Académique Documents
Professionnel Documents
Culture Documents
Overview
What is Health? Personal Conceptions of Health What are determinants of health?
Health maintenance behaviors
Concepts of maladies
Disease, Illness, and Sickness/Sick Role
What is Health?
Etymological perspectives
Heal, Ill, Sick, Disease and Medicine
Medical Perspectives
Mortality and Morbidity
Nursing education and research relies on abstract analytical definitions of health rather than people actual concerns and experiences
What is Health?
World Health Organization definition:
state of complete physical, mental, and social well-being, not merely the absence of disease
Planning- Healthy Communities 2010 No single definition of health as comprehensive and exhaustive What does health mean to you? See selfassessment Values and Health
Sociogenic disease
Caused by social and cultural conditions
Presume universal criteria for disease Different systems of classification/causation Political and cultural criteria
Homosexuality changing classification Now emphasizes unwanted feelings Why no unwanted heterosexuality?
Scientific Medicine?
Is Biomedicine Culturefree?
CultureS of medicine shows not
Lack of scientific evidence no double blind clinical studies for many (most?) treatments Politics of medical practice, education & funding hospitals for CVD vs. PHC
Illness Accounts
Emphasis on sufferers personal experiences of a malady Also affected by social factors Emphasis on undesirable experiences
Consequently emphasizes personal, cultural preferences
Includes effects of beliefs, personal consequences, personal limitations, personally valued activities, ADL,
Illness sources
Internal sensations Emotions Bodily functions Feared/actual limitations Culturally stigmatized conditions Social responses
AIDS as Sickness
Social responses and effects
AIDS as Illness
Factors affecting personal experience
self-efficacy
the individuals belief in their personal ability to take actions to achieve changes.
Conclusions
Basis for understanding health behaviors Adaptations to patients behaviors Basis for negotiated outcomes
see lecture 6.3