Life Orientation

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Life Orientation
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Life Orientation is central to the holistic development of learners. It addresses skills, knowledge and values for the personal, social, intellectual, emotional, and physical growth of learners, and is concerned with the way in which these facets are interrelated. Life Orientation guides and prepares learners...

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Article Summary

Life Orientation is central to the holistic development of learners. It addresses skills, knowledge and values for the personal, social, intellectual, emotional, and physical growth of learners, and is concerned with the way in which these facets are interrelated. Life Orientation guides and prepares learners for life and its possibilities and equips them for meaningful and successful living in a rapidly changing and transforming society....

Key Takeaways

  • This article explains The History of the Life Orientation Test in simple medical language.
  • This article explains How is Life Orientation assessed? in simple medical language.
  • This article explains Teaching resources for Life Orientation in simple medical language.
  • This article explains How to Administer to LOT-R in simple medical language.
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Definition

Life Orientation is central to the holistic development of learners. It addresses skills, knowledge and values for the personal, social, intellectual, emotional, and physical growth of learners, and is concerned with the way in which these facets are interrelated. Life Orientation guides and prepares learners for life and its possibilities and equips them for meaningful and successful living in a rapidly changing and transforming society.

Life Orientation is an interdisciplinary subject that draws on and integrates knowledge, values, skills, and processes embedded in various disciplines such as Sociology, Psychology, Political Science, Human Movement Science, Labour Studies, and Industrial Studies.

The Life Orientation Test (LOT) is a standard psychological instrument that assesses one’s dispositional level of optimism, providing meaningful insight into possible interventions, such as those to address harmful thought patterns. This makes the instrument a useful tool for any practitioner’s toolkit.

This article will show you how to administer the Life Orientation Test, outlines a conceptualization of optimism, and reviews several successful examples of the scale’s application in research.

The History of the Life Orientation Test

The Life Orientation Test (LOT) was first created by Michael Scheier and Charles Carver in 1985 and published in Health Psychology.

The impetus to design the measure followed the researchers’ casual observation that some people tend toward a positive outlook, assuming good things will happen to them, while others approach the world with a more pessimistic set of attitudes.

Today, we think of this broad set of attitudes as optimism, which is defined as:

“…an individual difference variable that reflects the extent to which people hold generalized favorable expectancies for their future.”

(Carver, Scheier & Segerstrom, 2010, p. 879)

Whether or not we are optimistic in our nature tends to depend on our genetic predisposition, environmental factors, and learned attitudes throughout our lives. And although psychologists are not entirely in agreement regarding the factors that produce dispositional optimism, most will agree that an optimistic outlook serves us better throughout life than a pessimistic one.

In particular, Scheier and Carver (1985) sought to understand the implications of such stable attitudes for the positive regulation of behavior, particularly in the context of health.

However, observing that there had previously been little research on the concept of optimism as an antecedent to health-related behaviors, there appeared to be a significant gap in the literature. So, as a starting point, the authors began by designing their own measurement instrument.

Scheier and Carver’s first version of the scale (the LOT) initially comprised twelve items. However, the scale was criticized on the grounds that effects attributable to optimism were indistinguishable from those predicted by traits associated with neuroticism, such as anxiety (Smith, Pope, Rhodewalt & Poulton, 1989).

In other words, scholars were concerned that effects being attributed to optimism as assessed by the LOT were actually the result of a third, unmeasured variable.

While these concerns were eventually dispelled following correlational analyzes in Scheier, Carver, and Bridges (1994), the authors proceeded to remove two items in the twelve-item LOT that they believed were conceptually out of alignment with the other items, leading to the formation of the ten-item Life Orientation Test-Revised (LOT-R).

This revised scale is now one of the most commonly used measures of dispositional optimism across both research and practice. The scale has been shown to be applicable to a broad range of populations, including adults in poverty, adolescents with depression, sufferers of social anxiety, and victims of trauma.

Another strength of the scale is its brevity, making it particularly useful from a practitioner’s perspective.

In what follows, we will walk you through research and findings on optimism with a focus on the LOT-R (rather than the LOT) as it is the most up-to-date version of Scheier and Carver’s scale.

