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What is collaborative care?
a cooperative form of health care in which physicians, psychologists, and other health care providers join forces to improve patient care
What is illness representations?
How a person views a particular illness, including its label and symptoms, perceived causes, timeline, consequences, and controllability
What is the lay referral system?
An informal network of family member, friends and other nonprofessionals who offer their own impressions, experiences, and recommendations regarding a set of bodily symptoms
What is the delay behaviour? (5)
The tendency to avoid seeking medical care because
Symptoms go unnoticed (appraisal delay)
Sickness seems unlikely (illness delay)
Professional help is deemed unnecessary (behavioural delay)
The individual procrastinates in making an appointment (scheduling delay)
The perceived costs of treatment outweigh the perceived benefits (treatment delay).
What is illness anxiety disorder?
the condition of experiencing abnormal anxiety over one's health, often including imaginary symptoms
What is malingering?
Making believe that on is ill in order to benefit from sick role behaviour
What is adherence?
A patient both agreeing to and then closely following a treatment regimen as advised by their healthcare provider
What is nonadherence?
The condition in which a patient refuses to complete a prescribed therapeutic regimen
What is health literacy?
A person's capacity to learn about and understand basic health information and services needed to make appropriate health decisions
What is telemedicine?
The delivery of medical information and clinical services through interactive audiovisual media
What is informational control?
patients' knowledge regarding the particular procedures and physical sensations that accompany a medical treatment
What is cognitive control?
interventions that direct the patients attention to the positive aspects of a procedure (such as improved health) rather than to feelings of discomfort
What is behavioural control?
interventions that teach techniques for controlling pain and speeding recovery during and after a medical procedure
What is Lamaze training?
A natural childbirth process designed to prepare prospective parents by enhancing their informational, cognitive, and behavioural control over child birth
What is fee-for- service?
A payment model in which healthcare services are paid for by patients out of pocket at the time of treatment
What is health maintenance organization?
an organization that provides managed care
Individuals pay a fixed monthly rate and use services as needed
What is managed care?
Health insurance companies make deals with doctors and hospitals to offer care at cheaper prices for the people who have their insurance.
What is preferred-provider organization?
health care providers who promise to charge pre-set (cheaper) prices for people in a certain insurance plan.
What is patient-centred health care?
The delivery of healthcare services that are respectful of and responsive to individual patient preferences, needs, and values
What is accountable care organization?
An organization of health care providers who agree to be
- accountable for the quality, cost, and overall care of members
What is clinical pain?
Pain that requires some form of medical treatment
What is acute pain?
Sharp, stinging pain that is short- lived and usually related to tissue damage
What is recurrent pain?
pain that involves episodes of discomfort that recur for more than three months interspersed with periods in which the individual is relatively pain-free
What is Chronic Pain?
dull, burning pain that is long-lasting
What is hyperalgesia?
a condition in which a chronic pain sufferer becomes more sensitive to pain over time
What is free nerve endings?
Sensory receptors found throughout the body that respond to temperature, pressure and painful stimuli
What is nociceptor?
a specialized neuron that responds to painful stimuli
What is A-delta fibres?
Large, afferent fiberes involved in the experience of acute pain
What is C- fibres?
Small, afferent fibres that are involved in the experience of chronic pain
What are A- beta fibers?
Large, afferent fibers that may inhibit the transmission of pain messages to the brain
What is the substantia gelatinosa?
the dorsal region of the spinal cord where both fast and slow pain fibers synapse with sensory nerves on their way to the brain
What is referred pain?
Pain manifested in an area of the body that is sensitive to pain but caused by disease or injury in an area of the body that has few pain receptors
What is substance P?
A neurotransmitter secreted by pain fibers in the spinal cord
Stimulates the transmission cells to send pain signals to the brain
What is enkephalins?
Endogenous (naturally occurring) opioids found in nerve endings of cells in the brain and spinal cord that binds to opioid receptors
What is the periaqueductal gray (PAG)?
An important role in the perception of pain
Electrical stimulation produces analgesia by "closing the pain gate."
What is the anterior cingulate cortex?
plays a role in pain processing and many self-regulating functions
What is the endogenous opiate peptides?
