Health?

A
  • Typically refers to the overall condition of a person’s body or mind and to the presence or absence of illness or injury
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2
Q

What is the definition of Wellness?

A
  • Refers to optimal health and vitality – to living life to its fullest
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3
Q

What are the Social Detriments to health?

A
  • Income and income distribution
  • Education
  • Unemployment and job security
  • Early childhood development
  • Food insecurity
  • Housing
  • Social exclusion
  • Social safety net and network
  • Health services
  • Indigenous status
  • Gender
  • Race
  • Disability
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4
Q

What are the key dimensions to wellness?

A

Physical Wellness
Emotional Wellness
Intellectual Wellness
Interpersonal wellness
Cultural Wellness
Spiritual wellness
Environmental Wellness
Financial wellness
Occupational Wellness

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5
Q

What is involved in the Stages of change model?

A

o Precontemplation
o Contemplation
o Preparation
o Action
o Maintenance
o Termination

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6
Q

Define lifespan

A

is the number of years that, as a species, we are biologically wired to live

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7
Q

What is self-efficacy

A

belief in one’s ability to achieve a goal

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8
Q

What is internal locus of control/reinforcement?

A

reliance on internal rather than external sources of motivation

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9
Q

What is the hierarchy of evidence for websites?

A
  1. Experimental
  2. Epidemiological:
  3. Clinical
  4. Personal
  5. Anecdotal
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10
Q

What are the five guiding principles of the Canada Health Act?

A

Universally available to permanent residences

Comprehensive in the services it covers

Accessible without income barriers

Portable within and outside the country

Publicly administered

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11
Q

Canada operates on which sort of model?

A

Operates on a ‘welfare state’ model

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12
Q

What is health literacy?

A
  • The skills to enable access, understanding and use of information for health
  • Emphasizes the importance of being able to acquire and comprehend health information and utilize that information constructively
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13
Q

What are the types of professional care?

A
  • Complementary and alternative medicine (CAM)

Conventional medicine (standard western medicine)

  • Traditional Chinese Medicine
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14
Q

What is Complementary and alternative medicine?

A

o This is therapies and practices that do not form part of all opathic, conventional, or mainstream health care and medical practices as taught in most Canadian medical schools and offered in most Canadian hospitals

Most common techniques are:
 Herbal medicine, massages, relaxation techniques, and chiropractics

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15
Q

What are the assumptions of conventional medicine?

A

o Disease is caused by identifiable physical factors and identifies that the causes of disease as pathogens (bacteria or viruses), genetic factors, and unhealthy lifestyles that result in changes at the molecular and cellular levels.
o Western biomedicine from other medical systems is the concept that every disease is defined by a certain set of symptoms and that these symptoms are similar in most patients suffering from this disease.
o How to control pathogens:
 The implementation of public health measures
 Use of drugs and surgery
o Western medicine relies heavily on surgery and on advanced medical technology to discover the physical causes of disease and to correct, remove, or destroy them.

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16
Q

What is traditional Chinese medicine?

A

o Is based on highly abstract concepts, a sophisticated set of techniques and methods, and individualized diagnosis, treatment, and prevention.
o The free and harmonious flow of qi produces health – a positive feeling of well-being and vitality in body, mind, and spirit.

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17
Q

What are the links to the chain of infection?

A

 Pathogen
 Reservoir
 Portal of Exit
 Means of Transmission
 Portal of Entry
 The new host

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18
Q

Is it good to break the chain?

A

o Interrupting the chain of infection at any point can prevent disease.

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19
Q

Explain the body’s defence system

A

Physical and Chemical

Barriers

The Immune System

Immunological Defenders

Inflammatory Response

Immune response

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20
Q

What is bacteria?

A

This is a single-celled organisms that usually reproduce by splitting in two to create a pair of identical cells.

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21
Q

What is friendly bacteria?

A

 The human colon contains friendly bacteria that produce certain vitamins and help digest nutrients.
 Keeps harmful bacteria in check by competing for food resources and secreting substances toxic to pathogenic bacteria

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22
Q

What is bad bacteria?

A

 Pathogenic bacteria in food or drink can disrupt the normal harmony in the intestines by invading cells or producing damaging toxins.
 Sexual activity can introduce pathogenic bacteria into the reproductive tract.

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23
Q

What are the actions of antibiotics?

A

 Antibiotics are naturally occurring and synthetic substances that can kill bacteria.
 They interrupt the production of new bacteria by damaging some part of their reproductive cycle or by causing faulty parts of new bacteria to be made.

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24
Q

What is Antibiotic resistance?

