Physician Assistants/Associates.
-require baccalaureate degree and award the masters degree -offer most of the basic care provided by physicians
Physician Assistants/Associates.
-require baccalaureate degree and award the masters degree -offer most of the basic care provided by physicians
Certified Registered Nurse-Anesthetists.
-masters degree from an accredited nurse anesthesiology program who have passed a national certification exam. -required to enroll in a doctoral program -frequently work as licensed independent practitioners
Certified Nurse-Midwives
-additional naturally accredited training -passed a national certification exam -typically masters level CNM degree -take histories, perform physical exams, and monitor care relating to childbirth and pregnancy
Nurse Practitioners.
-graduate degree in advanced practice nursing -masters degree -conduct physical exams, order and interpret tests, diagnose and treat acute and chronic conditions, and provide patient counseling as well as health education
Advanced Practice Providers (APPs)
Response to high health care costs and primary care physician shortage. They provide many direct care services to patients, enable physicians to see more patients, cost efficient, offer high quality services.
dentifies three difficult and sometimes contradictory roles that hospital nurses must fulfill.
identifies the two key roles held by nurses today as those of caregiver and integrato
Caregiver: Meet patients needs- dependency, comfort, therapy, monitoring, and education. Integrator: uses separate medical units in hospital to provide total patient treatment and care
ypes of Nurses. There are three main types of nurses:
Nursing Moves Away from Patient Care.
During the war, nurses spent most of their time distributing medications, coordinating other staff, making notes on charts, and keeping records
Programs were developed around the philosophy of Florence Nightingale
Among the biggest stressors are:
Grueling schedule, Worries about medical school debts, sexual harassment in medical schools
Curing Rather Than Caring
This is a topic that I have seen come up a lot in medical related discussions as it is a big issue. In order to truly cure or help someone, you need to care about them and what they are going through.
Students learn specific techniques to facilitate this detachment.
Repetition to make them less awkward and more comfortable. Increasing exposure to normalize things
Tolerance for Uncertainty.
Three kinda of uncertainty: 1) not doing all the work in college just to get by doesn’t translate well when actually treating people 2)becoming aware that the knowledge base of medicine is not funny understood 3)questioning whether its a limit in their knowledge or something not known yet in medicine
three themes:
Professional identity formation, learning to do critical work, and learning to act in professional ways
Three traits of professions are especially noteworthy
Rigorous standards, significant autonomy, considerable prestige and identification with the profession
The Social Control of Medicine
Stop for Monday
Health behavior consists of four types of activities
Prevention, detection, health promotion, and health protection
biomedical model makes four primary assumptions that limit its utility for completely understanding health and illness
1-assumes the presence of disease and its diagnosis and treatment are objective phenomena. 2-assumes that only medical professionals are capable of defining health and illness. 3-presumes that physiological malfunction alone defines health and illness. 4-defines healths as the absence of disease.
roach to Health Behavio
Stop for monday
six primary orientations
These orientations define health and include: physical functioning, mental health, social wellbeing, role functioning, general health perceptions, and symptoms.
In the United States, women have a longer LE than men.
I wonder if this is more due to biological differences or social differences
The Census Bureau uses just two categories for ethnicity—Hispanic or non-Hispanic.
I’ve always thought that this was strange as it doesn’t really tell them much about the person. There should always be more options than just Hispanic or not Hispanic.
Health on the Internet
End for friday
people with low incomes live approximately seven years less than the more affluent
This fact is absolutely devastating to me and is completely unfair. This is something that should not be a reality.
Additionally, where one lives, and the kinds and quality of social relationships and community ties impact health in important ways.
This relates a lot to the part above it talking about social hierarchies. These hierarchies can have a big impact on where someone lives, which in turn affects what resources they have access to.
Social Disparities in Population Health in the United States
Stop for Wednesday; start for friday
Measurement of disability varies from one study to another—that is, the identification of who is and is not disabled or what is and is not a disability is not always consistent
I feel like there is no way to have a definition of disability that everyone will agree with. Especially when there are so many different types and spectrums of disability, it is hard to have a concrete meaning.
Infant Mortality Rates, 2022 in Countries with a Population of More Than 5 Million
I wonder why there is such a big difference in the number of infant deaths based on country. Also why are the highest 10 so much higher than the lowest 10, and so high in general.
LE is 80.9 years in high-income countries, but only 65.1 years in low-income countries
I think it’s extremely sad how big of a difference there is between Life expectancy in high income countries vs. low income countries. When people are born, they don’t get to chose where they live, so being born into a low income country is so unfair; especially due to the lower life expectancy.
Consideration of both genetic and social influences provides the most complete understanding, and efforts to integrate the two should continue.
I feel like this isn’t usually stressed enough. People always say nature vs. nurture, but the combination of the two is so important.
Proximate risk factors
Close influences directly affecting health
the Age of Delayed Degenerative Diseases
Shift in the age with the most risk of dying from chronic degenerative diseases due to reductions in behavioral risk factors.
The Age of Degenerative and Human-Made Diseases
Mortality rates dropped and life expectancy increased (70 years).
the Age of Receding Pandemics
A transition stage caused by advances in medical knowledge and public health. Life expectancy was older than before (50 years)
he Age of Pestilence and Famine
More prevalent in low income countries today since it is usually due to improper nutrition, sanitation, and unclean water.
This shift emphasized the importance of social characteristics
I feel like this was definitely an important shift that was made since it makes sure to look at not only the biological causes, but also the social patterns. The biology of it all doesn’t always give the full picture and sometimes the social characteristics can really help.
Observational research
Natural environment observations
Experimental research
Identifies cause and effect effect relationships between variables
Survey research
Helpful in studying attitudes of values
The Scientific Process.
Researched forms a hypothesis, designs a study, draws conclusions from data
interactionism
Confused on this one?
Conflict theory
Society is dominated by social inequality and conflict
Functionalism
Society is a system with interdependent parts working together to produce stability
grand theoretical orientations
Unify all observed patterns in social behavior
For example, climate change is affecting conditions that relate to health and disease all over the world.
As healthcare becomes more expensive, adequate healthcare is harder to maintain
ASA assumed control of an existing journal in medical sociology and renamed it
Key mechanism for sharing research
medical sociology was accepted as a formal section of the AS
Brought recognition to the field
government agencies and private foundations initiated significant financial funding for medical sociology
Sponsored sociological research in medicine
medical schools began to hire more sociologists
Symbolized an increase of recognition of sociology’s contribution for understanding illness
The impact of administrative medicine.
Health insurance became increasingly complex
The impact of modern psychiatry
Increased interest in psychosociological basis
The impact of preventive medicine and public health.
Shifted focus from immunology to social conditions
Changing patterns of disease and illness
Necessity for sociological contributions became more apparent
Rudolf Virchow
Physician who identified social and economic conditions as primary causes for an epidemic.
sociologists attempt to understand how larger structural features of society affect individuals’ beliefs and behaviors regarding COVID-19 vaccination, as well as the likelihood of dying from COVID-19
Someone’s opinions and experiences with covid are highly based on where they live, work, and who they are surrounded by.
Mary’s beliefs and Martin’s pre-existing condition are both important for understanding their experiences
Looking closer at peoples experiences and personalities can help to understand their opinions. Not looking at those can cause false judgements and misunderstandings.
Sociology is “the scientific study of social life, social change, and the social causes and consequences of human behavior”
Sociology definition
For example, US excess mortality in 2020 (the first full year of the pandemic) was highest among persons aged 65 and over, and within that age group, Blacks and American Indian/Alaskan Natives had the highest excess mortality
Deaths from covid were not very widespread and were more prevalent in specific age and race groups.