There are 5 main topics which are studied in Life Orientation in the Senior Phase:

  • Development of the self in society – This topic works on self-concept, including motivation and self-image. Learners throughout Senior Phase will also look at subjects such as personal diet and nutrition, peer pressure, relationships and friendships as part of the teaching. This topic will also touch on challenging situations including depression, grief, loss, trauma and crisis. This is so that they are better equipped to deal with these situations if they experience them in the real world.
  • Health, social and environmental responsibility – This topic area covers things like substance abuse and environmental health issues. There is also time spent on common diseases. Learners will also look at things such as volunteering as a concept as well as dealing with health and safety issues related to violence.
  • Constitutional rights and responsibilities – This topic has a focus on human rights, religions, cultural diversity and fair play. There’s also some time spent on the concept of nation building and relating some of the above focuses to South Africa itself. Gender equity, constitutional values and issues that relate to citizens’ rights and responsibilities are all looked at.
  • World of work – This topic area is all about preparing tour Senior Phase students for further education and life after school. Time is spent on different learning styles and career paths. You’ll also spend some time talking about which options are available to them after Grade 9, including appropriate subject choices for their chosen career. You could spend some time talking about different careers and how each member of the class wishes to move forwards.
  • Physical education – During Life Orientation students are introduced to participating in a fitness programme and are encouraged to play various sports and games throughout Senior Phase. They will also participate in outdoor recreational programmes and learn to refine their performance in movement activities as well as take into account safety issues for each activity.

How is Life Orientation assessed?

Learners are assessed through a combination of written tasks, examinations and projects as well as physical education tests.

Written tasks might include designing and making posters or collages to demonstrate a healthy diet, written assignments, case studies, or tests. Examinations to test understanding and physical knowledge of what children have learned will be undertaken at the end of the year.

For Physical Education, learners will be assessed on their participation and the understanding of the importance of participation in exercise, and movement performance. Movement performance assesses the level at which each child is capable of performing.

Resources like the substance abuse debate pack below are great for use during Life Orientation lessons.

Teaching resources for Life Orientation

Twinkl has an entire category dedicated to Life Orientation resources which can help you teach the varied and interesting topics covered in Life Orientation for Senior Phase.

Our top picks include:

  • Choosing a career PowerPoint – This handy PowerPoint is a great way to introduce choosing the direction that they wish to take their lives. It’s full of bright imagery and plenty of information for your learners to consider as they start to think about their options and which direction to head with their studies to get their dream job.
  • Conversation starters cards – This handy card pack is easy to download, print and share with the class. They could help you to start a debate or conversation around some of the difficult topics that your class will study as part of Life Orientation in Senior Phase.
  • Choosing healthy options worksheet – This worksheet is great when you’re working on the nutrition area of the development of the self in society topic area. You could set it as homework or ask your class to work through it and have a discussion about their diets at the end.

We’re always working on new resources which you can use to enrich your teaching. If you’d like a resource to use in your Life Orientation lessons but you can’t find what you need, don’t hesitate to get in touch – there’s a good chance that we can make something for you!

How to Administer to LOT-R

The ten-item LOT-R comprises a combination of direct scored, reverse-scored and filler items.

These items are designed to apply to all individuals irrespective of their demographic characteristics and serve to investigate attitudes about future events that we all consciously or unconsciously possess.

All items are presented on 5-point scales, with the following anchors:

4 = I agree a lot
3 = I agree a little
2 = I neither agree nor disagree
1 = I disagree a little
0 = I disagree a lot

The items comprising the scale are as follows:

Statement What it measures Scoring Pattern
In uncertain times, I usually expect the best. Optimism Direct
It’s easy for me to relax. Filler Item Not Scored
If something can go wrong for me, it will. Pessimism Reverse
I’m always optimistic about my future. Optimism Direct
I enjoy my friends a lot. Filler Item Not Scored
It’s important for me to keep busy. Filler Item Not Scored
I hardly ever expect things to go my way. Pessimism Reverse
I don’t get upset too easily. Filler Item Not Scored
I rarely count on good things happening to me. Pessimism Reverse
Overall, I expect more good things to happen to me than bad Optimism Direct

You can obtain a free copy of the LOT-R, and use it without obtaining permission from the authors, as long as they are cited in the research. It has also been translated into many languages.

Additionally, if you’d like to view the original LOT containing the two items that were removed from the LOT-R, you can view the original article, published in Health Psychology.

