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- Healthcare Disparities- a particular
- type of health difference that is closely linked with social, economic, an
- environmental disadvantage. Disparities exist based on race and ethnicity,
- education, income, gender, sexual orientation, disability status, special
- health care needs, and geographic location.
issues in US healthcare sys
- proliferation of expensive technologyLg proportion of physicians who are specialistinefficient
- system that resists controls
- consists of
- immunizations and programs that encourage lifestyle changes; this type of
- prevention is usually a good bargain.
- consist of screening people at risk for developing a
- disease in order to find potential problems in their early and more treatable
- stages. secondary prevention may cost more than it saves.
- - automobile crashes account for ⅔ of fatalities of young people 15-24
- y/o, due to drinking and driving.
- College students are more likely to to drive after drinking than
- non-student peers. Seatbelts- unrestrained drivers are 5xs more likely to be
- injured than those in restraints. Men are less likely to use seat belts, but
- women are more likely to use cellphones while driving-
- Preventing injury- education, enviromental controls,
- behavior modification
intentional injury (violence, suicide, rape)
- Intentional injuries- child abuse/elder abuse, domestic violence, homicide
- and suicide.
- intentional violence- college students are victims
- of assaults, robberies, rapes and murders, but at a lower rate than nonstudents
- of comparable age. ¼ of campus
- is an example of intentional violence that occurs among college students.
- -7% college women
- and 6% college men have considered suicide, and 1% have attempted
- Rape- 2% of college women and 1% of college men have
- been raped within the past school year, and nearly 2xs as many students report
- of being the target of an attempted rape.
kubler ross stages of death and dying
trajectory description of dying
- LingeringExpected quick trajectorydanger period trajectoryunexpected quick trajectoryGrief and reactions of
- focused on helping dying patients.
-emphasis on coping
-less confrontation, more following pt’s lead
death of children
- Strains family: Chronic illness can alter siblings entire life.
- ------------1-5: see death as sleep,
- not something final
- -------------5-9: see death as final
- about avoidable through luck
- -------------9-10: see death as final
- and inevitable
Paricularly hard to deal with-seems preventable
beauty: social norms (fades)
- Tanning: Melanoma,
- and putting chemicals on your skin (sunless tanning) what are the adverse
- Body Piercing: Mutilations, infections
- Tattoos: painful and
- expensive to get removed, what is in the ink they use? Is it safe?