A

 When antibiotics are misused or overused, the pathogens they are designed to treat can become resistant to their effects.
 A bacterium can become resistant from. A chance genetic mutation or through the transfer of genetic material from one bacterium to another.

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25
How to prevent antibiotic resistance?
 Don’t take an antibiotic every time you get sick. They are mainly helpful for bacterial infections and ineffective against viruses  Use antibiotics as directed and finish the full course of medication even if you begin to feel better.  Never take an antibiotic without a prescription.
26
Explain Viruses
o Viruses lack all the enzymes essential to energy production and protein synthesis in normal animal cells, and they cannot grow or reproduce themselves. o Viruses are parasites, they take what they need for growth and reproduction from cells they invade. o Illness caused by viruses are the most common forms of contagious disease.
27
Explain how you might contract a common cold?
A common way of contracting a common cold is from fomite transmission. Fomite transmission is where the infectious host exhales respiratory droplets onto on inert object and someone then touches that inert object and touches their face or another mucous membrane and becomes infected.
28
Briefly explain Chlamydia
- Chlamydia trachomatis causes chlamydia, the most commonly reported bacterial STI o Usually with antibiotics o However, often there are no early symptoms (can increase inadvertent spreading of the disease) o If left untreated, can lead to ectopic pregnancy
29
Briefly explain Gonorrhea?
- Gonorrhea is caused by the bacterium Neisseria gonorrhoeae which flourishes in mucous membranes and is transmitted through sexual contact with the penis, vagina, mouth, or anus of an infected partner o Often asymptomatic o In males it is inflammation of the urethra, prostate, epididymis o Causes PID in females o Usually with antibiotics but resistance is a growing concern
30
Briefly Explain Syphilis
- Syphilis is caused by a spirochete called Treponema pallidum, which is a thin, corkscrew-shaped bacterium. o The pathogen passes through any break or opening in the skin or mucous membranes and can be transmitted by vaginal or anal intercourse or oral contact with a syphilitic lesion. Primary syphilis  Is usually characterized by an ulcer called a chancre that appears within 10 to 90 days after exposure. Secondary syphilis  Is usually characterized by a skin rash that appears 3 ti 6 weeks after the chancre Tertiary  Untreated secondary syphilis develops tertiary syphilis with symptoms that appear 10 – 20 years after infection
31
Briefly explain HIV
 It is transmitted through blood to blood or fluid-blood contact.  Commonly through unprotected sex  It is a chronic disease that progressively damages the body’s immune system making an otherwise healthy person less able to resist a variety of infections and disorders.  HIV attacks the immune system itself, invading and taking over essential elements of the immune system.  It hides immune cells  It replicates too fast for the immune system to fight it and therefore mutates and avoids elimination.  Highly Active Antiretroviral Therapy (HAART)  This blocks HIV from replicating itself
32
What is Cardiovascular disease?
o The collective term for various diseases of the heart and blood vessels.
33
Describe the heart
o The heart is a four-chambered, fist-sized muscle located just beneath the sternum (breastbone). It pumps deoxygenated blood to the lungs and delivers oxygenated blood to the rest of the body. o Blood travels through 2 separate circulatory systems  The right side * Pulmonary circulation o Pumps blood to the lungs  Left side * Systemic circulation o Pumps blood through the rest of the body
34
How does blood travel through the central nervous system
 Oxygen-poor blood travels through large vessels, called venae cavae, into the heart’s right upper chamber, called the atrium  After the right atrium fills, it contracts and pumps blood into the hearts right lower chamber, called the ventricle  When the right ventricle is full, it contracts and pumps blood through the pulmonary artery into the lungs  In the lungs, blood picks up oxygen and discards carbon dioxide  The cleaned, oxygenated blood flows form the lungs through the pulmonary veins into the heart’s left atrium  After the left atrium fills, it contracts and pumps blood into the left ventricle  When the left ventricle is full, it pumps blood through the aorta (the body’s largest artery) for distribution to the rest of the body’s blood vessels
35
What are the risk factors of CVD that can be changed?
 Tobacco use  High Blood pressure (hypertension)  High Cholesterol  Physical Inactivity  Obesity  Diabetes Contributing factors that can be changed: o High triglyceride levels o Insulin resistance and metabolic syndrome
36
What are the major forms of cardiovascular disease?
o Atherosclerosis o Coronary Heart Disease o Heart Disease and Heart Attack o Angina o Arrhythmias and Sudden cardiac death
37
Explain Diabetes