Scoring and Interpretation of the LOT-R

As shown above, several of the items in the LOT-R are reverse scored. This means that when a respondent gives a value for one of these items, it must be changed to its opposite value on the scale before calculating a final total for the scale.

For instance, if a client responds to the item, “If something can go wrong for me, it will” with a value of 3 (I agree on a little), this value must be changed to a 1 before you calculate a final score for the questionnaire. You must then repeat this for all three of the reverse-scored items.

Likewise, ensure that you do not include the values for the filler items in your calculations. The purpose of these items is to disguise the true purpose of the scale from respondents, helping to ensure the validity of the responses, but they are not to be included in your scoring. Once you have values for all the direct- and reverse-scored items, sum them to return a total.

Regarding the LOT-R, the creators have stated that “there are no ‘cut-offs’ for optimism or pessimism; we use [the scale] as a continuous dimension of variability” (Carver, n.d.). However, when using the scale outside of clinical or research settings, you can draw on the following table to derive a rough interpretation of a final score:

Score Range Interpretation
0-13 Low Optimism (High Pessimism)
14-18 Moderate Optimism
19-24 High Optimism (Low Pessimism)

 

As a practitioner, your interpretation of your client’s score may provide valuable insight into their attitudes regarding the future, potentially highlighting an area for growth or strength that can be leveraged.

Reliability, Validity, and Factor Structure

In their original paper, Scheier and Carver (1985) assessed their scale’s internal consistency and test-retest reliability.

Reliability was assessed by calculating Cronbach’s alpha (.76), revealing an acceptable level of internal consistency.

Additionally, the scale was administered to a separate sample of respondents following its development with a four-week interval between administrations to calculate a test-retest correlation. The result (.79) suggested that the scale possessed acceptable stability across time, further evidencing its reliability.

To confirm the scale’s convergent validity, Scheier and Carver (1985) tested whether the scale correlated in appropriate directions with conceptually related scales. At the same time, they also assessed discriminant validity to ensure that the scale was sufficiently distinct from these related concepts.

In support of convergent validity, correlation analyses revealed that the scale related positively to measures of internal locus of control and self-esteem—two concepts that exhibit conceptual overlap with the notion of optimism. Likewise, the scale was negatively related to measures of hopelessness, depression, stress, alienation, and social anxiety, as expected.

Evidencing discriminant validity, none of the reported correlations were too high (>.60), suggesting that the scale is sufficiently distinct from the above concepts. Likewise, the author’s factor analyzed the scale items with those from scales assessing several of the above concepts. In each case, items from the LOT-R tended to load onto their own factor, further evidencing the scale’s distinctiveness.

A final test of the scale’s validity involved assessing its predictive utility in the creators’ original domain of interest–health. To evaluate this, Scheier and Carver (1985) looked at the relationship between their scale and the extent to which their sample (college students) reported being bothered by physical symptoms (e.g., fatigue, and muscle soreness) in the final weeks of their semester.

Their hypothesis was that those who scored high on their scale, thereby suggesting the presence of high dispositional optimism, would be better at dealing with their problems than those who were pessimistic due to their positive expectancies. That is, the self-belief that efforts to manage their situation would be successful would lead to more effective coping and ultimately fewer physical symptoms.

In contrast, Scheier and Carver (1985) believed pessimists would view efforts to manage their situation as futile, invest less effort into managing their health and wellbeing, and ultimately exhibit more physical symptoms.

In line with this hypothesizing, Scheier and Carver’s (1985) scale exhibited a significant negative correlation with physical symptoms checklists at two-time points, providing support for the LOT-R’s predictive validity.

While these findings provide strong evidence for the reliability and validity of the LOT-R overall, Terrill, Friedman, Gottschalk, and Haaga (2002) caution that researchers and practitioners should be wary of faking upon administration of the scale.

Despite the inclusion of filler items, findings indicate that when instructed to respond to the items in such a way as to present themselves as ‘psychologically healthy,’ participants were able to systematically fake their responses, such that they appeared highly optimistic (Terrill et al., 2002).

These findings suggest that the scale may not be appropriate for use in the context of hiring and selection, but only in contexts where participants are incentivized to respond honestly, such as in a personal development context.

For an alternative scale that has been shown to be robust against faking (Terrill et al., 2002), take a look at Gottschalk’s (1974) Hope Scale.

