Critiquing Essay

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CRITIQUING A DVD CLIP OF AN INTERACTION BETWEEN A HEALTH PROFESSIONAL AND SERVICE USERS. This essay is criticising the interaction between a health professional and service users in the DVD clip titled “Someone to Watch over Me”. Firstly, I am going to introduce the concepts of health and communication, making reference to the nurse/ patient relationship and the importance of interpersonal communication in the delivery of health information. To act as guidelines for this essay I have chosen four topics to inform the content. These topics include: exploring the social determinants of health that are relevant to the main characters in the DVD clip using Dahlgren and Whitehead’s (1991) model and considering ways in which these impact on the health status of the clients and the health professional, identifying three health behaviours portrayed in the DVD clip and with reference to the Tran theoretical model explore ways in which these behaviours impact on the holistic health of the clients and the Health Professional, barriers to communication that were evident during the health professional – client interaction and how it might be addressed and types of communication employed during patient/ client interaction and any alternative forms that might have been used. McKenna (2002 cited by Lloyd, Hancock and Campbell 2007) defines concepts as labels that give meaning, and enable us to categorise, interpret and structure a phenomenon, but they are not the phenomenon in itself. According to Lloyd, Hancock and Campbell (2007, p.4) the concepts of health and communication are more complex than they appear. This is evident when comparing their personal definitions with those of others. Health has been viewed by many as the absence of disease while other views are based on psychological factors. Kronenfeld (2002, p.21) also comments that the definition of health has been a long thorny problem for analysts of the health care system. It is thus believed to be the absence of disease or illness which has been a very traditional way of defining health. This is also seen as a negative definition of health because of its negative approach in the sense that it has a limited meaning which excludes the physical status of health and does not identify what health is other than the bad side of health. The World Health Organisation (WHO) (1958 cited by Lloyd, Hancock and Campbell 2007) adopted a broader definition for health. According to them, health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Lloyd, Hancock and Campbell (2007) explains that this definition met with criticism that health cannot be defined as a state but it must be seen as a process of on-going adjustment to the changing demands of day to day life. Furthermore in 1984, the WHO revised its definition to reflect these views and defined health as a resource of everyday life not the object of living and a positive concept of emphasising social and personal resources as well as physical capabilities. This definition recognises the multidimensional nature of health, which includes psychological, physiological and behavioural components.

Hargie and Dickson (2004 cited by Berry 2006) emphasises “communication is central to our everyday functioning and can be the very essence of the human condition”. Communication is the transfer of information between a source and one or more receivers (Northouse and Northouse, 1998 cited by Berry 2006). The Department of Health (2004 cited by Berry 2006) suggest that information is fundamental to choice and making informed decisions which in its absence, there is no choice. Information helps knowledge and understanding. It gives patients the power and confidence to engage as partners with their health services. “The importance of good health communication is relevant to improve the information patients receive so that they can make appropriate health care decisions” (A. Hasselkus,...
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