Chapter 7 MH

the prognosis will be worse than someone diagnosed at 20 yrs

genetics, biological factors -> go through generations, family history is important
physical health and health practices, healthier = better coping with stress and illness
poor nutritional status, lack of sleep and chronic physical illness may impair person's ability to cope

effect of genetic and metabolism differences
poor, intermediate, and ultrarapid metabolizers -> need higher dose
slower metabolism = need for lower doses -> med hangs around longer

belief that personal abilities and efforts affect the events in one's life behavior makes a difference = more likely to take action
I believe I have control over my life
ask for help when needd, cope with stress, set goals

commitment, control, challenge
ability to resist illness when under stress
turn stressful situations into growth opportunities
stressful life events caused more harm to peope with low hardiness than those with hight hardiness

healthy response to stressful situation
can be learned

essence of a person's being and their belief about the meaning of life and purpose of living
less of a chance developing mental illness

sense of belonging -> connectedness with or involvement in social system or environment of which a person feels an integral part
value -> feeling needed and accepted
fit -> feeling that one meshes or fits in with the system or environment
social networks and social support
perception of support system -> reduce stress, diminish illness and positively influence ability to cope and adapt
responsiveness of support system -> meaningful relationship were found to improve health and well-being outcomes in older adults
family support

cultural competency -> aware of and responsive to pt cultural perspectives and backgrounds
essential to providing meaningful care
keys to culutral humility
- be open and inquisitive
- be self-aware
- be aware of others
- be egoless
- self-reflect
- embrace lifelong learning

belief about causes of illness

communication
physical distance or space
social organization
time orientation
environmental contorl
biologic variations

environmental conditions that affect health risks and outcomes

health care access and quality
education access and quality
social and community context
economic stability -> can't afford meds or to go to appointments
neighborhood and built environment

person's ability to find, understand and use information and services to make informed health-related decisions
do they understand health literature and how to find it

knowledge of diversity as starting point when relating to people from different backgrounds
wide variations among people from any culture or group
seeking knowledge about client's values, beliefs, health practices
client as best source of information "How would you like to be cared for"
observation at inital meeting of client's
- preferences
- health practices
- beliefs
open, objective approach