Opiatelike substances naturally produced by the body
What is stress- induced analgesia?
a stress-related increase in tolerance to pain, presumably mediated by the body's endorphin system
What is the gate control theory (GCT)?
the idea that there is a neural "gate" in the spinal cord that regulates the experience of pain
What is the neuromatrix?
The neural network that integrates
Sensory information with emotional and cognitive states
Determine a person's experience of pain
What is neuropathic pain?
pain caused by damage to a nerve that send incorrect signals to the brain
What is phantom limb pain?
pain following amputation of a limb; false pain sensations that appear to originate in the missing limb
What is pain behaviours?
Actions that are a response to pain, such as taking drugs, grimacing, or taking time off from school or work
What is prostaglandin?
The chemical substance responsible for localized pain and inflammation
Causes free nerve endings to become more and more sensitized as time passes
What is counterirritation?
analgesia in which relieved by creating another counteracting sensation ( Rubbing near the site of injury)
What is transcutaneous electrical nerve stimulation?
A counterirritation form of analgesia involving electrically stimulating spinal nerves near a painful area
What is biofeedback?
a system that provides audible or visible feedback information regarding involuntary physioloigcal states
What is cognitive- behavioural therapy (CBT)?
A multidisciplinary pain-management program
combines cognitive, physical and emotional interventions
What is cognitive reappraisal?
key component of CBT
Focuses to reinterpret pain-related sensations, restructure maladaptive thought patterns, and make positive self-statements
What is pain-management program?
An individualized, multimodal intervention
aimed at modifying chronic pain though
Neurological, cognitive, and behavioural strategies
What is conventional Medicine?
Biomedically based medicine as practiced by holders of the MD or DO degrees and their allied health professionals
What is Osteopathic Medicine?
Medical practice with all the benefits of conventional allopathic medicine (script drugs and surgery)
Emphasizes the interrelationship between the structure and function of the human body
What is alternative Medicine?
Health care practices
not taught in medical schools
Not generally used in hospitals
not usually reimbursed by insurance companies
What is Complementary Medicine?
The use of "alternative medicines" along with regular medicine, not as a replacement for regular medicine
What is whole person Medicine?
Biopsychosocial approach to medicine
improvement and restoration of health in multiple, interconnected domains
- biological, behavioural, social and environmental
What is integrative medicine?
Multidisciplinary approach
Traditional biomedical interventions, and complementary and alternative medical practices that have been proven both safe and effective
What is Vitalism?
The concept of a general life force,
popular in some varieties of comlementray and alternative medicine
What is traditional Chinese Medicine?
An ancient, integrated herb and acupuncture-based
Principle that internal harmony is esseniail for good health
What is self-limiting conditions?
A condition that tends to improve with the passage of time, even in the absence of treatment
What is nocebo?
A harmless substance that nevertheless creates harmful effects in a person who takes it
What is meaning response theory?
The theory that health care interventions are filled with symbolism that expresses their meaning and determines their efficacy
What is Acupuncture?
Traditional Chinese medicine
Fine needles are inserted into the skin
to relieve pain, treat addiction and illness, and promote health
What is hypnosis?
Social interaction
One person (the hypnotist) suggests to another (the subject)
That certain perceptions, feelings, thoughts, or behaviours will spontaneously occur
What is mindfulness meditation?
The practice of paying nonjudgmental, in the moment attention to changing perceptions and thoughts
What is tai chi?
Moving meditation
Blends exercise, dance, and concentration
Traditional Chinese Medicine (TCM)
What is yoga?
A moment-based- relaxation and meditation
Combines diet, physical postures, and breathing
Promote of physical and spiritual well-being
What is chiropractic?
Complementary and Alternative Medicine (CAM)
Diagnosis, treatment, and prevention of disorders of the neuromusculoskeletal system
What is acupressure?
The application of pressure rather than needles to the point used in acupuncture; shiatsu is a major form
What is naturopathic medicine?
Holistic health care
by drawing from including homeopathy, herbal remedies, and traditional Chinese medicine (TCM)
What is probiotics?
Bacteria that help maintain the natural balance of organisms (microflora) in the intestines and help promote a healthy digestive system