1. What is the concept of 'total pain' and how does it relate to palliative and end of life care in the 21st
century?
Answer: 'Total pain' is a term coined by Cicely Saunders, the founder of the modern hospice movement, to
describe the multidimensional nature of suffering at the end of life, which includes physical, psychological,
social, and spiritual aspects. Palliative and end of life care in the 21st century faces new challenges and
opportunities to address 'total pain' in diverse contexts, such as the COVID-19 pandemic, the aging
population, the global opioid crisis, and the rise of assisted dying.
2. How does medical sociology offer critical perspectives on medicine as culture, business, profession, and
practice?
Answer: Medical sociology is the sociological analysis of medical organizations and institutions; the
production of knowledge and selection of methods, the actions and interactions of healthcare professionals,
and the social or cultural (rather than clinical or bodily) effects of medical practice. Medical sociology offers
critical perspectives on medicine as culture, business, profession, and practice by examining how social
factors shape health and illness, how medical knowledge and power are constructed and contested, how
health inequalities are reproduced and resisted, how health policies and systems are influenced by political
and economic interests, and how health care practices are embedded in social and cultural contexts.
3. What are some of the key issues and debates in the field of psychedelic humanities?
Answer: Psychedelic humanities is an interdisciplinary field that explores the historical, cultural, artistic,
literary, philosophical, legal, ethical, and therapeutic dimensions of psychedelic substances and experiences.
Some of the key issues and debates in this field include: the role of psychedelics in human evolution and
creativity; the potential benefits and risks of psychedelic-assisted psychotherapy for various mental health
conditions; the legal status and regulation of psychedelics in different countries and contexts; the ethical
implications of psychedelic research and practice for human rights, social justice, and environmental
sustainability; and the aesthetic and expressive forms of psychedelic culture and art.
4. What is the difference between personalized health and precision medicine in practice?
Answer: Personalized health and precision medicine are two related but distinct approaches to health care
that aim to tailor interventions to individual characteristics, needs, preferences, and circumstances.
Personalized health is a broader concept that encompasses not only biomedical aspects but also
psychosocial, environmental, behavioral, and ethical factors that affect health outcomes. Precision medicine
is a more specific concept that focuses on using genomic and other biomolecular data to identify subgroups
of patients who may respond differently to treatments or prevention strategies.
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