* Diabetes is a disorder characterized by elevated blood glucose levels because of an insufficient supply or inadequate action of insulin * It increases the risk of CVD by 2 to 4 times * Complications of diabetes mainly affect the arteries. When the larger arteries are affected, all forms of CVD result, including heart attacks, strokes, and peripheral vascular disease.
38
How do you treat a blockage?
o To treat the blockage a balloon angioplasty is used which is where a small wire is placed in the artery and feeding a deflated balloon over it. The balloon is advanced to the site of narrowing then inflated to widen the arterial opening.
39
What is a Coronary bypass surgery?
 Surgeons remove a healthy blood vessel, usually a vein from one of the patient’s legs, and graft it from the aorta to one or more coronary arteries to bypass a blockage
40
What are the kinds of strokes?
Ischemic stroke * Caused by a blockage in a blood vessel * 2 types o Thrombotic stroke  Caused by thrombus, which is a blood clot that forms in a cerebral artery that has been narrowed or damaged by atherosclerosis o Embolic stroke  Caused by an embolus, which is a wondering blood clot that is carried in the blood stream and may become wedged in a cerebral artery Hemorrhagic stroke * A hemorrhagic stroke occurs when a blood vessel in the brain bursts, spilling blood into the surrounding tissue 2 types o Intracerebral hemorrhage  A blood vessel ruptures within the brain o Subarachnoid hemorrhage  A blood vessel on the brain’s surface ruptures and bleeds into the space between the brain and the skull * A bursting malformed blood vessel is called an aneurysm
41
What are ways to protect yourself from CVD?
o Increase fibre intake o Decrease sodium intake and increase potassium intake o Moderate alcohol consumption o Other dietary factors o Exercise regularly o Avoid tobacco o Know an manage blood pressure, cholesterol levels, and stress and anger
42
What is cancer?
- Cancer is the abnormal, uncontrolled multiplication of cells that, if left untreated, can ultimately cause death
43
What is the definition of metastasis?
o Metastasis, is the spreading of cancer cells from one part of the body to another, occurs because cancer cells do not stick to each other as strongly as normal cells do and therefore may not remain at the site of the primary tumour (cancer’s original location) - The travelling and seeding process is called metastasizing and the new tumours are called secondary tumours, or metastases
44
What is lung cancer?
Lung cancer o Risk factors  Tobacco smoke and other carcinogens such as asbestos or certain pollutants o Detection and treatment  CT scan detects lung cancer  Symptoms do not appear until the disease has advanced to the invasive stage  Signals are persistent cough, chest pain, recurring bronchitis  Chemotherapy treats it
45
Explain colon and rectal cancer
Colon and rectal cancer o Risk factors  Many cancers arise from pre-existing polyps, small growths on the wall of the colon that may gradually develop into malignancies  Chronic bowel inflammation and type 2 diabetes increase the risk of colon cancer  Lifestyle is also a factor o Detection and treatment  Regular screening is what is able to detect  Surgery is how it is treated and radiation and chemotherapy may be used to shrink any other remaining cancerous cells
46
Explain Breast cancer
Breast cancer o Risk factors  Has a strong genetic component  Early onset of menstruation, late onset of menopause, having no children or having a first child after age 30, having a high breast density (greater than 75 percent), current use of hormone replacement therapy, obesity, being physically inactive, and alcohol use.  Any factor that increases estrogen exposure may raise breast cancer risk o Early detection  Mammograms are used as a detection mechanism * Low-dose X-ray every 2-3 years.  Breast awareness * Breast self-exams (BSEs) o Treatment  If a lump is detected, it may be scanned by ultrasonography and biopsied to see if it is cancerous  Surgeries such as lumpectomy and mastectomy
47
Explain Prostate cancer
Prostate Cancer o Risk factors  Age is the strongest predictor of the risk  Inherited genetic predisposition may be responsible for 5 to 20 percent of cases, and men with a family history of the disease should be particularly vigilant about screening. o Detection  Warnings signs can include changes in urinary frequency, weak or interrupted urine flow, painful urination, and blood in the urine.  Techniques for early detection include a digital rectal examination and the prostate-specific antigen (PSA) blood test o Treatment  Usually involves radical prostatectomy, in which the prostate is removed surgically.
48
What is physical fitness?
 This is the body’s ability to respond or adapt to the demand and stress of physical effort – that is, to perform moderate to vigorous levels of physical activity without becoming overly tired
49
What does health related fitness include?
 Cardiorespiratory endurance  Muscular strength  Muscular endurance  Flexibility  Body composition
50
What is the FITT principle
