Study sets matching "human behavior in medicine"

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Study sets matching "human behavior in medicine"

52 terms
Human Development and Behavioral Medicine
Development
Nature
Nuture
Stability
-life-long ongoing process from conception to death... -multidim…
-inborn, biological givens... -genetics... -chemical and hormonal c…
-upbringing and parenting... -caregiving and modelling... -shared a…
-individuals high or low in a characteristic remain so at lat…
Development
-life-long ongoing process from conception to death... -multidim…
Nature
-inborn, biological givens... -genetics... -chemical and hormonal c…
136 terms
Behavioral Medicine Behavioral Medicine
Anxiety includes what conditions
Pathophysiology behind developement of…
Goals of depression therapy
3 phases of depression Tx
-Generalized anxiety disorder... -Obsessive-compulsive disorder…
-Thought to be due to depressed levels of monoamines-->Seroto…
-Reduce symptoms of acute depression... -Facilitate return to no…
-Acute phase (6-12 weeks): remission of symptoms... -Continuatio…
Anxiety includes what conditions
-Generalized anxiety disorder... -Obsessive-compulsive disorder…
Pathophysiology behind developement of…
-Thought to be due to depressed levels of monoamines-->Seroto…
24 terms
Behavioral Medicine
Health
Transference
Countertransference
7 Steps to a Good Life
"the process by which individuals maintain a sense that life…
"reactions the pt has to the doc"
"reactions the doc has to the pt"
1) gratitude... 2) compassion... 3) acceptance... 4) higher meaning... 5)…
Health
"the process by which individuals maintain a sense that life…
Transference
"reactions the pt has to the doc"
Behavioral Medicine
Most significant milestones in the hx…
History of the PA profession
Scope of practice
PA profession governance
1957... Thelma Ingles, RN, begins a clinical sabbatical year wit…
...
Education and Experience... How is it determined if a PA has the…
First laws for PA's passed in the 1970's... Each state has its o…
Most significant milestones in the hx…
1957... Thelma Ingles, RN, begins a clinical sabbatical year wit…
History of the PA profession
...
Human Behavior
dimension
time orientation
linear time
refers to a feature that can be focused on separately but als…
is the degree to which a society emphasizes short-term or lon…
The extent to which individuals and collectivities are invest…
dimension
refers to a feature that can be focused on separately but als…
time orientation
is the degree to which a society emphasizes short-term or lon…
138 terms
Behavior Medicine
Hypomania and depressive symptoms for…
Sadness or anhedonia plus other sympto…
At least one manic episode
At least one hypomanic and at least on…
Cyclothymic Disorder
Major Depressive Episode
Bipolar I
Bipolar II
Hypomania and depressive symptoms for…
Cyclothymic Disorder
Sadness or anhedonia plus other sympto…
Major Depressive Episode
69 terms
Behavioral Medicine
Secondary Depression
Behavior Pathophysiology
Therapy effects
Antidepressants
Hypothyroidism... Parkinson's disease... Inflammatory conditions…
Low Monoamines:... Serotonin... NE... Dopamine... Theory came from Reser…
Phases:... Acute - 6-12 weeks - Sx Remission... Continuation - 4-9…
Empirical choice:... Hx... Concurrent medical illnesses... Presenting…
Secondary Depression
Hypothyroidism... Parkinson's disease... Inflammatory conditions…
Behavior Pathophysiology
Low Monoamines:... Serotonin... NE... Dopamine... Theory came from Reser…
147 terms
Behavioral Medicine
Disease vs. Illness
Definition of health
What is transference?
What is countertransference?
Disease: A disruption in normal biological functioning (objec…
Not the absence of disease, but rather a process by which ind…
Reactions the patient has to the clinician.
Reactions the clinician has to the patient.