A Note on Factor Structure

There remains contention about whether it is most appropriate to treat the LOT-R as representing a unidimensional or bi-dimensional construct.

In their original assessment of their scale’s psychometric properties, Scheier and Carver (1985) conducted an exploratory and confirmatory factor analysis on their original twelve items. The results revealed that the scale produced an acceptable fit according to not only a unidimensional model but a bi-dimensional model that separated optimism and pessimism.

These findings indicate that it may be acceptable to provide a client with separate scores for optimism (summing items 1, 4, and 10) and pessimism (summing items 3, 7, and 9 without reverse-scoring them).

Further, several scholars have published results in support of a two-factor solution for the LOT-R, resulting in calls to reconsider this unidimensional conceptualization (Chang & McBride-Chang, 1996; Marshall & Lang, 1990; Marshall, Wortman, Kusulas, Hervig, & Vickers Jr, 1992).

Ultimately, however, following a consideration of all their analyses, the creators of the scale posit that treating the scale as unidimensional is reasonable for most applications in practice (Carver & Scheier, 2014; Scheier & Carver, 1985).

Scheier and Carver’s (1985) Conceptualization of Optimism

So what are we measuring exactly when we administer the LOT-R?

As noted, the LOT-R assesses optimism, which is an individual difference variable reflecting the extent to which people hold generalized favorable expectancies for their future (Carver, Scheier, & Segerstrom, 2010).

Two components of this definition worth unpacking regard the notions of individual differences and expectancies.

In psychology, an ‘individual difference’ can be thought of as synonymous with the words ‘trait’ and ‘disposition’. In the context of psychology, individual differences are relatively stable, habitual patterns of behavior, thought, and emotion (Kassin, 2003).

One of the most popular models of individual differences in psychology is the OCEAN or Big-5 Model of personality. This model identifies five core traits that all of us possess and positions us on a pole where we are either low, high or somewhere in the middle on that trait.

Scheier and Carver’s (1985) conceptualization of optimism works the same way.

While it is common in popular psychology to classify people broadly as either ‘optimists’ or ‘pessimists’, these terms actually represent two poles of a spectrum. Thanks to the LOT-R, anyone can easily assess where they sit along the spectrum between these two poles.

The second feature of optimism’s definition regards the notion of expectancies.

There are many models regarding expectancy stemming from the field of psychology and beyond. These theories tend to assume that behavior reflects the pursuit of valued goals, which are desired states or actions.

However, whether or not a person directs resources toward achieving a goal depends on their confidence that a chosen goal can be attained. If a person doubts they can achieve a goal, they may prematurely withdraw efforts or never commence goal pursuit in the first place (Carver, Scheier, & Segerstrom, 2010).

While it is common to think about goals and expectancies at a situational level (Vroom, 1964), a global tendency to hold positive expectations regarding the future is at the core of the concept of optimism. This means that dispositional optimism is likely to impact how hard we strive to achieve goals across a range of life domains.

Findings from Research Using the LOT-R

Since Scheier and Carver developed the LOT-R for use in the context of health research, the scale has been applied across a range of domains.

Here, we review some of the scale’s most well-known applications in health research and outline some of its more novel applications in studies on relationships.

The LOT-R and Physical Health

Optimism, as assessed using the LOT-R, has been linked to a range of indicators of physical health (Carver & Scheier, 2014).

One eight-year longitudinal study of cardiovascular disease examined the quality of life, chronic disease, morbidity, and mortality in a sample of 95,000 women. The results found that those high on dispositional optimism were less likely to develop or die from coronary heart disease and had lower mortality overall (Cauley et al., 2017).

Further, studies suggest that optimism may be protective against stroke, artery blockage, and markers of infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation (Kim, Park, & Peterson, 2011; Matthews, Räikkönen, Sutton-Tyrrell, & Kuller, 2004). Optimism has also been linked to a stronger immune response and better quality sleep (Lemola et al., 2011; Szondy, 2004; Uchino et al., 2017).

You may be asking: Why do optimists have better health outcomes than pessimists?

Carver and Scheier (2014) put forward two possibilities. First, keeping healthy requires a person to take an active approach to promote their health. This means avoiding behaviors that are detrimental to health, like smoking, while engaging in positive behaviors, such as regularly exercising.

