B1 U2 - Illness, Health and Care

Being ill
1. The sick role
  1. A state of illness that is not the person's fault
  2. An individual is temporarily exempt from 'ordinary' daily obligations and expectations
  3. The expectation that the individual will seek help from the the appropriate health care profesisonal
2. Psychological aspect - what is happening in the minds Anwar fears he will lose his status as head of the house by showing weakness
3. Biological aspect - what is happening with their bodies
4. Social aspect - social surroundings
Health Care in the community
1. Primary care
  1. Services that are provided by people you normally see when you first have a health problem. GP, Dentist, Optician, Pharmacist
  2. Anwar sees his Optician who sends him to GP then on to Diabetic Clinic
  3. Anwar - v uncomfortable at GP. Women Dr asking intimate Q's. Lack of time available to talk. ESOL
2. Secondary Care
  1. Services that you are 'referred' to from a primary service. Diabetic clinic, ENT, Social Services
3. Chronic conditions
  1. A disease is an abnormality of body or mind. A chronic disease is one that is long-lasting or recurring
  2. Anwar struggles to come to terms with condition as for the professionals diabetes is daily working life but for him it is shocking
4. Community Health Care Network
  1. PHCT - Primary Health Care Teams
    1. GP's, nurses, midwife, health visitor, receptionists
  2. Websites - Diabetes UK
Being aware of the service user
1. Culturally appropriate services
  1. Anwar was given a menu to follow that was culturally insensitive
  2. South Asian residents of the UK are over four times as likely to be affected by diabetes
  3. Not being able to understand how medication works - thinking it is only necessary to take it when feeling unwell and not al the time
2. Psychologically sensitive services
  1. Understanding the adjustment that a diabetic faces
  2. Dealing with bouts of depression
  3. Guilty about inability to deal with demand of diabetes
3. Social circumstances
Care in hospitals
1. Biomedical science
  1. detailed and reliable models of the body works, enabling to understand what is wrong
  2. Expanding range of new treatments along with relatively reliable knowledge of their effects
  3. Hospital - biomedical laboratory - systematic observation, complex scientific equipment and sophisticated medical interventions
2. Being a hospital patient
  1. Anwar, visits GP and couple of hours later his leg is being amputated.
    1. Unable to process information and unable to tell what is happening to him
    2. Unaware he is not meant to take his own medication (like he normally would
  2. Shedding your identity as active member of society for passive identity of one with a medical condition
  3. No longer just sick role as completely removed from all duties
3. Role of HCA
  1. Are providing more beside nursing that was previously carried our by a qualified nurse
  2. Not always as supervised as should be because of staffing pressures.
4. Health care roles in hospital were traditionally organised in a hierarchy of biomedical expertise, but new forms of team working have emerged in recent times
Health Care in changing times
1. Andi - completely full life even though diabetic since childhood - healthy?
2. White papers - documents produced by the Government setting out details of future policy on a particular subject
  1. Hierarchies to team work
  2. Paternalism to partnership
  3. Rise in the expert patient
WHO - 'Health is a state of complete physical, mental and social well-being and not merely the absence of disease of infirmary

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B1 U2 - Illness, Health and Care

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	Created by Ashleigh Fox almost 11 years ago