Disease vs. Illness
Disease: A disruption in normal biological functioning (objec…
Definition of health
Not the absence of disease, but rather a process by which ind…
61 terms
Behavioral medicine
Disease
transference
counter transference
Illness
A disruption in normal biological functioning... focus= curing
reactions the patient has to the clinician
reactions the clinician has to the patient
A sense of dis-ease... focus= healing
Disease
A disruption in normal biological functioning... focus= curing
transference
reactions the patient has to the clinician
32 terms
Behavior Medicine
what are the types of Canine Aggression?
what are the Medical causes of aggress…
what are the Two groups of dogs that a…
what are the Signalment for canine agg…
Interdog... Territorial... Protective... Fear... Dominance
Pain:... Musculoskeletal... Ear infection... Dental disease... Neurologi…
Insecure or anxious about social status.... Confident, dominant…
Male>female (90%).... Purebred dogs are more common.
what are the types of Canine Aggression?
Interdog... Territorial... Protective... Fear... Dominance
what are the Medical causes of aggress…
Pain:... Musculoskeletal... Ear infection... Dental disease... Neurologi…
22 terms
Behavioral Medicine
appproach
angle
typical
thus
גישׁה
זוית
אופיני
כך
appproach
גישׁה
angle
זוית
behavior medicine
pay healthcare providers to work toget…
What are the 5 chronic diseases that t…
the field concerned with the developme…
What are the two roots of behavioral m…
accountable care model
asthma, diabetes, hypertension, chronic obstructive pulmonary…
behavioral medicine
medicine... psychology
pay healthcare providers to work toget…
accountable care model
What are the 5 chronic diseases that t…
asthma, diabetes, hypertension, chronic obstructive pulmonary…
12 terms
Behavioral Medicine
Behavioral Med.
Examples of Behavioral Med
Identification of Stressors
Acute stress --> Impact
Better health through behavior mod.
Stress management, Relaxation training, Smoking cessation, Li…
Holmes/Rahe Stress Scale
Sympath (can strengthen immune)
Behavioral Med.
Better health through behavior mod.
Examples of Behavioral Med
Stress management, Relaxation training, Smoking cessation, Li…
36 terms
Behavioral Medicine
Caffeine
Caffeinism
Alcohol
Morphine
inhibits, phosphodiesterase, promotes accumulation of cAMP, a…
* 500 mg/day ... * inconclusive data on caffeine (200 mg)
GABA-a and NMDA- glutamine receptors
Mu receptors
Caffeine
inhibits, phosphodiesterase, promotes accumulation of cAMP, a…
Caffeinism
* 500 mg/day ... * inconclusive data on caffeine (200 mg)
11 terms
Behavioral Medicine
Progression
Regression
Fixation
Freud's first stage of development
normal movement from one stage to the next
move from a more mature state of adaptation back to a more 'p…
a point of "stuckness" caused by some failure or disruption o…
Oral (birth-1 year)... -Fixation here can lead to: lack of abili…
Progression
normal movement from one stage to the next
Regression
move from a more mature state of adaptation back to a more 'p…
88 terms
Behavioral Medicine
MOA First Gen Antipsychotics:
EPS symptoms are worst with what antip…
SE First Gen Antipsychotics:
Types of EPS:
Blocks D2 Receptors
Risperidone
EPS... NMS... QT prolongation, arrythmias, sedation, increase prola…
Dystonia (dyskinesia)... Tardive Dyskinesia... Parkinsonism
MOA First Gen Antipsychotics:
Blocks D2 Receptors
EPS symptoms are worst with what antip…
Risperidone
15 terms
Behavioral Medicine
The Biopsychosocial Model
Classical Conditioning (Pavlov)
Operant Conditioning
Health Belief Model
- Created by George Engel, Internal Medicine @ Rochester, in…
Involuntary; External Stimulus & Conditioned Response
Voluntarily Developed, strengthened or weakened by reinforcers.
