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48 Cards in this Set

  • Front
  • Back
Newborn babies display a pattern of primitive reflexes.
(a) Identify and describe one primitive reflex. (3)
1 mark for the identification (name of reflex) and 2 for
description.
1 mark for partial description and 2 for a full description.

Can gain description marks without identification.

• Swallowing or sucking reflex- anything placed in the
mouth is sucked/swallowed

•Startle reflex – loud noises or bright lights cause arms
to fling outwards with elbows bent and hands
clenched

• Grasp reflex – hand grasps any object or finger
touching the palm of the hand
As babies grow older, their physical development changes. Place the following stages
of physical development in chronological order. The first example has been done for
you.
A. Sit without support
B. Hold a rattle or similar toy
C. Hold up the head
D. Crawl using the hands and knees
E. Walk unaided
F. Use the whole hand to pass a toy from one hand to the other.
C, ............, ............, ............, ............, ............

(3)
3 marks for all letters in the correct position i.e. CBFADE
Define the term growth. (2)
1 mark for partial definition, 2 marks for full definition.

An increase / gain in physical size / height / weight / mass.
There must be increase or similar word AND size/height
/weight/mass for the second mark.
An example may be offered for 1 mark if correct. (max 2
marks)
Do not credit using ‘grow’ or just ‘change’ instead of
increase.
Define the term development. (2)
mark for partial definition, 2 marks for full definition.

A progression/increase in skills, capacities or abilities
An example may be offered for 1 mark if correct. (max 2
marks)
Do not credit using ‘develop’ or ‘change’ instead of
increase/progression
Examine the development of cognitive and language skills in infancy and early
childhood. (10)
Level Three (7 - 10)
Few if any omissions at least 4 points will be presented.
Depth of understanding and links will be demonstrated and
the candidate will be able to accurately apply knowledge,
concepts and terms appropriately. Candidate can evaluate
and draw conclusions. Work is coherent and well structured.
Intellectual development includes both cognitive or thinking
skills and language acquisition. (1 mark)
Maximum of 5 marks if one not considered.

Likely responses to include:
Cognitive- Apt candidates will describe theories of Piaget
accurately.
• Young infants – cry in response to physical stimuli
hungry, wet, cold ,etc
• If objects or people are not seen, they do not exist
• Older infants learn that objects exist even when not seen
and look for them
• Tend to base thinking on what things look like (prelogical)
• Begin to reason and think more logically.
Language acquisition- apt candidates will add a sense of
timing.
• Young infants vocalise followed by “babbling” sounds
• By 1yr some infants have single / simple words
• By 2 yrs, 2-word statements
• Short phrases
• Asking questions
• Sentences
• 5-6yrs good sentences and fair vocabulary
• Use and understand speech, increasing vocabulary.
Focus must be infancy / early childhood.
Not physical, emotional or social development.
Play is a vital part of a child’s all-round growth and development.
Discuss the importance of play on the growth and development of children. (10)
Likely response include:
• Develops confidence /self esteem / self-concept
• Improves sense of security
• Develops the imagination and creativity
• Sense of values and right from wrong
• Enhances social skills and ability to make relationships
• Interpretation of the world around them
• Makes sense of things
• Realisation of potential
• Develops competence
• Control of emotions
• Improves motor skills / motor control / strength /
stamina / fitness
• Enhances cognitive skills/problemsolving/
reading/writing
• Develops language and communication skills
Some candidates may only provide different types of play –
solo, parallel, associative etc
Maximum 2 marks if no points made
Do not accept negatives as it is the importance of play
Identify three general aims of health promotion. (3)
1 mark for each aim

• making people more aware of health issues
• improve fitness levels generally
• help prevent ill-health
Do not credit ‘healthy lifestyles’
Explain what is meant by “the medical approach” to health promotion. (2)
1 mark for a partial description, 2 for a full description.
Credit one mark for a correct example Max.2 marks

