Zusammenfassung der Ressource
UNIT 2 : CONCEPTS
- BEING ILL
- Not normal state of health
- Biological - not feeling normal
- Social - not able to act as normal
- HEALTH CARE
- Primary Care : People you see first, e.g.
GP, optician, dentist / accessible to all
- Secondary Care :
Through referral /
specialist
- GP (General Practitioner) - Not specialist
- CASE STUDY : ANWAR
WENT TO SEE GP FIRST
- Chronic condition =
long-lasting / recurring e.g.
Diabetes
- Self care
- PHCT 'Primary Care
Health Team
- Practice manager / GPs /
Nurses / Admin = access to
wide array of services
- HOSPITAL
- Specialist consultants -
diagnose & treat
- hi-tech equipment
- controlled medication
- Specialists
- surgeons / anaesthetists /
dieticians
- criticial care treatment /
A&E / round the clock
nursing
- HCAs
- Originally support staff now taking
over some bedside nursing roles
- Nurses supervise
- Hierachical way of
working - communication
top down -- doctors /
obedient nurses / passive
patients
- Collaborative
working = sharing
knowledge / team
ethos / strengths are
used
- Service user
- Person accessing and actively using health services
- CASE STUDY : ANWAR
BECAME A SERVICE
USER ACCESSING THE
GP AND THE DIABETES
TREATMENT
- CULTURAL BELIEFS &
CIRCUMSTANCES
- Treatment for chronic condition, -diet, -exercise
- Are certain foods allowed? Meat?
- Lifestyle may prevent exercise
- Service user social circumstances
- Can they afford medication / prescription?
- BIOMEDICAL APPROACH
- Doctor diagnoses & prescribes treatment
- COMPLIANCE AND
CONCORDANCE
- Compliance
- Patient follows doctors orders
- Concordance
- Doctor gives information / Patient shares
concerns / come to equals or alliance - both
sides negotiate to resolve
- Royal Pharmaceutical Society Working Party, 1997
- EXPERT PATIENT
- inform, educate and support patient on managing own condition and
treatment
- adopting service user perspective - how do they feel about
treatment? making sense, taking account of culture, social and
lifestyle
- CHANGING IDEAS OF HEALTH
- WHO definition; "health is a state of complete physical, mental and social
well-being and not merely the absence of disease or infirmity (1946)
- Change in health services
- Team working, e.g. hospitals
- Expert Patient
- EPP Expert Patient Programme ; patients
develop skills to effectively control lives when
suffering with chronic conditions
- Hospital in community
- PHCT providing wider range of
services, e.g. minor surgery - closer
to home / more accessible