Perceptions determine Self-Efficacy. ... Threat: - Susceptibili…
The Biopsychosocial Model
- Created by George Engel, Internal Medicine @ Rochester, in…
Classical Conditioning (Pavlov)
Involuntary; External Stimulus & Conditioned Response
145 terms
Behavioral medicine
1/3 of depressed patients will have ab…
MRI's identify.....disease
.....is the gold standard for soft tis…
.....differentiates delirium from deme…
TRH
demyelinating
MRI
EEG
1/3 of depressed patients will have ab…
TRH
MRI's identify.....disease
demyelinating
24 terms
Behavioral Medicine
Relationship between emotional stress…
What are the two types of behavior imp…
Leading causes of deaths
Associated behaviors with heart disease
Diseases influenced by stress: sudden cardiac arrest, heart d…
Stress and health damaging behaviors.
In the 90s people died mostly from infectious diseases (influ…
smoking, lack of physical activity, diet and obesity
Relationship between emotional stress…
Diseases influenced by stress: sudden cardiac arrest, heart d…
What are the two types of behavior imp…
Stress and health damaging behaviors.
13 terms
Behavioral Medicine
Major Depressive Disorder
MDE
MDD diagnostics
MDD Etiology
Must have more than 1 MDE with no form of mania "unipolar"
more than 2 weeks of at least 5 of SIG-ECAPS with 1 of them b…
PHQ -2 for screening ... PHQ-9 for diagnostic... SPECIFIERS:... Melanc…
Genetic vulnerability: ... general pop. 10%... 1st degree relative…
Major Depressive Disorder
Must have more than 1 MDE with no form of mania "unipolar"
MDE
more than 2 weeks of at least 5 of SIG-ECAPS with 1 of them b…
114 terms
Behavioral Medicine
Circumstantiality
Tangentiality
Clang Associations
Echolalia
-non-linear thought pattern and occurs when the focus of a co…
-speak about topics unrelated to main topic of discussion ... (s…
-association of words that sound the same but do not have the…
psychopathological repetition of one persons phrases by anoth…
Circumstantiality
-non-linear thought pattern and occurs when the focus of a co…
Tangentiality
-speak about topics unrelated to main topic of discussion ... (s…
behavior medicine
definition of the human animal bond
what are causes of problem behaviors
what ares some examples of behaviora c…
what is the veterinarian's role in beh…
...
...
house soiling, destructive behavior, overactivity, fearful be…
integrate behavior into wellness care... - veterinarians need to…
definition of the human animal bond
...
what are causes of problem behaviors
...
105 terms
Behavioral Medicine
Transferance
Countertransferance
Empathy
Stages of Change
Reactions a patient has to the clinician and how it affects t…
Reactions clinician has to the patient and how it affects the…
The ability to think and feel yourself into another persons l…
Precontemplation... Contemplation... Preparation... Action... Maintenance…
Transferance
Reactions a patient has to the clinician and how it affects t…
Countertransferance
Reactions clinician has to the patient and how it affects the…
Behavioral Medicine
What does OARS stand for? (MI stuff)
Definition of overweight and obese
Epidemiology of Overweight/Obese
First line of treatment for Obesity
1. Ask Open-ended Questions... 2. Affirm... 3. Listen Reflectivel…
Overweight = BMI over 25... Obese = BMI over 30
2/3 of USA are overweight and 1/3 are obese... #2 cause of preve…
Behavioral changes (diet and exercise)... Diet - important for l…
What does OARS stand for? (MI stuff)
1. Ask Open-ended Questions... 2. Affirm... 3. Listen Reflectivel…
Definition of overweight and obese
Overweight = BMI over 25... Obese = BMI over 30
23 terms
BEHAVIORAL MEDICINE
BEHAVIORAL MEDICINE &... HEALTH PSYCHOLOGY
SMOKING CESSATION
Steps to quit
Step 1: How Ready & Willing is the... Pat…
Concerned with modification of 'lifestyle... behaviors' associa…
Smoking is a learned behavior, and changing... behavior takes ti…
Step 1: Determining patient's Readiness to... Quit... Step 2: Asses…
PRECONTEMPLATION... CONTEMPLATION... PREPARATION... ACTION... MAINTE…
BEHAVIORAL MEDICINE &... HEALTH PSYCHOLOGY
Concerned with modification of 'lifestyle... behaviors' associa…
SMOKING CESSATION
Smoking is a learned behavior, and changing... behavior takes ti…
255 terms
Behavioral Medicine
Who was the father of psychoanalysis?
