HEALTH IN THE COMMUNITY
The assumption that man is steadily becoming healthier,that his afflictions are succumbing with increasing ease to man's indicates that society is becoming sicker. Accident trauma kills and maims more than any recent war,violence and suicee claim more lives and the chronic diseases :
1. heart diseases
2. cancer
3. chronic bronchitis,etc.
Strike down the ever growing over 30 population group. If these are the malignant twentieth century conditions the benign groups includes psychotomatic illness and social structural iatrogenesis as described.
The three components of this relationship are as follows :
1.Self Care Agency : the capacity of the patiens (for lack of a better them) to engage in health related actions for self.
2.Therapeutic Self Care Demand : a representional element which consists of :
a.a summation of work to be done,action to be taken
b.a standar for assessment of the adequacy of self care agency at any point in time
c.a standart for deliberate change in the self care agency.
3. Profesional Agency : a regulating function : perception and interpretation from patient,doctor and the environment of both. Intiation and maintenance of a set of assisting actions which comoensate for the deficit between 1 and 2.
1.Self Care Agency : the capacity of the patiens (for lack of a better them) to engage in health related actions for self.
2.Therapeutic Self Care Demand : a representional element which consists of :
a.a summation of work to be done,action to be taken
b.a standar for assessment of the adequacy of self care agency at any point in time
c.a standart for deliberate change in the self care agency.
3. Profesional Agency : a regulating function : perception and interpretation from patient,doctor and the environment of both. Intiation and maintenance of a set of assisting actions which comoensate for the deficit between 1 and 2.
The comfortable role of dependence allows people to exhibit their anxieties in socially approved ways to a professional as psycho psychologic illness. Hence more than 50% of all doctor concultasions are in this anacritic framework. For the rest “doctor can do relatively little about many conditions which contribute to a large quota of sickness and death”. The main ones are :
1.ACCIDENTS (first ranked cause of death Among Australians for all ages under 35 –in fact they account for appromately 65 %).
2.OBESITY
3.ABUSE OF ALCOHOL AND DRUGS
4.SMOKING
5.ENVIROMENTAL HEALTH
6.DISEASE AND DISABILITY ASSOCIATED WITH PARTICULAR LIFESTYLE
It is times doctors and all profesionalis realized that these are areas of individual action and autonomy and short of a repressive society will never be solved ‘from above’ – whatever the shophiscation such paternalism might be cloaked with.
This I belive is the true level of primary helth care a recognition that healing is first and foremost a natural,innate capacity in which medical intervention at worst is meddlesome,and at best acts as adjuvant and not the primary force. In this scheme the individual takes primary responbility for his general welfare.
However ,groups unaccustomed to responbility to intiation classically prefer to remain that way. In mental hospital patients,the Queequeq syndrome describes people who,having come to expect a life of recidivism,come to experience just that. They are amenable,passive,melancholy patiens who on recovering from their first hospital admission are convinced that life is now different for them. People who are shown their innate qualities and strengths and power can be helped to break out develop more cpnfortable roles. This syndrome acts against all discriminated groups : poor,coloured,criminals,addicts. The poor in particular are widely convinced of their inability to influence their own lives,let alone the workings of society and they adapt to that belief. Even those familiar with the process the sequence prevails :
1.Dependence
2.Dependence disallowed
3.Hostility toward therapist/doctor/’unwiling’ authority figure
4.Self leadership
1.ACCIDENTS (first ranked cause of death Among Australians for all ages under 35 –in fact they account for appromately 65 %).
2.OBESITY
3.ABUSE OF ALCOHOL AND DRUGS
4.SMOKING
5.ENVIROMENTAL HEALTH
6.DISEASE AND DISABILITY ASSOCIATED WITH PARTICULAR LIFESTYLE
It is times doctors and all profesionalis realized that these are areas of individual action and autonomy and short of a repressive society will never be solved ‘from above’ – whatever the shophiscation such paternalism might be cloaked with.
This I belive is the true level of primary helth care a recognition that healing is first and foremost a natural,innate capacity in which medical intervention at worst is meddlesome,and at best acts as adjuvant and not the primary force. In this scheme the individual takes primary responbility for his general welfare.
However ,groups unaccustomed to responbility to intiation classically prefer to remain that way. In mental hospital patients,the Queequeq syndrome describes people who,having come to expect a life of recidivism,come to experience just that. They are amenable,passive,melancholy patiens who on recovering from their first hospital admission are convinced that life is now different for them. People who are shown their innate qualities and strengths and power can be helped to break out develop more cpnfortable roles. This syndrome acts against all discriminated groups : poor,coloured,criminals,addicts. The poor in particular are widely convinced of their inability to influence their own lives,let alone the workings of society and they adapt to that belief. Even those familiar with the process the sequence prevails :
1.Dependence
2.Dependence disallowed
3.Hostility toward therapist/doctor/’unwiling’ authority figure
4.Self leadership
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