Mental Framing Deutschman Summary

In this report it will investigate at least three recent health education campaigns and use them to explain two models of behaviour change. The three recent health education campaigns will be ‘Smoke Free’, ‘Change4Life’ and ‘FRANK’. The two models of behaviour change will be the theory of reasoned action and the stages of change model.

In the article, “Our Big Appetite for Healthcare” written by Daniel J. Stone was in the March 31 2013 issue for Los Angeles Times. Doctor Stone intended audience are the reader of the Los Angeles Time. Stone’s purpose in this article is to persuade his readers that he wants to change the healthcare culture from “more is better” to “do what is medically indicated to provide the best outcome”. Stone supports his argument with strategies and evidence.

In our first week of class, we have looked at the first three chapters in, Health Care Delivery in the United States. The first chapter talks about how the health care system has moved from a mindset of restoring a person’s health, into the phase of preventative medicine, which we see now. This has resulted from measurement of how the health care system is working, and with research looking at patients throughout the years. We now know, that any problem, disease, or condition, should be treated early or prevented if possible. The health care system has been working with public education to make citizens aware of what tests and preventative programs will be of assistance to them. (Knickman & Kovner, A., 2015).

The video, “Escape Fire,” illustrates the current practice of the health care system in the United States. Multiple issues captured are avoidable. One of the prominent problem is the inability to prevent the progression of diseases. The health care industry spends billions of dollars in the invasive treatment of diseases such as heart catheterization procedure, surgeries, and so on that oftentimes patient do not need. The intervention that the people need at this current situation is empowerment. Pulvirenti, McMillan, & Lawn (2011) emphasized that empowerment is “an enabling process for decision making to achieve change” (p. 307). Providing the patients and families the necessary tools that will effectively encourage them in making positive

The Healthy People 2020 initiative encompasses a holistic approach to promoting good health and preventing disease (US Department of Health and Human Services, 2010). However, when asked to reflect on myself as a role model of healthy behavior a mixed feeling of satisfaction and disappointment emerge. When evaluating my lifestyle choices throughout adulthood there is always a drastic misstep. For example, when I was in the best physical shape - I polluted my body with toxic cigarettes. I felt like a hypocrite every time I would educate my patients on the risk factors of smoking and the benefits of tobacco cessation. So, I quit smoking and then gained forty pounds. This is just one example of the barriers I face when attempting to achieve the

In this part of my assignment I will describe 2 different theories of behaviour change in relation to health.

An individual's attitude towards his health influences his capacity to maintain an optimum level of health, prevent illness or recover from a disease. Understanding patient's attitude towards his condition is the key to establishing an effective health-related program for health promotion, disease prevention and disease management. Hence, different health behavior theories have emerged. All of these are designed to help the patient and his family to facilitate learning, adjustment and behavior change to improve his quality of life. ( Butts & Rich, 2011)

Awareness of what health threats I might be susceptible to, and information I learned in this course about health behavior change has led me to take primary and secondary prevention actions (Straub, 2014, pp. 204). Knowing that I have a predisposition to breast cancer, ovarian cancer, hypertension, and heart problems has motivated me to exercise and improve my physical fitness, and visit the doctor more regularly to stay as healthy as possible and keep myself from getting sick. I don’t do drugs or drink alcohol because such behaviors can cause short-term and especially long-term health consequences. These are examples of primary prevention. At a recent visit to the doctor, I was informed that I have high cholesterol,

Escape Fire: The Fight To Rescue American Healthcare by Matthew Heineman and Susan Froemke addressed many issues seen in the American Healthcare system that have gone uncorrected for years. The importance of primary care physicians was noted and this view continued to make more and more sense as the film went on. The lifestyle choices that Americans are and have been making do not promote wellness and actually make the jobs of primary care physicians much more difficult. Also discussed in the film, was the severe issue of the overuse of narcotics in the military. The thought that alternative therapies can actually make a significant difference in people’s lives is to most people something that sounds completely insane. But, these therapies have been working for those that need them most. What truly impacted me during the film was how interconnected all of our problems in the American healthcare system are. The fixes seem to be possible and not as difficult as some would have others believe. After seeing this film I feel that I have gained a new respect and understanding of the system that I will be a part of in the not too distant future.

ii. Unconscious physician bias. Another theme in the reading that related back to class was the unconscious biases of doctors influence their interactions with patients, with consequences for patient outcomes. These unconscious biases affect interaction through the doctor’s communication. Establishing a basic understanding of treatment and diagnosis can foster better patient outcomes. An example of unconscious physician bias was Abraham 's focus on former secretary of the Department of Health and Human Services, Dr. Sullivan, in chapter eight. Dr. Sullivan’s campaign focused on the individual choice in adopting healthy lifestyle choices from diet to exercise. Skipping over racial disparities, the unconscious bias inferred through his words was that he considered the patient to blame whenever they fell ill.

The barriers to health behavioural change are addictions, mental health, lifestyle, existing behaviour, ie not willing to change, peer pressure and a lack of support from peers make changing behaviour all the more difficult.

How does one theoretical perspective discussed in chapter two contribute to a deeper sociological understanding of health and health care?

To make that change can be very difficult for some people including myself. As a counselor you always have to find some way to learn how to cope with your client and feel the same pain almost. You get accustom to living and a certain way and becomes hard to break that habit. Lifestyle means more to me than just taking steps to prevent illness and to lead to a richer and more balanced lifestyle. Being an individual that is confident, energetic, happy, is a great step to living healthy life that Frank wants.

Our healthcare system needs major restructuring. Major improvements needs to begin with "all health care organizations, professional groups, and private and public purchasers should adopt as their explicit purpose to continually reduce the burden of illness, injury, and disability, and to improve the health and functioning of the people of the United States", (Crossing the ……, 2001).

Most people understand that an unhealthy lifestyle can lead to poor health, but their ability to make a change and modify their existing unhealthy behaviors can be difficult. Nurses have an opportunity to identify patients who are in need of motivational assistance in their practice.