Who invented the topographical model o…
Who invented the structural/tripartate…
Life is a balance between the ____ and…
Sigmund Freud
Sigmund Freud... Conscious: Perceptions brought into awareness... P…
Sigmund Freud... Id: PLEASURE principle (unconscious)... Ego: Self-…
Id and Super Ego.
Who was the father of psychoanalysis?
Sigmund Freud
Who invented the topographical model o…
Sigmund Freud... Conscious: Perceptions brought into awareness... P…
17 terms
Behavioral Medicine
Cognition
Perception
Attention
Motivation
Mental Processing... Ability to process information (Learning, M…
Understanding of the environment.
Is a cognitive process. The ability to selectively concentrat…
The driving force people use to achieve their goals (Resting,…
Cognition
Mental Processing... Ability to process information (Learning, M…
Perception
Understanding of the environment.
45 terms
Behavioral Medicine
Depression
antidepressant
Limitations of DSM -5
depression screening
...
...
elimination of diagnostic axes, no more axis 1,2,3,4... single e…
USPSTF recommends screening all adults... you can use a brief 2…
Depression
...
antidepressant
...
19 terms
Behavioral Medicine
What does the biopsychosocial model st…
Modification of what types of behavior…
What is the first step in successfully…
What are the 5 stages in the Stages of…
Illness arises due to:... - genetics - bio... - cognitions - psycho…
Lifestyle behaviors
Assessing the patient's readiness to change
1. Pre-contemplation... 2. Contemplation... 3. Preparation... 4. Actio…
What does the biopsychosocial model st…
Illness arises due to:... - genetics - bio... - cognitions - psycho…
Modification of what types of behavior…
Lifestyle behaviors
80 terms
Behavioral Medicine
Suicide in adolescents
Mental Status Exam Components
Appearance
Behavior
3rd leading cause of death in adolescents and 5th in 4-14 yea…
Appearance, behavior, attitude, LOC, orientation, speech and…
-observed... -gait, posture, clothes and grooming
-observed... -mannerisms, gestures, psychomotor activity, expres…
Suicide in adolescents
3rd leading cause of death in adolescents and 5th in 4-14 yea…
Mental Status Exam Components
Appearance, behavior, attitude, LOC, orientation, speech and…
Behavioral Medicine
Schizoid Personality Disorder
Schizotypal Personality Disorder
Antisocial Personality Disorder
Borderline Personality Disorder
Detached from social relationships and restricted range of em…
Acute discomfort in close relationships, cognitive or percept…
Disregard for and violation of the rights of others. Cluster B
Instability in emotions and interpersonal relationships, inad…
Schizoid Personality Disorder
Detached from social relationships and restricted range of em…
Schizotypal Personality Disorder
Acute discomfort in close relationships, cognitive or percept…
Behavioral Medicine
Behavioral Medicine
Health
Transference
Countertransference
the interdisciplinary field concerned w/ the development and…
A process by which individuals maintain a sense that life is…
reactions the patient has to the clinician
reactions the clinician has to the patient
Behavioral Medicine
the interdisciplinary field concerned w/ the development and…
Health
A process by which individuals maintain a sense that life is…
Behavioral Medicine
Behavioral medicine & health psycholog…
Example is smoking cessation
January 2012 research calls into quest…
smoking cessation treatment interventi…
modification of "lifestyle behaviors" associated with increas…
physician advice to quit = significantly ^ quit rates... **phar…
there are compliance issues in the real world... conclusion: NR…
1. determining the patients READINESS to quit... 2. assessing P…
Behavioral medicine & health psycholog…
modification of "lifestyle behaviors" associated with increas…
Example is smoking cessation
physician advice to quit = significantly ^ quit rates... **phar…
34 terms
Behavioral Medicine
Behavioral Medicine
Empathy
Factors Positively Affecting Patient C…
Scope of Noncooperation
The interdisciplinary field concerned with the development an…
Capacity to think and feel yourself into the inner life of an…
Perceive high severity of illness and consequences... Feel highl…
10-20% of appointments are not kept... Only ~30% of prescription…
Behavioral Medicine
The interdisciplinary field concerned with the development an…
Empathy
Capacity to think and feel yourself into the inner life of an…
121 terms
Behavioral Medicine
history of behavioral medicine
mental illness
behavioral medicine
The role of the PA
believed cause of mental illness was religious punishment or…
syndrome characterized by clinically significant disturbance…
interdisciplinary field that integrates behavioral and biomed…
in-pt/ out-pt tx... psychiatric PA- medical and psych issues... med…
history of behavioral medicine
believed cause of mental illness was religious punishment or…
mental illness
syndrome characterized by clinically significant disturbance…
behavioral medicine
*Which of the following is not part of…
What is the difference between mood an…
How should a patient's thought process…
What is a delusion?
