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HSCI 130 (11)
Chapter 3

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Health Sciences
HSCI 130
Rochelle Tucker

Chapter 3 Population health status: - Approach avoids medico-centrism b/c it includes community who are managing their health through informal care as well as those to receive treatment from the formal health care system - All members of society must be taken into account - Health is multi-faceted : includes physical dimension, psychological dimension and social dimension - A broad range of personal and structural factors that affect health status - Health determents – biology, generic endowment, personal practice such as diet and level of physical active, and availably and accessibility of health care services as well as social and economic facto ( living and working conditions) - Social structures and personal practice is a part in shaping health statuses Critics of Population Health status - Lack of consensus about the meaning of population health - Needs clarify key population health concepts (such as determinates, dispraise and outcomes) - Lack of theatrical foundation for contemporary population health research Strengths of population health approach - Focus our attention on need for sociological framework for understanding why some Canadians are healthier - Highlights social production of health and well-being and social relation to maintenance of good health and onset ill health - Importance of gaining insight into ways social factory affect health - Promise finding effective way to addressing inequalities of health members in society ADOPTING A SALUTOGEN APPROACH FOR UNDERSTNADING THE DIMENSION FO HEALTH Salutary Factors – identifiable at individual and community level - Develop conceptual model that provided a guide for population health research and practice - Allows us to gain a better understanding of uses involved in measure population health - Focus attention on the meaning of good health and social factors that contribute to pursuit of health and wellness - Helped researches apply the sociological imagination to understand facto that protect population health (ex. Health promotion) - Good theory based on health promotion - Direct out attention to peoples resource and capacity to create health - Involves continues movement along a continuum between good health and ill health MEANING OF ILL HEALTH (SICKNESS) AND GOOD HEALTH (WELLNESS) - Ill health – presence of dieses or experience of illness - Good health - Feeling of well-being plus adequate performance at physical, psychological and social levels of functions - Much more than the absence of disease and illness - More than measurement of death, diseases and disability - Mental and social wellbeing, quality of life, life satisfaction and happiness Sickness: Presences of diseases and the Experience of illness - Sickness – presence of diseases and experience of illness - Disease – objective, biophysical phenomenon that alters functioning of the body as a biological organism. - Clinical syndrome and diagnose disease is viewed as objective b/c directly observed and measured - Signs – apparent to observer ( bleeding, swelling, rash) - May require diagnostic instruments to gauge body changes - Sophisticated med tech used to see changes in composition of the blood and presence of internal tumors or cell pathology - Biomedical approach to ill health – focus on biological organism and pathological process revealed under observable indicators (signs) - Diagnosis the presence of disease and provide treatment intention Cancer and heart disease are chronic degenerative disease that poses challenge for biomedical approach - Feelings of illness can vary substantially among people with same diagnostic disease - Disease can be present without person being aware of feeling illness or knowing sickness - Possible for person to feel ill without and detectable organic manifestation of disease - Conflict paradigm – feeling of illness (real) but no biological evidence ( proof of illness) - Psychosomatic – condition may exist in the mind but not in the body - Without a detectable sign of disease its difficult convincing other you are really sick Symbolic interactionism approach to illness - – subjective psychosocial phenomenon - - individuals perceive themselves as not feeling well and engage in different types of behaviors in effort to overcome ill health(self-medicate or change lifestyle) - Subjective based on personal perception, evaluation and response to symptomatic conditions - Rely on individuals report and experiencing symptoms - Cannot be directly observed - Based on things people say and do - Identification of specific bodily sites that are affected - disease and illness are related Wellness: More than the Absence of Disease and illness - good health is taken for grated - only when sickness occurs that health loses its taken for granted status (ex. Breathing) - A Healthy body functions at full capacity, free of limits of pain, doesn’t require conscious attention, allows focus on external world - WHO(world health organization) definition – stat of complete physical, mental, social well-being and not absence of disease or infirmity (subjective) - Limit of def. – not offer clear guideless for measuring health and well being - Wellness Definition – continually ongoing process that integrates all aspects of individuals physical, mental, social and environmental well being - Marketplace to achieve greater success in wellness is becoming more crowded - Can’t be measured or conceptualized - Well ness is broader than health - To succeed at wellness is to succeed at good health Good Health Dimension of Wellness 1. Sense of Healthiness/Emotional welling 2. Level of Fitness (physical and mental) 3. Social Fitness (meet societies responsibilities) - Wellness defined in terms of optimum capacity to fulfill personal goals and perform social defines roles The Process of Health Status designation: Separating the Dimension of Health - Health status – process of becoming rather than state of being - A journ
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