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82 Cards in this Set

  • Front
  • Back
A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
the process of understanding and sharing meaning.
communicators are interdependent, that is, they rely on each other and exert mutual influence on communication episodes.
cultural display rules
ways of showing emotions in different cultures
health communication
the way we seek, process, and share health information.
biomedical model
is based on the premise that ill health is a physical phenomenon that can be explained, identified, and treated through physical means. It is generally focused and specific.
biopsychosocial model
takes into account patients' physical conditions, their thoughts and beliefs, and their social expectations.
patient empowerment
patients have considerable influence in medical matters. Their ideas count.
The first known physician
religio-empirical approach
the ancient egyption approach to medicine. The cobined spiritualism and physical study.
often considered the founder of scientific medicine and Western medical ethics.
Hippocrates Oath
established a code of conduct for physicians that has influenced the Western world until the current day. "give no deadly medicine"
rational/empirical approach
disease is best understood by careful observation and logical analysis.
medical spiritualism
the belief that illness is governed by supernatural forces such as gods, spirits, and ghosts.
barber surgeons
performed simple surgeries such as bloodletting and tooth extractions
Christian magic
bizarre ceremonies and exorcisms condoned by the church.
holy relics said to protect those who purchased them from calamities such as shipwreck, fire, lightning, and difficult childbirth. A hoax.
Rene Descarte
an influential philosopher and mathematician of the time, introduced his method of doubt, prescribing that the thinker systematically doubt the existence of all things untill that existence can be verified.
principle of verification
do not believe it if you cannot prove it.
Cartesian Dualism
people have both souls and bodies, but the two are not the same.
orthodox practitioners
people educated in medical school
people who practiced folk medicine taught to them by friends and family members
germ theory
disease is caused by microscopic organisms called germs.
Flexner Report
published in 1910, it charged that all but a few medical schools in the country were lax in their coverage of biology and other sciences. It also charged that these schools did not offer more supervised, hands-on experience with patients.
when doctors focus on particular aspects of health
diagnosis-related groups (DRGs)
establish in advance what the funding agency will pay hospitals for certain procedures or the treatment of specific ailments.
managed care organizations
coordinates the costs and delivery of health services.
kaleidoscope model of health communication
portrays well-being as a dynamic and interactive mosaic.
insurance deductible
how much a patient pays a year for health services and insurance
insurance premium
how much a person pays an insurance company per month
When the insurance pays the doctor the rest of the bill, after the patient has paid a portion of it.
when patients or insurance companies pay the customary fee for health care services.
health maintenance organization (HMO)
Gives the doctor more stability, less administrative duties, and better working hours as she will share the patient load with other caregivers in the organization. The doctor may only treat patients who have HMP, and the organization will monitor the care the doctor provides and what it costs.
another alternative is for the HMO to give a doctor a set amount per patient, regardless of the care each patient ultimately needs.
preferred provider organization (PPO)
The doctor has her own office and may treat patients outside of the plan, but must agree to provide care for PPO members at a discount rate. The PPO will not pay the doctor a salary or capitated fee.
gag rules
prohibit physicians from telling patients about treatment options not covered by the health plans in which they participate.
transactional communication
communicators exert mutual influence on each other such that the approach one participant takes suggests how the other might respond.
physician-centered communication
doctors do most of the talking, chooe conversational topics, and begin and end communication episodes.
instructions or commands
a process by which nurses steer talk away from certain subjects.
treating patients as though they are inferior
are episodes in which a doctor or patient acts innapropriately
therapeutic privilege
the prerogative sometimes granted to physicians to withhold information from patients if they feel that disclosing the information would do more harm than good
collaborative communication
establishes patients and caregivers as peers who openly discuss health options and make mutually satisfying decisions.
model of collaborative interpretation
proposes that health communication is most effective when patients actualize the roles of decision makers and problem solvers and caregivers function as counselors or friends who work alongside patients to help them achieve shared goals.
a conversation in which both people participate fully and equitably, each influencing the encounter in ways that make it a unique creation.
doorknob disclosures
When the main concerns of a patient are told at the last instant of the medical visit.
co-authoring (medical records)
places patients in a central position, no longer excluded from details of their own health or forbidden to comment on it an official way.
a nonprofit organization designed to help medical centers establish pleasing and empowering surroundings.
the process of communicating across distances for health-related purposes.
learning how to behave properly wihin a specific community.
Voice of Medicine
This voice (way of speaking) is characterized by carefully controlled compassion and a concern for accuracy and expediency.
speech community
a group whose members share a common set of expectations.
case presentations
episodes in which healthcare professionals meet to share information and evaluate the progress of their patients
rote learning
memorizing information without understanding it.
problem-based learning (PBL)
challenges students to apply information to actual scenarios, rather than simply memorize it.
negative acts or words unnecessarily harmful, injurious, harsh, or insulting.
scut work
menial chores no one else wants to do.
rite of passage
a challenge that qualifies one for advancement.
professional autonomy
caregivers work independently, making decisions without much supervision
refers to physical and psychological responses to overwhelming stimuli.
emotional exhaustion, depersonalization, and a reduced sense of accomplishment.
emotional exhaustion
the feeling of being drained and used up
the tendency to treat people in an unfeeling, impersonal way.
reduced sense of personal accomplishment
feeling like a failure.
there are negative consequences no matter which option is chosen
detached concern
a sense of caring about other people without becoming emotionally involved in the process
empathetic communication model of burnout
health care is appealing to people who are concerned about others and are able to imagine other people's joy and pain.
knowledge coupling
a form of medical informatics in which patient information is entered into a computer data bank where it is matched(coupled) with extensive information about diagnoses, treatment options, the latest research, and more.
Voice of Lifeworld
concerned with health and illness as they relate to everyday experiences.
Tuskegee Syphilis Study
A group of black men who were studied, some were given the real vaccine while others were given a placebo; but there was no consent to do the testing
informed consent
patients must be fully aware of known treatment risks, benefits, and options; deemed capable of understanding such information and making a responsible judgment call; aware they they may refuse to participate or cease treatment at any time.
personal identity
a relatively enduring set of characteristics that define a person.
social identities
characterized by perceived membership in societal groups such as "retired persons" or "teenagers".
tertiary identity
a label that simultaneously defines the illness and one's alignment toward it.
supernormal identity
determined not to let the illness stop them from being better than ever.
restored self
wheny people are not quite as optimistic, but rypically deny that illness has changed them
contingent personal identity
when people admit that they may not be able to do everything they could previously do and begin to confront the consequences of a changed identity.
salvaged self
represents the development of a transformed identity that integrates former aspects of self with current limitations.
a story
integrative health theory
proposes that health is alignment between interpretive accounts (assumptions and explanations), performance (activities and behaviors), and self-image (understanding one's own identity)
to describe factors that threaten alignment.