Ewles breathing or coughing blood seek help as

Ewles and Sinmnett, (2010) demonstrates
that Bradshaw Taxonomy (1972) theory identify that long-term smokers
might feel that they want to have lung cancer screening done at an earlier
stage but do as well continue to smoke, the individual felt need may be
restricted for example to their awareness and knowledge about the signs and
symptoms of lung cancer. Whereas, expressed need is what the individual say
they need for example smokers that feel they need to have screening then into
turn it into a demand need for instance the screening. However not all the felt
need of a smoke can turn into expressed need or a demand, this could be due to
the lack of opportunity which may create conflict with the health
professional.  Nevertheless, the
normative need could be that the smoker needs are not met, the professionals
must offer counselling to the smoker who may be experiencing stress and
depression problem, but resources might not be available for the type of health
promoting services. Additionally, comparative need is where the smoker who has
lung cancer have similar needs to those receiving help but do not services at
an early stage of when they have signs of lung cancer such as difficulty in
breathing or coughing blood seek help as soon, unless it gets a later stage.

To quote
from Naidoo and Wills, (2010) they both expresses the concern of Dahlgren
and whitehead (1991) the inner layer suggest that health is partly
determinate by smoker’s lifestyle factors such as patterns of smoking, the
downstream determinants of health is the actions of the individual who smoke
and the community they live in for example in low and deprived social economics
areas which is the behaviour and lifestyle many chose to smoke. Moreover, the
next layer focuses on working and living conditions for a smoker if they are
unemployed they are at risk of many smoking related illness such as lung
cancer, whereas the area they live can become a barrier for them to access
services as they might live in rural places, lack of services and no smoking
cessation programs for the smokers about the risk of lung cancer or help about
quitting.  The outer layer highlights
such as the socio-economics for smoker’s low social class unable to access
quick treatment and wait for treatment and screening, living in cultural some
cultural see smoking as normal behaviour and brave and powerful and environment
forces such as economic development shifts in welfare systems might not provide
all the support and help for smokers who are willing to smoke lack of financial
help for the professionals to help the smokers, political change can be a
negative impact on the smokers might not receive awareness less campaigns
advising the risk and less resources out there for smokers about quitting.

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