The medical approach to health focuses on the prevention (1
mark) of disease or illness (1 mark)
Identify and describe one example of how health professionals use the medical approach in health promotion activities. (3)
1 mark for identification and 2 marks for description.
(1 for partial and 2 for full)

Likely responses include:
• Childhood immunisation programme – to prevent
childhood infections
• ‘Flu immunisation for vulnerable sick, essential workers
and people in later adulthood – to prevent influenza
• Mammography – type of X-ray to detect breast
abnormalities
• Cervical smear tests – microscopy to detect cell
abnormalities
Do not expect a timetable for child immunisation but a
mention of at least 3 diseases covered for 2 marks (less than
this 1 mark)
Identify and explain one example of a health promotion activity using the societal approach. (3)
1 marks for the correct identification. 2 marks for
explanation. 1 mark for partial explanation

Candidates are likely to choose from:
• ban on smoking in enclosed public places
• raising of age to purchase tobacco/alcohol products
• wearing car seat belts
• ban on sale of fireworks, alcohol under certain age
State why this health promotion activity is of benefit to society. (3)
The benefits should relate to the societal health promotion
identified, however, any type of promotion offered can give
1 mark if benefit linked to population.
1 mark for each point made, max 3 marks

• healthier population
• reduce costs to the NHS
• reduce numbers of deaths and injuries
• reduce pollution
• reduction in cancer statistics
• reduction in heart disease statistics
• average life expectancy may rise
Identify and examine the benefits to individuals from a health promotion
activity. (8)
Few if any omissions will be presented. Depth of
understanding will be demonstrated and the candidate
will be able to accurately apply knowledge, concepts and
terms appropriately. Candidate can evaluate and draw
conclusions. Work is coherent and well structured.
1 mark for identification of health promotion
The benefits must relate to a health promotion identified.

Likely responses of individual benefits:
• increase in health and well-being / self-esteem /
confidence / self-concept
• improved fitness/ better breathing etc
• greater stamina
• reduction in likelihood of developing coronary heart
disease/heart attacks
• less likely to develop cancer of
lungs/bladder/throat/mouth/breast/liver
• not dependent on chemical substances
• better role model for family
• more money available
• live longer
• make friends / meet new people
• explore different activities, e.g. sport
• increased awareness of health issues
Discuss the extent to which an identified health promotion activity meets the general
aims you identified in 2(a). (8)
Level Three (6 - 8)
Few if any omissions will be presented. Depth of
understanding will be demonstrated and the candidate
will be able to accurately apply knowledge, concepts and
terms appropriately; points will address all 3 aims.
Candidate can evaluate and draw conclusions. Work is
coherent and well structured.
1 mark for identifying health promotion

Responses likely to include:
Aim - making people more aware of health issues
• publicity follows introduction nd anniversaries of ban
• health promotion campaigns intensify before a ban
• relevant products build up advertising / publicity
• law-breakers punishments highlight issue
Aim - improve fitness levels
• cardiovascular and lung function improves/less chest
infections/less asthma attacks/less heart attacks
• better weight control
• more time and motivation to participate in exercise
• more oxygen and less carbon mono/dioxide available
Aim - help prevent ill-health
• less heart disease
• BP lowered
• less bronchitis and emphysema
• less lung and other cancers
Maura and her mother Yana live in a small house in an area of the UK prone to flooding.
Last year, the flooding was heavy and prolonged leading to disruption of clean water
supplies and sewerage services. Yana is over 80 years of age and in the early stages of
dementia. She refused to leave the house during the flooding due to reports of looting of
properties. Maura is a schoolteacher almost 50 years of age and experiencing the symptoms
of the menopause and stress.

(a) (i) Identify the life stages of Maura and Yana.
Maura’s life stage ..................................................................................................
Yana’s life stage (2)
Maura – middle adulthood
Yana – later adulthood
Describe three physical features of the menopause that Maura might experience. (6)
2 marks for each feature of the menopause
1 for partial description, 2 for full description.