If a person is seen making these active efforts, underlying these efforts is a belief in their ability to affect their future outcomes positively. Such a person is optimistic about their ability to change their health outcomes for the better, and their goal pursuits are reflective of this underlying belief.

A second reason why optimists may have better health outcomes regards their tendency to experience less distress and more positive emotions in the face of adversity due to their ability to cope effectively. Research suggests that the cumulative effect of this lessened emotional tendon. সহজ বাংলা: মাংসপেশি/টেনডনে টান।" data-rx-term="strain" data-rx-definition="A strain is injury to a muscle or tendon. সহজ বাংলা: মাংসপেশি/টেনডনে টান।">strain may lessen physiological strain, leading to better health in the long term (Wrosch, Scheier & Miller, 2013).

The LOT-R and Mental Health

As you might expect, an optimistic disposition is related to states indicative of psychological well-being and good mental health.

Overall, research has found that those high on dispositional optimism exhibit lower levels of anxiety, self-consciousness, alienation, and depression. Optimists also exhibit greater self-esteem and a more internal locus of control (Carver & Scheier, 1985).

Mental health studies on trauma survivors have also shown that people with higher levels of optimism tend to recuperate from the stress-related effects of trauma sooner than those who are pessimistic and anxious (Birkeland, Blix, Solberg, & Heir, 2017).

In particular, optimism has been shown to protect against many of the negative psychological consequences of receiving a medical diagnosis and undergoing medical treatment.

To illustrate, one study of breast cancer patients found that those who reported low levels of pessimism indicated that they had more positive mental health, and those who scored higher on optimism experienced better social and mental functioning (Colby & Shifren, 2011).

Another interesting study by Plomin and colleagues (1992) investigated the link between optimism and various self-reported measures of mental health while simultaneously exploring the genetic and environmental origins of optimism in pairs of same-sex twins raised either together and apart.

Findings revealed that both optimism and pessimism independently predicted depression and life satisfaction, while pessimism on its own predicted paranoid hostility and cynicism. Additionally, it was estimated that approximately 25% of one’s optimism or pessimism is genetic, highlighting the importance of optimism as an inherited driver of mental health.

The LOT-R and Relationships

As noted, optimism reflects a dispositional tendency toward anticipating positive outcomes when pursuing goals. This same logic can be applied to goal pursuit in the context of relationships, which require the active investment of effort to thrive.

For example, one study of newlyweds found that those high on dispositional optimism were more likely to engage in constructive problem-solving in both lab studies and during conflicts in the home. These same newlyweds also exhibited less of a decline in marital well-being in the first year of marriage (Neff & Geers, 2013).

Optimists have been shown to thrive in a broad range of social situations. In general, optimists tend to perceive that they have more social support than pessimists and possess larger, more diverse, networks (Andersson, 2012; Vollmann, Antoniw, Hartung, & Renner, 2011). The presence of this social support has been shown to have far-reaching consequences, predicting resilience against loneliness later in life (Rius-Ottenheim et al., 2012).

Conclusion

Winston Churchill said:

A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty.

It is clear that optimism changes the way our minds and bodies work. Be that supporting a healthy immune system, strengthening our relationships, or increasing happiness and productivity, there is no area of well-being that a sense of optimism leaves untouched.

Before the development of the Life Orientation Test, scholars and practitioners lacked a reliable way to assess the extent to which a person possesses this hopeful, forward-thinking attitude. Now, with the development of the LOT-R, any practitioner can easily detect the presence or absence of optimism, paving the way for a range of helpful interventions.

REFERENCES
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Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Orthopedic doctor, rheumatologist, or physiotherapist depending on cause.

What to tell the doctor

  • Write which joints hurt, swelling, morning stiffness duration, fever, injury, and walking difficulty.
  • Bring X-ray, uric acid, ESR/CRP, rheumatoid factor, or previous reports if available.

Questions to ask

  • Is this injury, osteoarthritis, rheumatoid arthritis, gout, infection, or another cause?
  • Which exercises, supports, or lifestyle changes are safe?
  • Do I need blood tests or X-ray?

