Showing posts with label #onlinehealth. Show all posts
Showing posts with label #onlinehealth. Show all posts

Thursday, October 11, 2012

Net102 - Essay 1

My 1st essay in Net102. This is an unedited copy of a submitted and marked essay. Please do not copy the essay, it is plagiarism.

My focus was on Health, and how through the internet, pregnant women are empowered by the information they now have access to. I received a credit for this essay.


Throughout the course of their life women experience many health related changes from puberty to menopause and potentially pregnancy. This essay will analyse how women accessing Internet sites providing information on pregnancy has the potential to alter the way in which women experience and understand pregnancy. It will argue that pregnancy experiences change for women when they are able to access online material directed towards expectant mothers that are diverse and that enable women to gather up and redefine their pregnancy experiences in empowering ways. Women are at the forefront of information gathering online, research showing that women are more likely than men to search for health-related information (Sarkadi & Bremberg, 2005). Haythornthwaite (2002) explains that the Internet has indeed been routinely incorporated into almost every aspect of business, educational and leisure activities. This incorporation of activities is one aspect of how everyday life is being experienced through the Internet-mediated activities of information and communication. 

Pregnancy is part of everyday life. As a mother and/or parent the period of pregnancy is spent furnishing for a life role not currently inhabited. The nine months of gestation is a time of creating a new 'habitus' (Fiske, 2002) as a parent, a mother. Through communicating and collaborating in online communities, one is able to create an online identity of a pregnant women, through 'the weaving of one's own richly textured life within the constraints of economic depravation and oppression’ (Fiske, 2002, p160). Thus reaching out to other women who are also using the Internet to begin ‘constructing, and therefore exerting some control over, social identities and social relations' (Fiske, 2002, p160). To an extent, a mother to be, regardless of economic status, creates an idea, creates the outlines of the life they want for their child, and that they want to lead as a parent. They are using the online tools available to them to extend control their pregnancy and collaborating with other women who are undergoing the same changes to their everyday lives.

Online communities are a source of collaborative reassurance for many pregnant women. They enable women to communicate across physical boundaries, time zones and cultural differences. Through online communities, many women form online mothers groups with whom they continue to communicate with beyond the end of their pregnancy. (Ley, 2003) Online social networks and communities also have the potential to disempower women through the creation of unnecessary stress. Women experience their pregnancies differently and have a myriad of conditions and histories that contribute to the way they experience pregnancy. In this instance, not all information shared is information that empowers. Being able to communicate with other women online does allow the opportunity to engage in relatively anonymous discourse with other women experiencing pregnancy at the same time. This discourse enables ritualization of particular milestones throughout pregnancy, such as discovering the sex of the child and discussing symptoms. (Wu Song et al, 2012) 

The Internet and its applications hold the collective intelligence of all who use them. It is this information online that many women search to access while pregnant. Through the collective knowledge of many, women are embracing the empowerment of gathering information about the changes occurring within them during pregnancy. Collective intelligence may be powerful, persuasive and formed through global collaboration; however, this is information is not individualized. Eyesenbach (2008, p3) states ‘the health professional is an expert in identifying disease, while the patient is an expert in experiencing it’ (Davidson & Pennebaker, 1997). Recognising that the consumer of healthcare is the expert in experiencing their condition empowers one to take control of their health, however, limiting professional contact in exchange for online access to unendorsed information has the potential to negatively affect a woman’s pregnancy journey. Pregnant women are discovering information online that they perceive to be reliable but are not always choosing to discuss these findings with a health professional during scheduled antenatal appointments (Larsson, 2007). The information gap between face-to-face discussions and that gained from online searches needs to be minimized, limiting the amount of irrelevant and potentially harmful information pregnant women believe. Patients want their health professionals to provide them with guidance on useful Internet sites regarding their specific health problems (Salo et al., 2003), ensuring that collaborative discussions form part of each visit with a medical professional will assist women in making empowered decisions throughout their pregnancy.

Due to work outside of the home commitments and living far from family members, women who are pregnant have less time and fewer opportunities to receive support from offline friends and family (Ley, 2007). These changes from local family based communities to global online communities help fill the void for emotional support. It is the process of validation within a like-minded community that is a major source of this support (Lowe et al, 2009). Online-communities also help to share the anecdotal information that is traditionally passed between women during the time of pregnancy. This anecdotal information is often not medically endorsed, however, being involved in familial discourse may help a pregnant women self monitor her pregnancy and provide a feeling of reassurance and empowerment in decision making throughout her pregnancy. The opportunity to collaborate online with a midwife or other endorsed medical professional would add an endorsed layer to the advantages of online intelligence. 