Likely responses include:
• ovarian hormones decrease due to no more eggs
• menstruation declines and finally stops
• inability to bear children/become pregnant / no
more eggs
• night sweats/hot flushes due to hormones increasing
• primary and secondary sexual organs shrink
Only accept physical effects, so reject mood swings, stress,
irritability, etc.
Explain how the reduction in the quality of water and sewerage services during the
flooding may have affected the women’s development. (8)
Level Three (6 - 8)
Few if any omissions will be presented. Depth of
understanding will be demonstrated and the candidate
will be able to accurately apply knowledge, concepts and
terms appropriately; points will address all developments.
Candidate can evaluate and draw conclusions. Work is
coherent and well structured.

Responses likely to include:
Physical
• Risk of serious disease such as gastro-enteritis,
cholera etc
• Risk of dehydration due to conserving water
• Poor hygiene
Emotional
• Anxiety / fear
• Stress
• Anger
• Depression
• Loss of self-esteem
• Despair/feeling of being trapped
Social
• Unable to meet friends, family etc
• Unable to go to work
• Feel isolated
• relationship between mother and daughter may
deteriorate
Intellectual
• No stimulation
• Boredom
• Inability to concentrate
Do not award any marks for naming physical, emotional,
social or intellectual.
Explain the possible causes of Maura’s stress. (4)
2x2 for full explanations,1 mark for partial
explanation

Answers may be drawn from the following:
• Symptoms of the menopause interfering with
daily living
• Job role
• Repeated flooding and destruction of property
• Mother in early stages of dementia
• Effects of flood such as lack of water, sewerage
problems etc.
• Reduced personal time
Value of property declining/difficulties with
insurance/financial problems in cost of repairs and
replacement / looting
Discuss how stress could affect Maura’s physical and emotional development. (10)
Level Three (7 - 10)
Physical and emotional effects will be presented in a
balanced way. Depth of understanding will be
demonstrated and the candidate will be able to
accurately apply knowledge, concepts and terms
appropriately. Candidate can evaluate and draw
conclusions. Work is coherent and well structured.
Maximum of 5 points if only one development is covered.

Answers may be drawn from:
Physical
• Unable to sleep/tired/restless
• Indigestion/digestive problem/ulcers
• Bowel problems
• Raised blood pressure
• Tremors/nervous tics
• Muscles tense/unable to relax/aches
• Heart disease/palpitations
• Skin problems –eczema/psoriasis etc
• Substance abuse
• Poor/absent sexual activity/affection
• Headache
• Weight changes
Emotional
• Anxious/tense
• Depressed/negative about life events
• Irritable/short-tempered
• Inability to concentrate
• Unhappiness / sad / tearful
• Negative self-control / low self-esteem / lack of
confidence
Do not accept any points relating to social or intellectual
development.
Ali is one year old and just learning to walk. His mother Julie is 17 years of age and
her boyfriend Hassim is 20 years of age. At first, Julie and Hassim lived together but
now he has returned to live with his parents. This has caused arguments between Julie
and Hassim.

(a) Identify the life stage of each individual in the table below.
Name of
individual Identification of life stage (3)
Julie
Ali
Hassim
1 mark for each correct life stage

Julie - Adolescence
Ali - Infancy
Hassim - Early adulthood
Puberty involves a series of physical changes which can be different in males and
females. Identify three physical changes which are different in boys like Hassim and
girls like Julie. (3)
1 mark for each difference

For example:
• girls menstruate, boys don’t
• girls grow breasts, boys don’t
• boys voices break, girls don’t
• girls hips widen, boys don’t
• boys have “wet dreams” (secretions), girls don’t
• different hair patterns
c) Learning to walk is one example of physical development in Ali’s life stage. Describe
one example of social, emotional and intellectual/cognitive development that Ali
might show in this life stage.
(i) Social development
(ii) Emotional development
(iii) Intellectual/cognitive development (6)
2 marks for an accurate description, I mark for a
partial description.

