HSPH PBL and exam SAQs

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Airy-fairy bullshit

Identify four features of an illness that make it more likely to be stigmatised.

Visibility (is it apparent?), trajectory (not improving/worsening?), disruptiveness (inconvenient/dangerous?), aesthetics (ugly?), origin (own fault? Sign of moral delinquency?), communication (may be difficult).

Name two distinct ways in which social support influences health and well being of an individual.

Emotional - build self esteem, lower stress etc. Tangible - improve treatment adherence, access to information and services.

Give four ethical arguments in favour of denying treatment (e.g. bariatric surgery)

Contract argument: we have a contract with society to avoid self harm.
Scarcity of resources: there are finite resources that may be better allocated elsewhere
Benevolent paternalism: it is for the patient's own good not to receive treatment (e.g. so they can solve the problem themselves, learn a lesson)
Medical outcomes: giving treatment might not provide the best medical outcome for the patient.

Give four arguments against denying a patient treatment because of their past behaviour.

Double victimisation: patient has already been punished by society once.
Contribution: they may have paid taxes (esp. smokers)
Incentive to lie to doctors: in order to have treatment that would otherwise be refused
Slippery slope: where do we stop declining treatment?
Allocation based on needs: rather than perceived morality.

Describe the defining characteristics of an emotion-focused response to stress.

Targets the feelings of the individual suffering from stress, rather than practical steps towards solving the problem. For example, may turn to alcohol.

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