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57 Cards in this Set

  • Front
  • Back
What is health?
A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.
What is a disease?
An objective state of ill health, the pathological process of which can be detected by medical science.
What is illness?
Is a subjective experience of loss of health.
What is wellness?
A subjective experience
What are the 3 classification of health conceptualizations?
1. Health as stability
2. Health as actualization
3. Health as actualization and stability
What is health as stability?
The maintenance of physiological, functional, and social norms, and it relates to concepts of adaptation and homeostasis.
What is health actualization?
The actualization of human potential
What is health as actualization and stability?
~Having a sense of purpose
~Feeling connected to community
~Feeling vitalized and full of energy
~Having satisfying social relationships
~Having a feeling of control over one's life and living conditions
~Being able to do things that one enjoys
What are the 3 major approaches to health in modern times?
1. Medical approach
2. Behavioral approach
3. Socioenvironmental approach
What is the medical approach?
This approach focuses on the problem after it occurs and less emphasis was given to health promotion and disease prevention
What are some of the physiological risk factors?
hypertension, hypercholesterolemia, genetic predispositions, obesity
What is the behavioral approach? List an example.
It place responsibility for health on the individual, thereby favoring health promotion strategies such as education and social marketing. Ex) stop smoking
What shifted emphasis from a medical approach to a behavioral approach and when did it happen?
The Lalonde Report in 1974
What are some behavioral risk factors?
Smoking, substance abuse, lack of exercise, unhealthy diet
What is the socioenvironmental approach? When did it happen?
This approach emphasized the social context of health and the relationship between personal health behaviors and social and physical environments. It produced the Ottawa Charter for health promotion. It occurred in 1984.
What are the 5 major strategies the Ottawa Charter outlined to promote health and when did it occur?
-Building healthy public policy,
-creating supportive environment,
-strengthening community action,
-developing personal skills,
-reorienting health services.0

Occurred in 1986.
What are some examples of the prerequisites for health?
Peace,
shelter,
education,
food,
income,
stable ecosystem,
sustainable resources,
social justice,
equity
Who was the leader to develop the "Achieving Health for All: A Framework for Health Promotion" document?
Jake Epp
What does the Ottawa Charter and the Epp Report have in common?
They both reflect a socioenvironmental approach
What are the 3 major health challenges identified in the Epp's report?
1. Reducing inequalities
2. Increasing prevention
3. Enhancing coping mechanisms
What are psychosocial risk factors?
Complex psychological experiences resulting from social circumstances that include isolation, lack of social support, limited social networks, low self-esteem, self-blame, and low perceived power
What are socioenvironmental risk conditions?
social and environmental living conditions that include poverty, low educational or occupational status, dangerous or stressful work, dangerous physical environments, pollution, discrimination, relative political or economic powerlessness, and inequalities of income or power.
What is the population health approach?
The entire range of known individual and collective factors and conditions that determine population health status, and the interactions among them, are taken into account in planning action to improve health.
The Jakarta Declaration identified what priorities for action? When?
~Promoting social responsibility for health in public and private sectors
~Increasing investments for health in all sectors
~Consolidating and expanding partnerships for health to all levels of government and the private sector
~Increasing community capacity and empowering the individual
~Securing adequate infrastructure for health promotion
~1997
What is the Bangkok Charter and when did it occur?
~Affirmed health as a human right and emphasized mental and spiritual well-being as important elements.
~2005
In the Bangkok charter what factors influenced health?
Increasing inequalities within and between countries, global environment change, and urbanization
What are the social determinants to the Toronto Charter identified as important for health?
Early childhood development, education, employment and working conditions, food security, health care services, housing shortages, income and its equitable distribution, social safety nets, social exclusion, unemployment and employment security
What are the social determinants of health?
The economic and social conditions that influence the health of individuals, communities, and jurisdictions as a whole
What are the key determinants of health?
~Income and social status
~Biology of genetic endowment
~Culture

~Education
~Employment and working conditions
~Gender
~Healthy child development
~health services

~Personal health practices and coping skills
~Physical environments
~Social support networks
~Social environments
How does the income and social status effect people in society?
People with economic inequality have higher level of poverty, fewer public services, weaker social safety nets, and lower overall health and life expectancies.
What do social support networks affect?
People with economic inequality have higher level of poverty, fewer public services, weaker social safety nets, and lower overall health and life expectancies
What do social support networks affect?
Affects health, health behaviors and health care utilization through practical, emotional, informational, and affirmation support
Why is education and literacy important for health?
Can affect job opportunities, job security, lifestyles, income, work environments, and stress levels. (Increased education and literacy tend to increase health status)
What does employment and working conditions affect in one's health?
physical, mental, and social health
What physical environments are important for health?
Housing, indoor air quality, climate change, and community planning
What is biological and genetic endowment influenced by?
Social and physical environments
What are the 3 risk behaviors with major detrimental health consequences that may result from poor individual health practices and coping skills?
Physical inactivity, poor nutrition, tobacco use
What are the crucial years for healthy child development?
Conception to 6 years because it influences children's health for the rest of their life.
What 3 conditions are important for healthy child development?
1. Adequate and equitable income
2. Effective parents and families
3. Supportive community environment
What are the 5 principles of the Canada Health Act?
1. Universality
2. Portability
3. Accessibility
4. Comprehensiveness
5. Public administration
What is gender in the determinants of health?
Determined roles, personality traits, attitudes, behaviors, values, relative power, and influence that society ascribes to the 2 sexes on a differential basis
How does culture affect ones health?
Influence interactions with health care systems, participation in prevention and health promotion programs access to health information, health related lifestyle choices, understanding to health and illness
What are social environments?
The array of values and norms of a society that influence varying ways the health and well-being of populations. Social stability, recognition of diversity, safety, good working relationships, and cohesive communities increase chances of a healthy lifestyle.
What is health promotion?
Directed toward increasing the level of well-being and self-actualization
What is disease prevention?
The action to avoid illness/ disease
What are the 3 levels of disease prevention?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
What is the primary prevention? Give and example.
Activities protect against a disease before signs and symptoms occur. ex) immunization
What is secondary prevention? Give an example.
Activities promote early detection of disease once pathogenesis has occurred, so that prompt treatment can be initiated to halt disease and limit disability. Ex) Preventative screening for cancer
What is tertiary prevention? Give and example.
Activities directed toward minimizing disability from disease and helping clients learn to live productively with their limitations. ex) cardiac rehabilitation program after myocardial infarction
What are the principles health promotion is guided by? (5)
~ Health promotion addresses health issues in context
~ Health promotion supports a holistic approach
~ Health promotion requires a long-term perspective
~ Health promotion is multi-sectoral
~ Health promotion draws on knowledge from social, economic, political, environmental, medical, and nursing sciences, as well as from first-hand experiences.
What are the 5 health promotion strategies?
1. Build health public policy
2. Create supportive environments
3. Strengthen community action
4. Develop Personal skills
5. Reorient health services
What do public policies do?
Shape how money, power, and material resources are distributed to society
What is create supportive environments?
The need to encourage maintenance, to take care of each other, our communities, and our natural environment
What is "strengthen community action"?
Communities identify issues and work together to make changes that will enhance health
Why is it important to develop personal skills?
Because it enhances coping strategies, and allows one to gain control over their health and environments so they can make healthy lifestyle choices
How is the health system trying to reorient health services?
Shift emphasis from treating disease to improving health and to make the health care system more efficient and effective
Population health promotion model- Who, Why, What, How
Refer to Figure 1-5 on page 12 of Potter and Perry