For example:
Social –
• primary socialisation – norms/values
• dependent on a carer’s familiar presence
• shy with strangers
• loving towards carers
• plays simple games with people (peek-a-boo, this
little piggy, pat-a-cake)
• waves bye-bye
Emotional –
• loving towards carers
• comfort objects –soft toys, blanket
• have moods
• cries if main carer disappears
Cognitive/intellectual –
• learns about things by trial and error
• follows simple instructions
• points and looks when others point showing
understanding
• has 2 -6 words and gaining more rapidly
• use objects in appropriate manner (cuddle soft
toy, try to brush hair)
Ali was a happy, contented baby but recently he has become withdrawn and is less
interested in playing with his toys.
Explain why Ali’s behaviour might have changed.
Level 3 : 6 – 8 marks
There will be very few, if any, omissions. Candidate
demonstrates a depth of knowledge, uses vocational
terms and good links to other developmental areas. More
than 2 factors considered with explanations (6 marks)
with 7-8 marks for quality responses. Evaluation leads to
conclusions and the work is coherent and wellstructured.

For example:
• missing father
• picking up on tension when they do meet
• sensing conflict between parents
• sensing mother’s unhappiness
• mother young and may not be looking after him
well
• may not be going out very much
• may suffer
Discuss how Julie’s self-concept may be affected by Hassim returning home to live
with his parents. (10)
Level 3 : 7 – 10 marks
There will be very few, if any, omissions. Candidate
demonstrates a depth of knowledge, uses vocational
terms and good links to different factors with supporting
explanations. There must be consideration of both
positive and negative effects for level3. Evaluation leads
to conclusions and the work must be coherent and wellstructured
to gain 9 -10 marks.
Maximum 5 for one-sided view.

For example:
1 mark for including a definition of self concept.
Positive self concept
• may be relieved that arguments have reduced
• feel independent/strong
• able to please herself/answer to no-one else
• concentrate on baby
• low income may go further so pleased
• happier/less stressed
• raised self esteem/values herself more/confident
Negative self concept
• depressed/sad/miserable
• low self esteem/lack of confidence
• poor self image
• feel abandoned/rejected/worthless/devalued/
useless
• blames getting pregnant/having baby
• loses interest in surroundings/motherhood
• poor quality of life
• stressed
Julie and Ali have a low income and live in a one-bedroom flat. Julie, an only child,
was doing well at school until she became pregnant by Hassim.
Her parents did not approve of their relationship and asked Julie to leave the family
home. At that time, Julie’s mother was starting the menopause and this was a difficult
time for the whole family.
(a) (i) Identify three physical features of the menopause. (3)
1 mark for each different response

For example:
• reduction or cessation of menstruation
• no ova (eggs) produced
• changes in skin temperature (hot flushes,
nightsweats)
• increase/reduction of female hormones
• incapable of childbearing/infertile
• sexual organs reduce in size
Discuss how relationships between Julie and her parents may have been affected
by the difficulties they were experiencing. (8)
Level 3 (6 – 8 marks)
There will be very few, if any, omissions. Candidate
demonstrates a depth of knowledge, uses vocational
terms and good links to other factors with detailed
explanations. Evaluation leads to conclusions and the
work is coherent and well-structured.

For example:
• only child left home
• child did not fulfil parents expectations
• mother unable to bear more children
• menopausal mood swings and irritability may
cause conflict
• arguments
• suddenly grandparents/feel old
• unable to see grandchild
• ashamed at child’s sexual relationship
• “empty nest syndrome”
• relationship strained/fractured/incompatible
Julie is a heavy smoker. State one effect this might have on Ali’s health. (1)
1 mark for a correct response

For example:
• failure to thrive
• poor growth
• chest infections
• asthma
• poor oxygenation of blood
• cough
• anaemic
• slower to achieve norms for age
• income spent on cigarettes may lead to poor
nutrition/toys/quality of life
Explain the effects of smoking on Julie’s physical health. (8)
There will be very few, if any, omissions. Candidate
demonstrates a depth of knowledge, uses vocational
terms and good links to other factors with detailed
explanations. Evaluation leads to conclusions and the
work is coherent and well-structured.
Maximum of 4 marks for factors not explained

