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307CPD Health Promotion

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Question:

Section 1a -  Using Dahlgren and Whitehead's (1991) model, explore the social determinants of health that are relevant to the main characters in the DVD clip. Consider ways in which these impact on the health status of the clients and the health professional. 
 
Central factors and Level 1 of Model 
Overview of age, sex, hereditary factors (unknown). Key issues are lifestyle factors e.g. Smoking, alcohol abuse, sedentary lifestyle, addictive behaviours, drug use etc.
 
Level 2 — Social and Community networks Poor/none known. Look at 'social health' as an element of holistic health e.g. physical, mental, social, emotional, spiritual, societal (see Ewies and Simnett, 2003; Scriven, 2010; Naidoo and Wills, 2009 (3'd Ed). No support from family of friends when needed. Consider Integration into the community, access to community services, issues around coping and lack of social support etc. 
 
Level 3 - Living and Working conditions  Consider level of education, employment / unemployment, housing (social or LA?), access to health care services. Naidoo and Ms (2009) look at 'income and health', 'housing and health' and 'education and health' that Is relevant to this layer.
 
Level 4— Economic, cultural and environmental conditions Might consider socio-economic status — welfare support, benefits, geographical location, standards of living ... 
 
Section 2a - Making reference to both linear and circular models of communication, explore the interactions between the health professional and their clients. 

See, for example, Adler and Rodman (2010) for focussed discussion of communication theory. 
You will want to explore the theory that underpins each model as part of your discussion — however, this discussion will need to be linked to appropriate interactions (communication) between the health professional and the clients. For example, when looking at linear, or 'transmission' models of cornrnunication, you might want to identify the giving of the contract' as a linear form of communication (the message flowing from the giver to the receiver in a unidirectional flow). However, as part of this you would need to explore the significance of the 'channel' through which the message is communicated (i.e. print media) and factors such as 'noise' - environmental, psychological, semantic, physiological factors that can impede the flow of messages. When you have done this you can do the same for the circular, "transaction' model — where communication is a two-way flow and people send and receive messages simultaneously. Don't forget to identify an appropriate example of this type of interaction from the DVD clip, but also include the factors that are different from the linear model — I.e. 'feedback'. 
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