Frequency, intensity, time, and type, which are all things that need to be considered when making a workout plan.
51
Define and give examples of aerobic and anaerobic activities
Aerobic exercises are exercises that use large muscle groups in your body and is rhythmic and repetitive examples: Jump rope, running, rowing, swimming, cycling Anaerobic exercise involves quick Burts of energy and are performed at maximum effort for a short time. examples: sprints, weightlifting, isometrics, plyometrics, interval training.
52
List the essential nutrients
o Proteins, fats, carbohydrates, vitamins, minerals, and water
53
Explain proteins
Proteins o Proteins form important parts of the body’s main structural components: muscles and bones o Also form important parts of blood, enzymes, some hormones, and cell membranes o Amino acids  These are the building blocks of proteins o Complete vs incomplete proteins  If the protein supplies all essential amino acids it is complete, if not it is incomplete Protein builds and repairs muscles and makes hormones and enzymes
54
Explain fats
Fats (lipids) o These are the most concentrated source of energy o Fats in the diet help your body absorb fat-soluble vitamins and add important flavour and texture to foods. o Types and sources of fat:  Saturated vs unsaturated * Foods that are solid at room temperature (red meats) are usually saturated * Unsaturated fat comes from plants and are liquid at room temperature. o Hydrogenation  This is a process which a mixture of saturated and unsaturated fatty acids is produced, creating a more solid fat from liquid oil.  Turns unsaturated fatty acids into trans fatty acids. o Fats and health  Saturated and trans fatty acids raise blood levels of LDL or “bad” cholesterol  Unsaturated fatty acids increase the levels of HDL or “good” cholesterol
55
Explain Carbohydrates
Carbohydrates o These are needed in the diet primarily to supply energy for body cells o Carbs are classified into 2 groups:  Simple  Complex o Simple  Simple carbs provide much of the sweetness in foods o Complex  Include starches and most types of dietary fibre o Glycemic Index  A food that has a rapid effect on blood glucose levels
56
Explain fibre
Fibre o This is term given to non-digestible carbohydrates provided by plants o Types fibre comes in 2 types:  Dietary fibre * Refers to the non-digestible carbohydrates that are present naturally in plants, such as grains, legumes, and vegetables  Functional fibre * Refers to non-digestible carbohydrates that have been either isolated from natural sources or synthesized in a lab and then added to a food product or dietary supplement. o Sources of fibre  All plant foods contain some dietary fibre.
57
Explain vitamins
Vitamins o These are organic substances required in small amounts to regulate various processes within living cells. o What are the functions of vitamins?  Vitamins help chemical reactions take place. They provide no energy to the body directly, but help unleash the energy stored in carbohydrates, proteins, and fats. o Vitamin Deficiencies  If your diet lacks a particular vitamin, characteristic symptoms of deficiency can develop. o Vitamin excesses  Taking too many vitamins can be harmful, especially when taken as supplements.
58
Explain Minerals
o These are inorganic elements you need in relatively small amounts to help regulate body functions, aid in the growth and maintenance of body tissues, and help release energy.
59
Explain antioxidants
o These can help protect the body from damage by free radicals in several ways. o Free radicals are a normal part of the metabolism process, and factors such as smoking, certain drugs, and stress can increase free radicals.
60
Explain the nutritional guidelines
Dietary Reference Intakes (DRIs) *Everything under this is related to DRI o These are standards for nutrient intake designed to prevent nutritional; deficiencies and reduces the risk of chronic disease. Recommended Dietary Allowance (RDA) *Part of DRI o Average daily level of intake sufficient to meet the nutrient requirements of nearly all healthy individuals Adequate Intake (AI) *Part of DRI o Established when evidence is insufficient to develop an RDA and is set at a level assumed to ensure nutritional adequacy Tolerable Upper Intake Level (UL) *Part of DRI o Maximum daily intake unlikely to cause adverse health effects o Not all dietary substances have a UL
61
Explain the different kinds of vegans
Vegan: o NO animal products Lacto-vegetarian o Milk only Lacto-ovo vegetarian o Milk and eggs Semi-vegetarian o Fish only, sometimes often other meats but usually excludes red meat
62
Explain some nutrient claims and what they mean
Light o Reduced in energy or reduced in fat Reduced or fewer o At least 25 percent less of a nutrient than a similar product; can be applied to fat, saturated fat, cholesterol, sodium, and calories Good source of fibre o 2 grams or more of fibre or of each identified fibre Fat free o Less than 0.5 grams of fat per serving Low in calories o 40 calories or less per serving High source of fibre o 4 grams or more of fibre or of each identified fibre