For example:
• chronic bronchitis and emphysema
• “smoker’s cough”
• cancer of lungs/nose/throat/stomach/bladder
• poor oxygenation of organs
• reduced efficiency of organs
• addiction
• increased chest infections/asthma
• increased blood cholesterol/thrombosis/blood
clotting (heart attacks/strokes)
• increase miscarriages/stillbirths/foetal growth
• (premature) death
• increased blood pressure
• money for cigarettes may cause malnutrition
Discuss how living on a low income may impact on Julie and Ali’s growth and development. (10)
Level 3 : 7 – 10 marks
There will be very few, if any, omissions. Candidate
demonstrates a depth of knowledge, uses vocational
terms and good links to different factors with supporting
explanations. There must be consideration of both
positive and negative effects with explanation for level
3. Evaluation leads to conclusions and the work must be
coherent and well-structured to gain 9 -10 marks.

For example:
Negative
• poor nutrition –tendency to consume cheap,
convenient fatty foods high in sugar
• weight change
• less likely to buy fresh fruit and vegetables
• not able to take pleasure trips
• getting about is very difficult as transport
expensive
• accommodation in high crime areas/fear of going
out
• accommodation likely to be polluted, basic, damp
and uncomfortable
• few items of clothing, furniture etc
• fuel poverty/cold
• unlikely to meet new people/develop
relationships/loneliness/poor social development
• low self concept/low self esteem
• unable to buy intellectually stimulating
toys/newspapers etc
• depression/withdrawal/isolation
• community facilities poor
• health and social care poor
• stress/anxiety

Positive
• sense of achievement
• builds character
• increase creativity/imagination
• walk/play in parks – healthier lifestyle
• cognitive development through free
libraries/museums, etc.
• encourages thrift/recycling
Identify and explain how two factors influence personal views of health. (6)
1 mark for a correct identification, 2 for a weak link to
personal health and 3 for full accurate
explanation/example.

• person’s age
• social background/social class
• cultural heritage/religion
• personal experiences particularly of health
• circumstances in which they live
• income
• education
For example
Social background: relationships (intimate, family or
general), social class
Cultural heritage: discrimination, cultural practices,
tradition
Personal experiences: disability, pain, surgery,
Chronic illness, allergies
Circumstances in which they live: crime area, lack of
services, lack of transport
Income: poverty, malnutrition, cost of living
Describe the general aims of health promotion campaigns. (6)
2 marks for each accurate description/example x3
1 mark for weak/partial response

• making people more aware of health issues eg
addictions, sexual behaviour
• improving fitness levels generally eg exercise,
healthy eating
• helping prevent ill health eg smoking cessation,
reducing alcohol consumption, immunisations
Discuss how the smoking ban in confined public places is addressing the general aims of health promotion campaigns. (8)
Level 3 : 6 – 8 marks
There will be very few, if any, omissions. Candidate
demonstrates a depth of knowledge, uses vocational
terms and good links to all aims with detailed
explanations. Evaluation leads to conclusions and the
work is coherent and well-structured.
Smoking Ban in confined public places
Raising awareness

• made people more aware of the dangers of
passive smoking especially for people who work
in bars, theatres and restaurants
• made people more aware of the dangers of active
smoking such as heart disease, cancers etc.
Improving fitness
• improve people’s fitness by better oxygenation of
organs
• improve fitness levels by less fluid in the lungs,
cleaner lungs so breathing improved
Prevention of disease
• helped to prevent ill health by reducing levels of
heart disease
• help to prevent lung and other cancers
Discuss the advantages and disadvantages of the three different approaches used inhealth promotion campaigns (10)
Level 3 : 7 – 10 marks
There will be very few, if any, omissions. Candidate
demonstrates a depth of knowledge, uses vocational
terms and good links to all approaches with supporting
explanations both positive and negative. There must be
consideration of both positive and negative effects for
level3. Evaluation leads to conclusions and the work must
be coherent and well-structured to gain 9 -10 marks.
For example:
Societal:
Advantages
• applies to all individuals, seen as fair
• shapes health environment rather than individuals
• may have enforcement attached
• authority seen as caring for population
• should show reduction in harm
• cost less
Disadvantages
• drive practice “underground”
• produce rebels who are in denial
• “nanny” state takes away rights of people
• costly to enforce
• need to put support mechanisms in place
• compulsory
Educational/behavioural
Advantages
• doesn’t tell people what to do
• offers choice
• offers information and support
• promotes self esteem
• can be used by other professionals not just health

