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A state of optimal physical, mental and social well-being and not merely the avsence of disease or infirmity (WHO) |
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An abnormal state of structure or function, generally defined by a health professional |
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A subjective experience (feeling) of being unwell or sick |
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A dynamic, subjective experience of being well, irrespective of known or unknown disease |
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conduct of persons in response to abnormal body signals. Such behavior influences the manner in which a person monitors his body, defines and interprets his symptomes, takes remedial actions, and uses the health care system |
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4 factors which influence illness behaviors |
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1. Seriousness of risk condition 2. Kiklihood of the condition 3. Benefit from health service 4. Barriers to access of services |
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One with clear onset, course, and resolution (eg. viral sore throat) |
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one with an indeterminate onset and long lasting course, usually without complete resolution (eg. heart disease) |
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A substance or energy capable of causing injury or illness |
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the number of cases of injury or illness in a population exposed to a health hazard over a given period of time |
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The study of the causes and distribution of disease and risk factors in a population and its application to improving the population health |
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The number of new cases of a disease or condition in a specified popultion in a given period of time |
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The total number of cases of a disease or condition in a specified population in a designated time (point or period) |
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Actions aimed at eradicating, eliminating, or minimizing the impact of disease and disability or, if none of these is feasible, retarding the progress of disease and disability |
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FOur levels of prevention |
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1. Primordial 2. Primary 3. Secondary 4. Tertiary |
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Actions and measures that inhibit the emergence and establishment of environmental, economic, social and behavioral conditions, cultural patterns of living etc. known to increase the risk of disease (task of public health policy and health promotion |
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Intervention intended to reduce the incidence of adverse event (eg. physical activity in the prevention of heart disease). Primarily the role of public health |
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Intervention after onset of a disease or condition to allow earlier treatment and decrease prevalence (eg. screening for cancer). Primarily the role of preventive practice by physicians |
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Intervention to reduce complication and prevent disability (eg. progressive exercise program following a heart attack). Primarily the role of rehabilitation. |
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Based on individual mental, emotional, spiritual, and physical assets and capabilities. |
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A sense of wonder, and connectedness to other persons, the universe, and for some, a relationship with a higher power |
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Patients sustain health by: |
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Definition
meaning in their lives choices and actions relationships having hope, which sustains health |
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1 includes both illness and disease 2 integrated understanding of the whole person 3 finding common ground with the patient 4 prevention as well as wellness building on the relationship with the patient |
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method of patient centered model |
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1 moving back and forth between signs, symptoms and ideas including expectations and feelings including function of the patient |
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Building the physician-patient relationship includes: |
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1 seeing the patient over the long term 2 being present to or for the patient 3 caring and covenant 4 honesty 5 building trust 6 mutual responsibility |
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Different from contract in that it is more than a mere contract. It signifies affection and loyalty, it is a relationship of caring |
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1 social support 2 income 3 early childhood influences 4 personal health practices and coping skills 5 employment and working conditions 6 environment 7 biology and genetic endowment 8 health services 9 gender 10 culture |
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a composite of psychological, material, and practical assistance that contributes to meeting needs and to enhancing health status |
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Relationship of income to health |
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higher absolute income and relative income (equity) is positively correlated with health. Higher social status = greater health income and social status are associated with level of personal control |
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Life skills that allow people to adapt to or change their response to change and stressful life events and to improve health opportunity |
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1 meets basic needs for food, shelter, education, and health care 2 provides opportunities for meeting potential and contributing to the community 2 provides justice, peace, and a stable, sustainable ecosystem |
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typical for cultural context |
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typical for cultural context |
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1 family of origin 2 friends 3 work 4 religious or spiritual involvement |
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Tasks, roles, and attributes required of families to produce fluorishing members |
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1 a loving commitment between spouses 2 healthy communication between members 3 healthy and satisfying sex life of parents 4 appropriate expression of emotions 5 effective child rearing practices 6 appropriate roles to make the family run smoothly |
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Imapcts of relationships on health |
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Definition
1 mortality or death rate 2 psychological and emotional health 3 physical health 4 management of illness (esp. chronic) |
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How the family supports the health of its members |
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1 supportive internal and external relationships, including spiritual 2 facilitating developmental stages of its members 3 ensuring the meeting of basic needs 4 buffering risks and supporting members who become ill |
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