Tests to discuss

  • Joint examination and range of motion
  • X-ray when chronic arthritis or injury is suspected
  • ESR/CRP, uric acid, rheumatoid tests when inflammatory arthritis is suspected

Avoid these mistakes

  • Do not ignore hot swollen joint with fever.
  • Avoid repeated steroid injections/tablets without a clear diagnosis and follow-up.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: Life Orientation

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

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Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

The History of the Life Orientation Test The Life Orientation Test (LOT) was first created by Michael Scheier and Charles Carver in 1985 and published in Health Psychology. The impetus to design the measure followed the researchers’ casual observation that some people tend toward a positive outlook, assuming good things will happen to them, while others approach the world with a more pessimistic set of attitudes. Today, we think of this broad set of attitudes as optimism, which is defined as: “…an individual difference variable that reflects the extent to which people hold generalized favorable expectancies for their future.” (Carver, Scheier & Segerstrom, 2010, p. 879) Whether or not we are optimistic in our nature tends to depend on our genetic predisposition, environmental factors, and learned attitudes throughout our lives. And although psychologists are not entirely in agreement regarding the factors that produce dispositional optimism, most will agree that an optimistic outlook serves us better throughout life than a pessimistic one. In particular, Scheier and Carver (1985) sought to understand the implications of such stable attitudes for the positive regulation of behavior, particularly in the context of health. However, observing that there had previously been little research on the concept of optimism as an antecedent to health-related behaviors, there appeared to be a significant gap in the literature. So, as a starting point, the authors began by designing their own measurement instrument. Scheier and Carver’s first version of the scale (the LOT) initially comprised twelve items. However, the scale was criticized on the grounds that effects attributable to optimism were indistinguishable from those predicted by traits associated with neuroticism, such as anxiety (Smith, Pope, Rhodewalt & Poulton, 1989). In other words, scholars were concerned that effects being attributed to optimism as assessed by the LOT were actually the result of a third, unmeasured variable. While these concerns were eventually dispelled following correlational analyzes in Scheier, Carver, and Bridges (1994), the authors proceeded to remove two items in the twelve-item LOT that they believed were conceptually out of alignment with the other items, leading to the formation of the ten-item Life Orientation Test-Revised (LOT-R). This revised scale is now one of the most commonly used measures of dispositional optimism across both research and practice. The scale has been shown to be applicable to a broad range of populations, including adults in poverty, adolescents with depression, sufferers of social anxiety, and victims of trauma. Another strength of the scale is its brevity, making it particularly useful from a practitioner’s perspective. In what follows, we will walk you through research and findings on optimism with a focus on the LOT-R (rather than the LOT) as it is the most up-to-date version of Scheier and Carver’s scale. There are 5 main topics which are studied in Life Orientation in the Senior Phase: Development of the self in society - This topic works on self-concept, including motivation and self-image. Learners throughout Senior Phase will also look at subjects such as personal diet and nutrition, peer pressure, relationships and friendships as part of the teaching. This topic will also touch on challenging situations including depression, grief, loss, trauma and crisis. This is so that they are better equipped to deal with these situations if they experience them in the real world. Health, social and environmental responsibility - This topic area covers things like substance abuse and environmental health issues. There is also time spent on common diseases. Learners will also look at things such as volunteering as a concept as well as dealing with health and safety issues related to violence. Constitutional rights and responsibilities - This topic has a focus on human rights, religions, cultural diversity and fair play. There's also some time spent on the concept of nation building and relating some of the above focuses to South Africa itself. Gender equity, constitutional values and issues that relate to citizens' rights and responsibilities are all looked at. World of work - This topic area is all about preparing tour Senior Phase students for further education and life after school. Time is spent on different learning styles and career paths. You'll also spend some time talking about which options are available to them after Grade 9, including appropriate subject choices for their chosen career. You could spend some time talking about different careers and how each member of the class wishes to move forwards. Physical education - During Life Orientation students are introduced to participating in a fitness programme and are encouraged to play various sports and games throughout Senior Phase. They will also participate in outdoor recreational programmes and learn to refine their performance in movement activities as well as take into account safety issues for each activity. How is Life Orientation assessed?

Learners are assessed through a combination of written tasks, examinations and projects as well as physical education tests. Written tasks might include designing and making posters or collages to demonstrate a healthy diet, written assignments, case studies, or tests. Examinations to test understanding and physical knowledge of what children have learned will be undertaken at the end of the year. For Physical Education, learners will be assessed on their participation and the understanding of the importance of participation in exercise,…

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