C. Past suicidal attempt
Mood - how the patient describes their feelings (usually a di…
Linear, logical, goal-oriented
Delusion - fixed beliefs held in spite of contrary evidence
*Which of the following is not part of…
C. Past suicidal attempt
What is the difference between mood an…
Mood - how the patient describes their feelings (usually a di…
Behavioral Medicine
Cyanophobia
Mysophobia
Agoraphobia
Xenophobia
Fear of dogs
Fear of germs
fear of crowded places... **anxiety about or avoidance of place…
Fear of strangers
Cyanophobia
Fear of dogs
Mysophobia
Fear of germs
83 terms
Behavioral Medicine
behavioral medicine - broad
behavioral medicine - specific
health
Factors influencing health?
an integrative scientific approach to understanding lifestyle…
the study of how people change their behaviors in order to re…
a state of complete physical, mental, and social well-being,…
Psychological, social/behavioral, environmental, biological
behavioral medicine - broad
an integrative scientific approach to understanding lifestyle…
behavioral medicine - specific
the study of how people change their behaviors in order to re…
19 terms
Behavioral Medicine
Smoking is what type of behavior? What…
What % of Americans smoke? What % of s…
The combination of what two tx approac…
Steps in cessation of smoking
Learned behavior. Lifestyle behavior.
25%. 70%.
pharmacotherapy-NRT's & counseling- combination is best
1 readiness to quit... 2 physical dependence... 3 psychological & s…
Smoking is what type of behavior? What…
Learned behavior. Lifestyle behavior.
What % of Americans smoke? What % of s…
25%. 70%.
25 terms
Behavioral Medicine
BEHAVIORAL MEDICINE
Who is responsible for illness and tre…
How should illness be treated
smoking behavior
- Modification of 'lifestyle behaviors like:... Overeating... Lac…
- individual is not viewed as a passive victim, but rather as…
- The whole person should be treated
Prevalence: 23.5% of Americans smoke... CDC: 52% of smokers tri…
BEHAVIORAL MEDICINE
- Modification of 'lifestyle behaviors like:... Overeating... Lac…
Who is responsible for illness and tre…
- individual is not viewed as a passive victim, but rather as…
121 terms
Behavioral Medicine
History of behavioral medicine
Mental Illness
Behavioral Medicine
The role of the PA
Believed cause of mental illness was religious punishment or…
Syndrome characterized by clinically significant disturbance…
Interdisciplinary field that integrates behavioral and biomed…
Psych can either be inpatient or outpatient, may also be a PA…
History of behavioral medicine
Believed cause of mental illness was religious punishment or…
Mental Illness
Syndrome characterized by clinically significant disturbance…
18 terms
Behavioral Medicine
Tobacco Use
Smoking Cessation: Designing an Interv…
Step 1: Assess readiness to change
Precontemplation
leading preventable cause of death in the US: responsible for…
5 Steps:... 1. Determine patient's readiness to quit smoking... 2.…
Within this step, there are 5 more stages:... -precontemplation…
patient has not yet considered the possibility of change... -per…
Tobacco Use
leading preventable cause of death in the US: responsible for…
Smoking Cessation: Designing an Interv…
5 Steps:... 1. Determine patient's readiness to quit smoking... 2.…
23 terms
Behavioral Medicine
Oral (Freud)
Anal (Freud)
Phallic-Oedipal (Freud)
Latency (Freud)
birth- 1 year... Fixation here can lead to ... -lack of ability to…
1- 3 years... Fixation here can lead to issues related to:... -cont…
