What is the WHO definition of health 1948?
A state of complete physical, mental, and social well-being
and not merely the absence of disease or infirmity
What are the two kinds of normal
Statistical and cultural
What are two important interview techniques?
Listening and silence, facilitation
What are the three seperate activities carried out by patient and doctor?
Talking together - always
Doctor examining the patient - often
Performing procedures - sometimes
What are the positive ideas about health as defined by David Seedhouse?
- Health as an ideal state
- Health as physical and mental fitness
- Health as a commodity
- Health as personal strength or ability
- Health as the basis for personal potential
What are the lay beliefs about health? in comparison to professional beliefs
Lay beliefs: Absence of disease
Professional: Bio-medical or scientific view, health as the absence of disease/illness and the positive/hollistic views set out by david seedhouse
How do older and younger people tend to think about health?
Older - functional ability
Younger - Physical strength and fitness
How does social class affect the way we think about health?
People living in difficult economic and social circumstances regard health as functional – the ability to be productive, to cope and take care of others
Women of higher social class or educational qualifications have a more multidimensional view of health
How does gender affect the way we think about health?
- Women may find the concept of health more interesting
- Women include a social aspect to health.
How does culture affect the way we think about health?
Culture-different perceptions of illness/disease, differences in concordance with treatment
What is the afrocarribean impression of high blood pressure?
Attached different meanings to high blood pressure:
- regarded it as “normal” and not as an increased risk of stroke/heart attack
- were less likely to take their medication
What is the importance of understanding the patients views upon health and normality?
Enables you to formulate a joint plan about the best way forward, and to tailor your advice in order for the patient to make an informed decision. In doing so, it is likely you will improve compliance and your professional relationship with the patient.