Nettleton, Burrows & O’Malley (2005) have shown that consumer use of the Internet supports the idea of media convergence, in which traditional trusted information givers (in this case official health information sites) are highly valued online. In part, due to this, the Internet has become a valuable source of information and support for pregnant women as they navigate the changes in their everyday lives. Decision-making processes for women are enhanced when they are able to access online material directed towards expectant mothers that are diverse, enabling them to redefine their pregnancy experience in empowering ways. The information that is retrieved online ‘should then be discussed during antenatal care visits to ensure that new knowledge generates understanding, empowerment and a sound preparation for childbirth and parenthood’ (Larsson, 2005, p19). The support of online communities is invaluable, particularly for those without an offline support group in close physical proximity. Through the Internet-mediated activities of information and communication pregnant women are empowered to access the Internet for information and support throughout their pregnancy.



Reference List

Eyesenbach, G. (2008). Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness. Journal of Medical Internet Research. 10(3) e22. doi:10.2196/jmir.1030

Fiske, J. (1992). Cultural Studies and the Culture of Everyday Life. In L. Grossberg, C. Nelson & P. Treichler (Eds.), Cultural Studies ,154-173, New York: Routtledge.

Haythornthwaite, C (2002) The Internet in Everyday Life. American Behavioral Scientist, 45(3), 363-382 

Larsson, M (2005) A descriptive study of the use of the Internet by women seeking pregnancy-related information, Midwifery, 25(1), 14-20

Ley, B. L. (2007), Vive Les Roses!: The Architecture of Commitment in an Online Pregnancy and Mothering Group. Journal of Computer-Mediated Communication, (12), 1388–1408. 

Lowe, P, Powell, J, Griffiths, F, Thorogood, M & Locock, L (2009) Making it all normal: the role of the internet in problematic pregnancy, Qualitative health research, 19(10), 1476-84.

Nettleton, S., Burrows, R. & O'Malley, L. (2005), The mundane realities of the everyday lay use of the internet for health, and their consequences for media convergence. Sociology of Health & Illness, (27), 972–992.

Salo, D., Perez, C., Lavery, R., et al., 2003. Patient education and the Internet: do patients want us to provide them with medical web sites to learn more about their medical problems? The Journal of Emergency Medicine 26 (3), 293–300.

Sarkadi, A., Bremberg, S., 2005. Socially unbiased parenting support on the Internet: a cross-sectional study of users of a large Swedish parenting website. Child: Care, Health & Development, 31(1), 43–52.  

Wu Song, F, Ellis West, J, Lundy, L & Dahmen, N., (2012) Women, Pregnancy, and Health Information Online: The Making of Informed Patients and Ideal Mothers. Gender & Society doi:10.1177/0891243212446336

Tuesday, August 28, 2012

Assignment 1 Net102 - Q & A's

I mentioned in an earlier post, that when I'm gearing up for an assessment I search the internet for examples of previous work. I use these to get a feel for what has been submitted, often the questions are different to the ones I need to answer, but for me, I think it has helped me find my own style of writing.

So, here is my assignment 1, unedited. Three questions & my responses.  I received 7.5/10.  Please please do not copy my work, it is plagiarism to do so.


cheers
Sarah



How has the move from an analogue to digital medium changed the distribution and consumption of music?

From transistor radio to the iPod and other MP3 players, the music industry is again at a turning point. The move to the digital format is now supported by a plethora of easy to access web applications. Music of all genres, ages and languages can be tested, purchased and allocated to a personal 'mix tape' in minutes. Legal music download sites allow consumers to purchase single songs in an instant. Beer (2006) says a significant change in music culture has been the increase of music downloading. ITunes alone reached 10 billion downloads in February 2010 (apple.com), showing the shift in consumer behavior away from wanting to purchase a physical album.

Music is more portable than ever before. As access to the Internet has become more accessible, people are using the portability of music players to create a private space in public. Laughey (2007, p175) states ‘music can enable a feeling of occupancy and control in ‘public’ spaces’. From analogue to digital, the most significant change to the music industry is that speed and portability are now the keys to music distribution and consumption.



References

Apple iTunes (2010) “Tunes Store Tops 10 Billion Songs Sold”, February 25, http://www.apple.com/pr/library/2010/02/25iTunes-Store-Tops-10-Billion-Songs-Sold.html

Beer, David (2006). The Pop-Pickers Have Picked Decentralised Media: the Fall of Top of the Pops and the Rise of the Second Media Age. Social Research Online. http://www.socresonline.org.uk/11/3/beer.html

Laughey, D. (2007). Music Media in Young People's Everyday Lives. In Music, Sound and Multimedia: From the Live to the Virtual Edinburgh: Edinburgh University Press, 172-187




Pascoe describes the use of technology by young adults as part of their romantic lives in a way that is integrated into their everyday lives. Do you think the use of online dating sites can also be considered a normal part of everyday life? Why/why not?

