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45 Cards in this Set
- Front
- Back
Health-protective behaviors
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individual actions taken to protect, promote, or maintain health
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Behavioral Risk Factor Surveillance SYstem
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CDC survey - annual household phone interviews conducted by state health depts, measures participation in healthy lifestyles
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Health Belief Model
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paradigm for understanding why some individuals engage in HPBs, consider health and non-health consequences, do only when 4 conditions exist
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4 conditions
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1. individual feels susceptible/vulnerable to condition/disease 2. feels it would have serious consequences 3. preventative action will effectively prevent 4. trigger for action occurs
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Theory of Reasoned Action
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intention or motivation to perform a behavior precedes actual performance of the behavior - influenced by attitude, social norms, messages conveyed by sig others and importance to individual
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health locus of control
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healthy behaviors are selected by individuals based on expectation that they will lead to positively valued health outcomes
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illness behavior
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the way in which symptoms are perceived, evaluated, and acted upon by a person who recognizes some pain, discomfort, or other signs of organic malfunction
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stages of illness experience
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1. symptom experience 2. assumption of the sick role 3. medical care contact 4. dependent patient role 5. recovery and rehabilitation
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theory of help-seeking behavior
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used to facilitate understanding of how symptom assessment varies and how individuals act instead of/before seeking HC
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social construction of illness
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part of socialization is observing how others within a group respond to illness and noting +/- reactions to their behavior
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sick role
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a social role, characterized by certain exemptions, rights and obligations, shaped by the society, groups and cultural tradition to which the sick person belongs
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medicalization
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increasing # of behaviors and conditions are being interpreted in med terms, giving med profession increased power. med practice=proper mech for controlling, modifying and eliminating deviant behaviors
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demedicalization
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countermovement
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social organization strategy
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emphasizes importance of social interaction and social networks as the mechanism through which individuals learn about, understand and attempt to handle difficulties
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lay-referral system
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the decision of how to respond to sickness is socially constructed - occurs in interaction with and consultation with others
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social triggers
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influence judgement that symptoms need professional HC - perceived interference with activity, perceived interference with social/personal relations, interpersonal crisis, temporalizing of symptomatology, pressure from friends/family
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temporalizing of symptomatology
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setting a deadline to seek prof HC
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chronic illness
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ongoing or recurrent and one that typically persists for as long as the person lives
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impairment
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loss of some anatomical or physiological function
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disability
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consequence of an impairment
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stigma
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deeply discrediting label on the individual
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4 dimensions of perceived stigma
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social rejection, financial insecurity, internalized shame, social isolation
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Americans with Disabilities Act
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prohibits discrimination on the basis of disability in jobs, housing and places of public accomodation. requires business to make reasonable modifications.
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profession
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according to Goode - autonomy, rigorous standards and prestige and identification
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professional dominance
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extensive control by the med profession over the org, laws, clinical practice, financing of med care and its ability to promote its own autonomy, prestige and income
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deprofessionalization theory
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pts have become more well-informed and assertive about health
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corporatization
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increasing amt of corporate control of med
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proletarianization of medicine
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physicians have autonomy and self0 control stripped and replaced with control by corporate owners and managers
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AMA
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established as a national society to promote the science and art of medicine and the betterment of public healt
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countervailing power
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when profession gains extraordinary dominance, other agents make efforts to balance its power
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social control
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ability of individuals and groups to regulate themselves and the measures taken by outsiders to regulate an individual or group
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peer review
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(int control) comments, questions, suggestions, personal conversations that occur on a daily basis in work
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State Board of Medicine
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varies by state, typically consist of health care practicioners with investigative staff
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medical malpractice
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intended to compensate pts whose harm by actions/inactions of physicians could have been prevented and to discourage such harms from occurring, must prove...
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Harvard Medical Practice Study
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most thorough study done on malpractice, identified pts who filed malpractice claims and examined medical records to det incidence of injuries caused by med negligence
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defensive medicine
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physicians prescribe every test for pts to protect themselves from liability of negligence
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health professional shortage areas
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have shortages of primary medical care, dental care, or mental health care
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medically underserved areas
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have a shortage of personal health services
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impaired physician
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one who is unable to practice medicine with reasonable skill and safety to patients because of physical or mental illness, inc deterioration through the aging process of loss of motor skill, or excessive use or abuse of drugs inc alcohol
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Florence Nightingale
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upper-class British reformer who believed the proper moral, environmental and physical order was necessary for restoration of health
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licensed practical nurse
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vocational nurse
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American Nurses Administration
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administers certification
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advanced practice nurses
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RNs who have acquired additional certification in one or more of 20 nursing specialties, often have Master's
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differentiated practice
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bases the roles and functions of registered nurses on education, experience and competence
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mid-level practicioner/physician extender
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NP, CNM, CRNA and PA
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