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Morbidity
refers to rate of having a disease or a symptom of disease, or to the amount of disease within a population. Morbidity also refers to medical problems caused by a treatment. Some examples of common morbidities are heart disease, diabetes, and obesity
mortality
refers to a death rate or the number of deaths within a population in a certain period of time.Mortality may be reported for people who have a certain disease, live in one area of the country, or who are of a certain gender (sex assigned at birth), age, or ethnic group
primary prevention
aims to prevent disease or injury before it ever occurs. Ex: health education, immunizations, laws/policies mandating safety precautions like seatbelts
secondary prevention
aims to reduce the impact of a disease or injury that has already occurred. Ex: medical treatments, screening tests and exams, exercise plan to manage chronic conditions, PT
tertiary prevention
aims to soften the impact of an on going illness or injury that has lasting effects or delay mortality. Ex:rehabilitation programs(cardiac, PT), support groups, chemotherapy
leading cause of death in US
heart disease
leading cause of death for ages 10-24
unintentional injuries
6 dimensions of wellness
Emotional, Social, Intellectual, Spiritual, Physical, Occupational
physical health
a persons ability to perform activities of daily living
social health
having a broad social network and successful interaction with others
intellectual health
ability to think clearly and make responsible decisions
emotional health
ability to express emotions and maintain a level of self-confidence
spiritual health
having a sense of meaning and purpose in one's life
environmental health
appreciation of one's external environment
non-modifiable determinants
biology refers to an individuals genetics, ethnicity, age, and sex/gender. they cannot be changed.
modifiable determinants
behaviors refer to an individuals response to internal and external conditions. they can be changed.
health belief model
A theory of health behaviors; the model predicts that whether a person practices a particular health habit can be understood by knowing the degree to which the person perceives a personal health threat and the perception that a particular health practice will be effective in reducing that threat.
Transtheoretical Model stages
pre-contemplation, contemplation, preparation, action, maintenance, relapse
pre-contemplation stage
no intention or changing behaviors
contemplation stage
aware a problem exists. no commitment to action.
preparation stage
intent upon taking action
action stage
active modification of behavior
maintainence stage
sustained change; new behavior replaces old
relapse stage
fall back into old patterns of behavior
addiction
a treatable chronic disease involving complex interactions between an individuals brain, genetics, environment, and life experiences.
physiological dependency
involves a drug or substance
psychological dependency
intense, uncontrollable urge to engage in a particular activity.
environmental risk factors for addiction/dependence
ready access to the substance or experience, abusive or neglectful home environment, peer norms, membership in an oppressed or marginalized group, chronic or acute stressors
psychological risk factors for addiction/dependence
low self-esteem, external locus of control, passivity, PTSD
biological risk factors for addiction/dependence
unusual early response to the substance or experience, attention-deficit/hyperactivity disorder and other learning disabilities, biologically based mood disorders, addiction among biological family members
5 components of psychological addiction
compulsion, loss of control, negative consequences, denial, inability to abstain
compulsion
obsession; person experiences an overwhelming need to perform behavior
loss of control
inability to predict reliably whether any isolated occurrence of the behavior will be healthy or damaging
negative consequences
physical damage, legal trouble, financial problems, academic failure, or family dissolution
denial
the inability to recognize that the behavior is destructive
inability to abstain
from the dependency even though one knows the behavior or substance is harmful
common process addictions
• Technology (social media)
• Sex and Pornography
• Gambling
• Compulsive Buying
• Exercise
• Work Behaviors
what is a drug?
a substance other than food that is intended to affect the structure or function of the mind or body through chemical action
"pleasure circuit"
mesolimbic dopamine system. all addictive drugs activate the brains pleasure circuit.
how drugs can be administered
oral, inhalation, injection, transdermal, suppositories
college students and prescription drug abuse
approx 4% of surveyed students reported misusing prescription drugs. Drugs include: vicodin, oxycontin, percocet
Cannabis
derived from cannabis plant, which is made up of over 100 components called cannabinoids.
2 major cannabinoids
CBD (non-intoxicating and non-euphoric, used more for medical purposes), and THC (main psychoactive compound; responsible for the "high" people associate with cannabis)
Delta-8 vs. Delta-9
delta-8 is synthesized, delta-9 is naturally occurring
drinking culture
the attitudes and behaviors that groups of people promote in terms of alcohol consumption
standard beer
12 oz, 5% alcohol
standard malt liquor
8.5 oz, 7% alc
standard wine
5 oz, 12% alc
standard 80 proof liquor
1.5 oz, 40% alc
blood alcohol content (BAC)
the ratio of alcohol to total blood volume. depends on weight and body fat %, water content in body tissues, ABV of the drinks consumed
Short term affects of alcohol
dilated blood vessels, lower blood pressure, stimulated appetite, increased heart rate, gastric secretion, and urine output
long term affects of alcohol
High blood pressure, fat cells in liver, brain cell damage, ulcers in stomach, damage to pancreas
Alcohol poisioning warning signs (P.U.B.S)
Puking, unresponsive, breathing (slow, stopped, irregular)
E.N.D.S
Electronic Nicotine Delivery System.
short term affects of tobacco
bad breath, smelly clothes, yellow teeth, suppressed appetite
long term affects of tobacco
chronic bronchitis, emphysema, lung cancer, coronary heart disease and stroke, weakened immune system
guiding principles of wellness coaching
collaborative conversation, a space that supports autonomy, feeling accepted (no matter how unhealthy)
O.A.R.S
open-ended questions, affirmations, reflective statements
thomas gordans model of listening
spoken words, hearing, words the listener hears, decoding, what the listener thinks we mean, guessing, what we mean below the surface "hidden/true" meaning.