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45 Cards in this Set

  • Front
  • Back
Health-protective behaviors
individual actions taken to protect, promote, or maintain health
Behavioral Risk Factor Surveillance SYstem
CDC survey - annual household phone interviews conducted by state health depts, measures participation in healthy lifestyles
Health Belief Model
paradigm for understanding why some individuals engage in HPBs, consider health and non-health consequences, do only when 4 conditions exist
4 conditions
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
Theory of Reasoned Action
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
health locus of control
healthy behaviors are selected by individuals based on expectation that they will lead to positively valued health outcomes
illness behavior
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
stages of illness experience
1. symptom experience 2. assumption of the sick role 3. medical care contact 4. dependent patient role 5. recovery and rehabilitation
theory of help-seeking behavior
used to facilitate understanding of how symptom assessment varies and how individuals act instead of/before seeking HC
social construction of illness
part of socialization is observing how others within a group respond to illness and noting +/- reactions to their behavior
sick role
a social role, characterized by certain exemptions, rights and obligations, shaped by the society, groups and cultural tradition to which the sick person belongs
medicalization
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
demedicalization
countermovement
social organization strategy
emphasizes importance of social interaction and social networks as the mechanism through which individuals learn about, understand and attempt to handle difficulties
lay-referral system
the decision of how to respond to sickness is socially constructed - occurs in interaction with and consultation with others
social triggers
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
temporalizing of symptomatology
setting a deadline to seek prof HC
chronic illness
ongoing or recurrent and one that typically persists for as long as the person lives
impairment
loss of some anatomical or physiological function
disability
consequence of an impairment
stigma
deeply discrediting label on the individual
4 dimensions of perceived stigma
social rejection, financial insecurity, internalized shame, social isolation
Americans with Disabilities Act
prohibits discrimination on the basis of disability in jobs, housing and places of public accomodation. requires business to make reasonable modifications.
profession
according to Goode - autonomy, rigorous standards and prestige and identification
professional dominance
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
deprofessionalization theory
pts have become more well-informed and assertive about health
corporatization
increasing amt of corporate control of med
proletarianization of medicine
physicians have autonomy and self0 control stripped and replaced with control by corporate owners and managers
AMA
established as a national society to promote the science and art of medicine and the betterment of public healt
countervailing power
when profession gains extraordinary dominance, other agents make efforts to balance its power
social control
ability of individuals and groups to regulate themselves and the measures taken by outsiders to regulate an individual or group
peer review
(int control) comments, questions, suggestions, personal conversations that occur on a daily basis in work
State Board of Medicine
varies by state, typically consist of health care practicioners with investigative staff
medical malpractice
intended to compensate pts whose harm by actions/inactions of physicians could have been prevented and to discourage such harms from occurring, must prove...
Harvard Medical Practice Study
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
defensive medicine
physicians prescribe every test for pts to protect themselves from liability of negligence
health professional shortage areas
have shortages of primary medical care, dental care, or mental health care
medically underserved areas
have a shortage of personal health services
impaired physician
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
Florence Nightingale
upper-class British reformer who believed the proper moral, environmental and physical order was necessary for restoration of health
licensed practical nurse
vocational nurse
American Nurses Administration
administers certification
advanced practice nurses
RNs who have acquired additional certification in one or more of 20 nursing specialties, often have Master's
differentiated practice
bases the roles and functions of registered nurses on education, experience and competence
mid-level practicioner/physician extender
NP, CNM, CRNA and PA