Disadvantages
• may be short-lived improvement
• may be ignored
• need to explore values and attitudes
• target group must be right one
• needs to be interesting/shocking
• evaluation can be difficult and long term
Medical (Biomedical)
Advantages
• trust in the medical professionals
• generally free
• prevents ill health
• reinforced by scientific
principles/research/statistics
Disadvantages
• costly
• errors happen
• depends on compliance
• rumours in media attract attention (MMR)
• time off work
• difficult to get to centres/transport/appointments
• may not be effective (flu jab)
• fear of results/needles
• staff availability
A group of volunteers work for a charity known as “Advice” under the supervision of
a paid trained worker. Advice aims to help people with daily life problems such as
debt, employment, housing, welfare benefits and relationships.
Keith, a volunteer advisor, is meeting with Paul who is 17 years of age and
unemployed. He is seeking advice on whether it would be a good idea for him to
enrol at college for a vocational qualification.

(a) Explain the term adolescence. (2)
2 marks max. for correct response, 1 mark for partial response,
may be two for 2 marks

· Between childhood and (early) adulthood (1)
· Age range 9-18 yrs (1)
· Turn into man/woman/ go through puberty/child into adult(1)
· Time period when the body prepares for (sexual)
reproduction/ menstruation/produce ova/sperm (2)
Describe one physical, one social and one emotional feature of adolescence. (6)
2 marks for each full response, 1 for a partial response.

For example:
Physical –Growth of sexual organs/growth spurt/widening of
shoulders or hips/onset of menstruation/growth of breasts/
development of body hair/voice breaking
Social – friends more important than family/socially
independent/intimate friendships/interests as peers
Emotional-rebellious/moody/independence/idealistic/fanaticisms
Please note:
Physical - puberty ALONE = 1 marks
Social - not meeting new people alone/ bigger social group = 0 marks
Self-concept is viewed as a combination of self-esteem and self-image.

(c) Explain the difference between self-esteem and self-image. (4)
2 marks x2 for each full response, 1 each for partial responses.

For example:
How an individual sees/views/perceives themselves –self image
whereas how an individual feels/values themselves is self esteem.
Feel good factor / confidence 1 mark
NOT thinks 0 marks
appearance/looks/pretty/ugly etc
or anything to do with mirrors 0 marks
If there is anything about how other people see/value them and
the rest is correct then 1 mark only UNLESS it refers to
seeing/valuing themselves that way gained from other peoples
reactions to them (2x2)
Discuss how unemployment may have affected Paul’s self-concept. (8)
There will be very few, if any, omissions. Candidate demonstrates a
depth of knowledge, uses vocational terms and good links to other
developmental areas. 3 points qualified = 6 marks, 3 points qualified +
1 point identified = 7 marks, 4 points qualified = 8 marks. Evaluation
leads to conclusions and the work must be coherent and wellstructured
.

