Hello List members,

I am an RN working towards my Bachelors of science degree in nursing at The
university of Buffalo,  I am involved in a women's preventive health program
at a local HMO.  Any member who hasn't received a PAP/Mammo in the last
three years gets a reminder phone call.  This important reminder has had
excellent results.  However, the majority of the members that I am
designated to call are under the medicaid program of that HMO.
Unfortunately, these members have many other problems in their lives and
preventive health is not a high priority.  People from the same ethnic or
same economic background often have similar attitudes and values concerning
their health. People also have different thoughts regarding if they are sick
or well.  Some people can't function with the common cold, others attempt to
work with the Flu.( I have no appreciation for that!) There have been
studies done that demonstrate how similar socioeconomic backgrounds greatly
influences the person's interpretation of symptoms.  Usually the lower the
class the less aware of symptoms and often wait until medical attention is
urgently needed.  According to Koos (1954) as cited in Friedman, 1998, The
poor tend to wait to reach a stage of being incapacitated before they
consider themselves ill.  The more educated a family is, the better the
knowledge is of their health.  Anne Hoar R.N.

>From: Karen Serwonka <[log in to unmask]>
>Reply-To: Health Promotion on the Internet <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: Values Exercises
>Date: Thu, 9 Nov 2000 06:52:54 GMT
>
>I recall reading some thought-provoking words on Eberhard Wenzel's website
>(Maxim 2), and imagine they could come in handy for health promoting
>organizations wanting to explore to what degreee their work is guided by
>their values [or how work can be more in-tune with their values] by
>distinguishing between intent (what we may believe in and hope for) and
>action (what we actually do). It goes something like this:
>     Hearing is not knowing;
>     Knowing is not understanding;
>     Understanding is not believing;
>     Believing is not doing.
>
>While health promotion espouses may admirable values (social justice,
>empowerment and choice, priority to the common good, democratic decision
>making, etc.), there can be huge ideological differences as to what these
>values look like in practise.  It is also a huge challenge for ourselves
>and
>our organizations to dig deeper than the jargon/rhetoric and to explore
>what
>these values look like in practise and to what extent are we are truly
>bringing these values to life in our work?
>
>I propose a simple focussed conversation to examine what these values look
>like in practice, to begin a dialogue on this subject.  I suggest beginning
>by asking what would the work of an organization's work look like if it:
>a) were working to advance social justice? {or facilitating the empowerment
>of a community, or working to eliminate poverty, racism, etc.}
>b) weren't promoting social injustice nor was it doing anyting to advance
>social justice issues?
>c) were working to block advances in social justice?
>
>In other words, what does health promotion look like in the absense of
>working for social justice? working for the advancement of social justice?
>or ignoring social jsutice issues?  These are important but difficult
>conversations for organizations to have?  Let me know how it works.
>
>Karen Serwonka
>health promoter
>
>
>>From: Ronald Labonte <[log in to unmask]>
>>Reply-To: Health Promotion on the Internet <[log in to unmask]>
>>To: [log in to unmask]
>>Subject: Re: Values Exercises
>>Date: Wed, 8 Nov 2000 20:45:50 -0600
>>
>>I'm not sure how it would be organized as an exercise, but the social
>>justice theorist, John Rawls, describes a "thought experiment," in which
>>people "behind a veil of ignorance"--meaning without knowing into what
>>class, race or gender they will be born--discuss the elements of social
>>organization and state functions they think should exist.
>>
>>That could prove a rich potential mine for examining values.
>>
>>At 05:03 PM 11/8/2000 -0800, you wrote:
>>>I am in the process of developing some guidelines and wonder if anyone
>>>has
>>>examples of "values exercises" that could be used with expecting parents,
>>>program workers and/or community members for the following:
>>>    * Exercises which impart new information  e.g. "Here are some new
>>>value systems."
>>>    * Exercises which cause the person/group to question their own values
>>>at an unconscious or gut level, e.g. "These types of values affect the
>>>born or unborn child the following ways. Which values are you using?"
>>>    * Exercises which cause the indiviudal/group to rethink their own
>>>values and examine new options. "How would the following values affect
>>>the way you treat your self and your children?"
>>>    * Exercise which allow the person/group to practice and integrate new
>>>behaviours based on the new sets of values. "This exercise is not only
>>>fun to do, but will also have the affect of ... "
>>>Thanks for your help.
>>
>>_________________________
>>
>>Ronald Labonte, Director
>>Saskatchewan Population Health and Evaluation Research Unit
>>Universities of Regina and Saskatchewan
>>Professor, Faculty of Activity Studies, University of Regina
>>Professor, Community Health and Epidemiology
>>College of Medicine, University of Saskatchewan
>>107 Wiggins Road, Saskatoon, Saskatchewan   S7N 5E5
>>phone:  (306) 966-2349
>>fax:       (306) 966-7920
>>e-mail:   [log in to unmask]
>>__________________________
>
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