2) Coping Flashcards
What concerns may a patient have when coping with a chronic illness?
Diagnosis -shock,anxiety,depression
Physicalimpact - pain, diasbility
Treatment- side effects, surgery
Hospitalisation- loss of privacy
What socioeconomic impact could chronic illness have?
Financialproblems (work)
Socialproblems (childcare)
Relationshipproblems
What is coping?
Finding ways to manage events appraised as threats that exceed a person’s resources.
What is emotion focussed coping?
Change emotion through behavioural approach (do something to distract) or by cognitive approach (create positive thoughts)
What is problem focussed coping?
Reduce demands of situation
Expand resources
In what 3 ways can we aid coping?
Increase social support
Increase personal control
Prepare patients for stressful events (reduce uncertainty)
How can patients be prepared for stressful events?
Effective communication, peer contact, respond to individual preferences
What are outcomes of successful coping?
Adjusting to negative events
Reducing threats and enhancing prospects of recovery
Positive self image
Maintaining relationships
What is anxiety?
Responsetoathreat leading to unpleasantemotionalstate whichmayincludefeelingsofpanicordread
What can sustained anxiety lead to?
Unhelpful thinking patterns and physiological effects
Examples of anxiety disorders:
Phobia,panicattacks,PTSD
What is depression?
Responsetoloss,failureorhelplessness with emotionalstatecharacterisedbypersistentlow mood,sadness,lossofinterest
When are people are high risk of depression?
More painful and disabling illnesses
Lacking resources e.g. social support
What can co-morbid depression do?
Exacerbatethepainanddistress
Adverselyaffectillnessoutcomes
What effects can anxiety and depression have on health?
Compromised quality of life
Low adherence
Unhealthy behaviour