Maximum of 4 marks for a one-sided answer
For example:
Increased/maintain self concept/Positive
· Time to fully prepare for any interviews /learn new skills / feels
he has done his best
· Has time to meet with friends/meet new people/develop
socially/ makes him feel good
· Many other people in same position so self esteem maintained
· Able to claim benefits to live on
Decreased self concept/Negative
· Feels dependent on state handouts
· May feel depressed
· Feels rejected/ worthless/isolated/discriminated against
· Angry/resentful/disappointed
· Low self esteem/ low self image/doesn’t feel good / sees self as
failure
· No money for clothes/leisure/luxuries
· May be tempted/get into trouble/ get into debt
· Boredom/unable to progress
Points must be qualified by effect on self-image/self-esteem/self
concept to gain double marks, otherwise one.
Examine the advantages and disadvantages that Paul may experience if he returns
to full-time education. (10)
There will be very few, if any, omissions. Candidate demonstrates a
depth of knowledge, uses vocational terms and good links to 3-4 points
with supporting explanations. There must be consideration of both sides
with qualifications. Evaluation leads to conclusions and the work must
be coherent and well-structured to gain 9 -10 marks.

For example:
Advantages
· Can progress/Higher education/purpose in life
· Secure a better job with more money eventually
· Make a new circle of friends
· Raise self esteem/self concept
· Become more confident
· Enhance cognitive skills / communication skills
· Join in other activities eg sport
Disadvantages
· Worry that a job that he wants comes after he starts
· Anxiety about his intellectual/practical skills/ integrating
· Still might be unemployed after college
· Levels of debt he might incur
· Lose benefits
· Anxiety about living expenses
Keith, the volunteer advisor, is 68 years of age and a retired business manager.

(a) Identify Keith’s life stage. (1)
Later adulthood
Identify three physical features characteristic of Keith’s life stage. (3)
1 mark for each correct feature
For example:
· Eyesight deteriorates /declines (NOT LOST) because the lens
is less elastic/harder and the muscles are weaker
· Hearing reduces /declines (NOT LOST) because the small
bones/joints become arthritic/stiff
· Skin elasticity is less so wrinkles form. Elastic degenerates
with time.
· Mobility is reduced due to joints becoming stiff as the
cartilage wears out /balance deteriorates
· Organs become less efficient as tissues age and blood supply
gets less / immune system deteriorates
· Height decrease/get shorter
· Bones become less dense/ weaker/ more liable to fracture
NOT brittle/fragile bones, wrinkles, hair grey/white. Bald
Accept senses in place of vision/hearing.
Hearing/eyesight acceptable as 2 different marks IF on separate
lines.
Reasons are not necessary for the mark.
Explain why Keith spends some of his leisure time doing unpaid voluntary work. (6)
2 marks for each point fully explained, one mark for partial
explanation.
· Retired so prevents boredom
· Wishes to repay society/give something back
· Increase social development by keeping work colleagues
· Extend his own knowledge
· Use his experience of life
· Remain active both mentally and physically
· Raise/maintain self-esteem/image/concept
· Make new friends
· Need to be appreciated/respected
· Pleasure/ personal satisfaction
Eve is the paid supervisor at “Advice”; she is currently divorcing her husband who has
formed a relationship with a younger woman.