3- 5 years... Fixation here can lead to:... -triangulation (pre-oed…
Elementary school... -Not a formal stage
Oral (Freud)
birth- 1 year... Fixation here can lead to ... -lack of ability to…
Anal (Freud)
1- 3 years... Fixation here can lead to issues related to:... -cont…
88 terms
Behavioral Medicine
MOA First Gen Antipsychotics:
EPS symptoms are worst with what antip…
SE First Gen Antipsychotics:
Types of EPS:
Blocks D2 Receptors
Risperidone
EPS... NMS... QT prolongation, arrythmias, sedation, increase prola…
Dystonia (dyskinesia)... Tardive Dyskinesia... Parkinsonism
MOA First Gen Antipsychotics:
Blocks D2 Receptors
EPS symptoms are worst with what antip…
Risperidone
77 terms
Behavioral Medicine
Mental Illness
Behavioral Medicine
Characterisitcs of Good Mental health
History
a syndrome characterized by clinically significant disturbanc…
interdisciplinary field that integrates behavioral and biomed…
1) having a positive attitude... 2)feeling good about self and o…
CC, identifying data, HPI, PMHx, personal history, family his…
Mental Illness
a syndrome characterized by clinically significant disturbanc…
Behavioral Medicine
interdisciplinary field that integrates behavioral and biomed…
89 terms
Behavioral Medicine
Affect
Mood
Blunted/Flat Affect
inappropriate/incongruous affect
momentary, feeling or emotion
inner state that persist to express emotion
monotonous... flat: lack of emotional expression... Blunted: reduct…
affect not following with the situation, patient ideas or spe…
Affect
momentary, feeling or emotion
Mood
inner state that persist to express emotion
63 terms
Behavioral Medicine
Precontemplation
Contemplation
Preparation
Action
Stage of Change.... Change is not likely.... The cons are high and…
Stage of Change.... Change may be likely within 6 months.... The pr…
Stage of Change.... Action is likely to take place within one mo…
Stage of Change.... Change takes place within 6 months.... The pros…
Precontemplation
Stage of Change.... Change is not likely.... The cons are high and…
Contemplation
Stage of Change.... Change may be likely within 6 months.... The pr…
140 terms
Behavioral Medicine
Pre-contemplation Stage
Contemplation Stage
Preparation Stage
Action Stage
- Cons > Pros of changing behavior... - Not ready to change: may…
- Cons = Pros of changing behavior... - Thinking about change bu…
- Cons > Pros of changing behavior... - Ready to change (will ta…
- Taking steps to change (change in place <6 months)... - Goal:…
Pre-contemplation Stage
- Cons > Pros of changing behavior... - Not ready to change: may…
Contemplation Stage
- Cons = Pros of changing behavior... - Thinking about change bu…
11 terms
Behavioral Medicine
onset... location... duration... characteristic…
1957-1970
1971 - 1980
1981 - 1990
Define OLD CHARTS
The Formative Years?
Establishing a Profession years?
Nationwide Adoption years?
onset... location... duration... characteristic…
Define OLD CHARTS
1957-1970
The Formative Years?
178 terms
Human Behavior
Fransz Gall
Pierre Flourens
William James
John Dewey
Phrenology (particular trait expand the brain), which was sho…
Ablation; remove parts of the brain and observe behavior
Father of American psychology; formed functionalism- mind ada…
Functionalism: psychology should focus on the study of the or…
Fransz Gall
Phrenology (particular trait expand the brain), which was sho…
Pierre Flourens
Ablation; remove parts of the brain and observe behavior
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