Young adults 'perform' their relationships via the online world, providing them a wider audience through more access to their existing ‘ties’ and opportunities to re-enforce ‘latent-ties’ (Haythornwaithe, 2005). People in the age group that learned to perform relationships prior to the emergence of the Internet ‘Digital Immigrants’ (Prensky, 2001) tend to think of these intimacy practices as private. In comparison, teen-dating behavior is often public and collaborative (Pascoe, 2009). Social Network Sites, instant messaging and mobile phone use further facilitates this public behavior.

For many, online dating is part of their everyday life formed through the opportunities presented by the convergence between globalization, the Internet and the emotional being. (Henry-Waring & Barraket) In the busy digital world of today, finding love and intimacy online is often the rational way. Through an online dating site’s profile page, one can enable filters that are not easily accessible in an offline setting, leading to a more streamlined approach to finding love. Henry-Waring & Barraket maintain that emotional online interactions are part of the real world, not separate from it (Stanley 2001). Therefore the intimacies formed and played out online are a real part of normal everyday life.



References

Haythornwaithe, C. (2002) Strong, Weak, and Latent Ties and the Impact of New Media The Information Society: An International Journal 18(5), 385-388

Pascoe, C.J. (2009) Intimacy in Mizuko, I et. al. Hanging Out, Messing Around, Geeking Out: Living and Learning with New Media. Massachusetts: The MIT Press, 117-148

Prensky, M. (2001) Digital Natives, Digital Immigrants From On the Horizon London: MCB University Press 9(5), 2-4

Henry-Waring, M., & Barraket, J. (2008) Dating & Intimacy in the 21st Century: The Use of Online Dating Sites in Australia International Journal of Emerging Technologies and Society 6(1), 14-3


How, if at all, has the relationship between Doctor and patient been affected by the rise in the use of the Internet, in relationship to peoples health, in everyday life?

The rise of the concept of Medicine 2.0 has empowered people to be more involved in their own healthcare. Doctor’s fees are increasingly expensive and time is always of the essence within a consultation and many people are reading up on their symptoms proactively. (Anderson, Rainey, and Eysenbach) This enables the system to cater to as many people as possible within a short time frame. One major problem with self-diagnosis is potential for misdiagnosis, which can lead to unnecessary stress on the patient or even inappropriate self-medicating.  The Internet has not replaced the need for a physical consultation with a medical professional; however, there is scope for more health services to take place online.

“The Internet has been a tool for users and citizens to get more involved and empowered” (Eysenbach 2008) aiding the shift over time from a patients one-way relationship with their doctor to more of a collaborative model. The availability of information online enables a patient to question their doctor, discuss possible alternative treatments and make informed choices. Support groups provide emotional and factual support online, point patients in the direction of alternative treatments and enable a person to be in control of their health, identifying them as an expert in the experience of their own health (Eysenbach 2008).



References

Anderson, J. G., Rainey M.R., & Eysenbach G. (2003) The Impact of CyberHealthcare on the Physician-Patient Relationship. Journal of Medical Systems 27(1) 67-84
Eysenbach, G. (2008). Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness. Journal of Medical Internet Research. 10(3).

Tuesday, July 10, 2012

a quick thought about about healthcare

When I was about 12 years old my class went on an excursion. Off on a bus for an overnight stay in the 'big smoke' to see the zoo and museum. When we arrived home, I pleaded sick for school the following morning. At the time I really believed I was only tired and didn't feel like going to school. Mum, too busy with kids and work and life let me stay home. Then I got sick. Really yukky, super delirious sick.

We went to the A&E department, who gave me penicillin, and put me in a wheelchair to get me to the car for mum to take me home. While in the exam room I told the doctor that 'my hands are soft because I have been working in Papua New Guinea'. Yes, delirious. Mum managed with the drugs from the hospital until we could get in to see our lovely family doctor Dr P.

Dr P was a diagram drawing, lover of a medical challenge. He looked at me, took in my fever, the rash that had appeared on my mid section, the results from kidney tests and turned to his massive medical books. Scarlet Fever. He just wanted to check for the official medical name. This ramble comes back to me as I consider the empowered patient or 'e-patient'. Dr P nowadays would have looked up an online journal to confirm his hunch. Mum would have googled the rash to alleviate fears of penicillin allergy. Perhaps even the A&E staff would have kept me overnight instead of wheeling me to the car.

In this case, regardless of the world wide web, the result was the same. Penicillin saved the day. Today, the length of time it took for diagnosis would be halved.

Thanks for bearing with me while I wax lyrical about my youth!

cheers
Sarah