Karteikarten
Week 8
Karten in diesem Stapel (34)
- 1Define refugeeA person whose asylum application has been successful and who was forced to leave their country to escape war, natural disaster or a well-founded fear of persecution
- 2Define asylum seeker Define refused asylum seekerA person who has left their country or origin and applied for asylum in another country
Someone whose asylum application has been unsuccessful - 3Define undocumented migrantA person who enters/stays in the UK without the necessary documentation. They don't make themselves known to the Home Office and may be visa over-stayers.
- 4Describe entitlement to primary care in regards to refugees/migrantsEveryone in England is entitled to free primary care regardless of nationality or immigration status
- 5Describe entitlement to secondary care in regards to refugees/migrants-Undocumented migrants and refused asylum seekers are charged for secondary care
-Services exempt: A&E, communicable disease and family planning
-Groups exempt from charges: victims of trafficking/modern day slavery, victims of violence, children under care of LA, treatment under Mental Health Act - 6What's a major barrier to accessing healthcare for this group of people?Charges. Often people who should be exempt from charges are billed.
- 7What are the 5 bases of power within organisations?Legitimate
Referent
Expert
Reward
Coercive - 8What is medical power?-Ability to impose one's will on others even if they resist
-Ability to bring about significant change in people's lives through one's actions
-Power to define illness/deviance and manage them - 9Define medical dominance Define medical autonomyAuthority that the medical profession can exercise over others
Legitimated control that the medical profession exercises over the organisation and terms of its work - 10Describe Parsons (1951) view of the patient sick role-Must want to get well as quickly as possible
-Should seek professional advice/co-operate with the doctor
-Allowed/expected to stop some normal activities/responsibilities eg. job, household tasks
-In need of care and unable to get better by his/her own decisions and will - 11What are the advantages of the patient role/status?-Official diagnosis
-Sympathy
-Sick pay
-Free prescriptions
-Insurance payments
-Can aid coping behaviour
-Offers socially acceptable explanation for person's behaviour - 12What are the disadvantages of the patient role/status?-Major change in status from person to patient
-Has to accept asymmetry of relationship with doctor
-May be denied of the advantages
-May not be able to get insurance, mortgage, employment
-May be subject to automatic medical intervention - 13What are the social consequences of labelling/taking on a sick role?-Patient can expect/demand treatment
-Healthcare system may be obliged to offer treatment
-Healthcare system may be unable to satisfy demand - 14What is a doctor expected to do?-Apply a high degree of skill/knowledge
-Act for welfare of patient and community
-Be objective
-Be guided by rules of professional practice - 15What rights does a doctor have?-To examine patients physically
-To enquire into intimate areas of physical/personal life
-Considerable autonomy
-Position of authority in relation to the patient - 16What socialisation?Mechanisms by which people learn the rules, regulations and acceptable ways of behaving in the society/group they belong to
- 17Describe primary and secondary socialisationPrimary: occurs in the family eg. gender roles for babies
Secondary: continues throughout life eg. school, peer group - 18Describe anticipatory and patient socialisationAnticipatory: where someone rehearses for future position eg. applying to medical school
Patient: learning 'correct' behaviour as a patient and how to interact with health systems - 19What are some examples of agents of patient socialisation?-Media
-Lay referral system
-Self-help groups
-Handbooks
-Hospital leaflets
-Experience of healthcare system
-Chronic illness
-Expert patients - 20Describe the patient career model-Patient progresses from symptoms to diagnosis to treatment to outcome
-Initial contact is made with medical services (eg. GP), admission and then discharge from hospital
-At the start the patient displaces their present role with the patient role. Secondary socialisation then occurs and the patient develops new roles or adapts the old ones - 21Define medicalisationA process by which non-medical problems become defined and treated as medical problems usually in terms of illnesses or disorder
- 22What is a total institution according to Goffman?Where inmates are separated from social intercourse with the outside world
- 23What are some characteristics of total institutions?-All aspects of life are conducted in the same place/under single authority
-Daily life carried out in a group
-Sharp distinction between managers and managed
-Institutional perspective - 24What 3 mechanisms are used in institutions to facilitate management of inmates?-Removing personal possessions, restricting privacy and individual responsibility
-Information about the individual and institution is controlled
-Restricted mobility - 25What are the effects of total institutions?-Stress and anxiety
-De-personalisation
-Patients become apathetic and unable to do simple tasks/make decisions - 26Goffman identified 5 modes of adaptation which an inmate may employ at different stages in their career in the institution. What are they?Situational withdrawal: no contact with others
Intransigent life: refuses co-operation
Colonisation: hospital is preferable to alternative
Playing it cool: mixture of stages - 27What is the permeable institution?-Ward membership is temporary
-Maintained contact with outside world
-Reduced risk of institutionalisation
-Increased risk to staff and patients
-Patient input: negotiation and subversion - 28What is 'invisible death'?-Movement of dying and death from family/home to hospital where it happens behind closed doors
-Increasing secularisation of society means less death rituals and more fear
-Stigma around talking about death/people who have died - 29What is social and biological death?Social: end of the person's social identity. This occurs through ritualistic ceremony
Biological: end of the biological organism - 30What are the functions of the death ritual?-Living say goodbye and progress with their lives
-Respect the deceased person
-Alleviate survivors guilt
-Increase visibility
-Have some control over death process - 31What does death certification involve?-Certificate is signed by treating doctor stating cause of death, sealed and addressed to the local registrar of births, deaths and marriages
-Referred to coroner if cause of death is unknown
-All certificated are validated by an independent medical examiner - 32What is the key idea of the hospice movement?-Total pain including: physical, emotional, social and spiritual distress
-A safe place to suffer
-Medical care in a non-medicalised environment - 33Describe William Worden's tasks of mourning-Accept the loss
-Work through grief
-Adjust the environment
-Emotionally relocate the deceased - 34What are the 5 stages of grief?Denial
Anger
Bargaining
Depression (defeated)
Acceptance
BUT: not everyone is the same, or goes through all the stages or in that order
Informationen
- Beschreibung
- Refugee health Medical power Death and bereavement
- Erstellt von
- Dolu Falowo
- Aufrufe
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- Bewertung