*(d) Examine how Eve’s relationship problems may be affecting her work. (10)
For example:
If you wish to use PIES (not essential)
Physical
· Stress / irritable with people
· Lack of sleep / tired / can’t be bothered / inefficient
· Vulnerable to infection / time off work
· Weight loss / gain / altered self image
Emotional
· Angry / resentful (anti-men) / judgemental
· Sad / tearful / work problems have greater effect
· Lowered self-esteem / image/concept / lack of leadership
· Withdrawn emotionally / depressed / unhelpful
· Disinclined to talk / unhelpful
Social
· Lonely / isolated
· Doesn’t go out
· Withdrawn socially
(withdraws from social activities involved with work)
Intellectual
· Unable to concentrate/ distracted / inefficient/ lower work
performance
· Makes mistakes / inefficient
· Loss of interest in work / can’t be bothered
· Bias/distorted perspective/inappropriate advice
Although she is keeping physically well, Eve is also experiencing the menopause.
Describe what is meant by the menopause. (2)
2 marks for a full explanation, 1 mark for partial explanation
The end of a female’s fertile period (2 marks) / cannot have more
children (1 mark)
no viable eggs/produced (1mark) so periods stop (1 mark)
Age 45-55 1 mark
Eve had a few weeks off work due to the stress from the break-up of her marriage.
Discuss how stress may affect Eve physically and emotionally. (10)
For example:
Physical
· Adrenaline release, high blood pressure, heart disease
· Digestive disorders, diarrhoea, ulcers
· Palpitations, tachycardia (rapid heart rate)
· Skin disorders
· Sleeplessness
· Vulnerability to infection
· Headaches/migraines
· Loss/gaining weight
Emotional
· Panic attacks
· Anxiety
· Neuroses
· OCD (obsessive compulsory disorder)
· Depression
· Tiredness due to sleeplessness
· Irritability
· Anger/aggression
· Low self image/esteem/concept
“Advice” has had many enquiries from people worried about H1N1 influenza, more
commonly called “swine flu”. In 2009, this was considered to be a mild disease for
most people.
(a) Name two groups of people who appeared to be at the greatest risk of life-threatening complications of “swine flu” at this time. (2)
2 marks, 1 for each correct group of people
For example:
· Children
· Pregnant women
· Individuals with health concerns/ reduced immunity
Describe two reasons why the UK government carried out a national health
promotion campaign at the start of an infection such as “swine flu”. (4)
2 marks for identifying each reason (2x2) 1 mark for partial
explanation:
· To prevent a spread throughout the country
· Raise awareness and educate / signs and symptoms
· To reduce a potential death toll
· To relieve pressure on the NHS
· To raise confidence in the government
· Give advice on what to do / ways to increase personal hygiene
NOT stop people getting ill
Identify and justify the health promotion approaches/models used by the UK
government in managing large-scale infections such as “swine flu”. (6)
1 mark x2 for identifying educational/behavioural (accept either
educational or behavioural for 1 mark but not both for 2
marks)and (bio)medical approaches. Please note – no marks to be
awarded for Societal model
2 marks x2 for justification of each model. Partial justification 1
mark.
For example:
Educational/behavioural
· D of H needed to inform citizens of signs and symptoms of
swine flu / raising awareness
· D of H needed to explain risks to health
· People needed to know what to do to prevent infection by
swine flu.
· People needed to know how they should behave if infected
(Bio) Medical
· Antiviral drugs will be handed out to individuals who have
been close to source of infection.
· Immunisations will be offered
The UK government has been criticised for not being effective enough in raising
awareness of public health issues. Discuss this statement. (8)
For example:
· To inform people ( leaflets to every home) or not at all
· To run adverts emphasising what to do or not
· Publish up-to-date statistics or not
· Make the issue transparent or cover up
· Reinforce government guidance regularly or not
· Hold the DOH to account or not
· Criticism when facilities such as helplines are not ready
· Review strategies regularly or not
· Publicise personal stories or ignore
· Keep public vigilant or lose impact
· Issues not treated equally e.g. compare swine flu to HIV
· Resources unequal for different campaigns
· After an initial campaign, issues tend to be forgotten e.g HIV
· Scarcity of vaccine
· Bureaucracy
Assess the role of the media in national health promotion campaigns to raise
awareness of large-scale infections. (10)
For example: relevance to swine flu but extend generically
Strengths
· Raise awareness of expectation/presence of swine flu
· Speed of message
· Most individuals heard the message
· TV adverts reached majority of population even if they didn’t
read leaflets
· Funding was not an issue even in recession
· Helplines set up
· Internet was used to direct people to drug collection centres
· People told to get a flu buddy
· Publicise personal stories e.g. celebrities
Weaknesses
· Many were scared even though it was a mild illness overall
· Vulnerable people like pregnant women were unsure what to do
· Reported side effects (eg Tamiflu) often worse than illness
· Individuals were still visiting the GP even when they were told
not to.
· Helplines were delayed starting
· Helplines staffed by unqualified people reading from a sheet
· Other illnesses like meningitis were missed
Older people living alone had little access to internet or flu buddies