FMST307 EXAM 1 weeks 1-4 (11-12:15pm)

health and wellness

a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity

determinants of health

how health our family is, social, environmental

environmental exposures

lead test, stress

health disparities (inequalities)

why people have more/less than others

what are examples of health disparities?

race, sex, environment

health literacy

individuals capacity to act on/understand health information

well being

state of being healthy, happy or prosperous

health related quality of life

how individuals or families perceive physical and mental health over time

what is in the family health determinants model?

biological, behavioral, sociocultural, environmental, political

what is apart of the biological family health determinants model?

genetics

what is apart of the behavioral family health determinants model?

patterns

what is apart of the sociocultural family health determinants model?

circumstances and health disparities

what is apart of the environmental family health determinants model?

exposures

what is apart of the political family health determinants model?

policies and services

what is the infant mortality rate?

every 1,000 babies alive how many have died before their first birthday

life expectancy at birth

lacks equity (sex and race)

Affordable Care Act (ACA)

Federal legislation passed in 2010 that includes a number of provisions designed to increase access to healthcare, improve the quality of healthcare, and explore new models of delivering and paying for healthcare.

when are young adults not covered on their parents plan?

26

who has more healthcare concerns?

women

biomedical model

health was defined as the absence of disease

is the biomedical model still effective in diagnosing and treating disease?

yes

biopsychosocial model

biological, psychological, and social factors all play a role in understanding someone's health

what are parts of the biopsychosocial model?

• perceptions

• socioeconomic factors

• culture

• family relations

sense of coherence

is this making sense to the family

what are the 3 levels of sense of coherence?

• comprehensibility

• manageability

• meaningfulness

what does comprehensibility mean in the 3 levels of sense of coherence?

does the patient understand what they have

what does manageability mean in the 3 levels of sense of coherence?

is it manageable for them

what does meaningfulness mean for the 3 levels of sense of coherence?

why this matters

family systems theory

the whole is greater than the sum of its parts

What is the ABCX model?

stressor event, resources, perception, and crisis

what does A stand for in the ABCX model?

stressor event - family members act differently

what does B stand for in the ABCX model?

resources - what resources do they have

what does C stand for in the ABCX model?

perception - what does it mean, personal framework

what does X stand for in the ABCX model?

crisis

health behaviors

intentional, impulsive, reflexive, health impairing

intentional health behavior

behaviors we think through and deliver

what is an example of intentional health behavior?

exercise, eat vegetables

impulsive/reflexive health behavior

doing it without thinking

what is an example of impulsive/reflexive health behavior?

social drinking, smoking, biting nails

health impairing health behavior

aware of the need but made the decision not to

what is an example of health impairing health behavior health behavior?

neglect necessary vaccinations

health work

choosing behaviors that enhance family health based on accurate information and wise behavior changes

prevention science parts

structural, familial, individual

prevention science

how to mitigate problematic behaviors

structural prevention science

teaching people about sex/birth control

can schools force structural prevention science?

no, parents and schools can say no

familial prevention science

how can we work/support families with what they need

individual prevention science

teaching individuals about things/needs in their lives

ecological approach

in order for families and individuals to grow we need to think about their societies and components in their lives, emphasizes interaction and interdependence that impact health behaviors

ecological approach intrapersonal

individual perspectives and behavioral traits (each person is their own person)

ecological approach interpersonal

social network

what is an example of an ecological approach interpersonal?

trying to find the ability to get the vaccine

ecological approach community

standards, rules, regulations, policies

what is an example of an ecological approach community?

you have to have the COVID-19 vaccine to go to school

types of theories

explanatory and change

explanatory

explaining the different contributing factors on why health behavior exists

change

identify and implement interventions that improve families health behaviors while remaining sensitive to families social, cultural contexts

what is an example of the change theory?

don't want a doctor to give information rather than a trusted friend, family member, or someone else

intrapersonal models

Health Belief Model, Theory of Planned Behavior

health belief model

used to see perceived threats, benefits, barriers and readiness to take action

what is an example of the health belief model?

cost

theory of planned behavior

what choices people are making about their individual health

subjective norm (theory of planned behavior)

the norm for whats normal for you and your family but not another family

perceived behavioral control (theory of planned behavior)

their perceived, intentions, that will influence their perceived behavior

family systems theory

what happens to one person can affect the entire family

social cognitive theory

social group that is not unusual to have

self efficacy (social cognitive theory)

what we set out to do

what are some examples of self efficacy (social cognitive theory)?

self efficacy, goals, outcome expectations - what do we think we're going to get out of this

community based approaches

• empowerment

• community capacity

• participation

• relevance

• issue selection

• critical consciousness

empowerment (community based approaches)

you are capable of doing it

community capacity (community based approaches)

help people move around and help people in their area

participation (community based approaches)

wanna feel their involved

relevence (community based approaches)

do they see the importance of the health issue

issue selection (community based approaches)

is it realistic

critical consciousness (community-based approaches)

do members of that community recognize whats contributing to the problem

what are examples of critical consciousness (community based approaches)?

• house of worship, schools

• requires money and time

family epigenetic

families struggle with knowing when, why, how, and where to access genetic information

epigentic inheritance research

single gene disorders, chromosomal disorders, multifactorial inheritence disorders

single gene disorders

is there a presence of a particular gene or not

chromosomal disorders

down syndrome

multifactorial inheritence disorders

when theres a small combination and a number of genes and often accompanied by environmental factors

how do you appropriately use race- ethnicity as a biological factor?

overshadow complex interactions between other facots

what construct is race, ethnicity, and genetics in health disparities?

social and cultural construct

genetic exceptionalism

treating genetic data as unique from other medical information

predictivie possibilities

helpful or source of worry

previvor

you could be diagnosed with something down the road

family caregivers adaptation to chronic illness

diminished mental/physical health, stress

anticipatory grief

anticipating the possibility that you could get that disease

ambiguous loss

whats the point if you can't save them (Alzheimer's disease)