6 - Chronic Illness Flashcards
What is the definition of:
- Chronic Illness
- Long Term Condition?
- Disease which current medical treatments can only control not cure, no return to normal
- Condition that at present cannot be cured, but eventually could be, e.g cancer. Can be controlled by treatment and medication
What are the typical signs of a chronic illness?
- Comorbity
- Not cured but can be controleld
- Manifestations vary from day to day
- LTC will increase with ageing population
What is Parson’s sick role and what are the limitatons of this view?
Sick person seeks professional advice and adheres to treatment and in return, medical professionals can sanction persons temporary absence from work force and familiy and absolve them from blame
- Not all illnesses are temporary, where do chronic and retied people fit
- Does not acknowledge how person defines and copes with illness not including medical help
- Doesn’t acknowledge differences between individuals
What is the five types of work done for chronic illness sufferers?
Describe the illness work of LTCs in terms of the diagnosis.
What are the two types of illness work?
- Getting a diagnosis
- Management of symptoms, self management
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Describe illness work of LTCs in terms of management
Managing symptoms:
- Cope with physical manifestations of illness
- Cope with bodily changes & self-conception changes
- Self management with brief intervention works best, e.g DESMOND
What is the positives and negatives of self management?
Describe the everyday work of LTC’s?
- Coping and strategic management; cognitive process & actions, e.g mobilisation of resources
- Normalisation; pre-illness lifestyle intact / redefine identity
Describe the emotion work of LTCs?
Describe the biographical work of LTCs?
- Loss of self
- Former self-image crumbles away without simultaneous development of equally valued new ones
- New consciousness of the body and fragility of life
Describe the identity work of LTCs?
What is Bury’s biographical disruption theory?
Focus on people’s experience of the onset of illness as a disruptive event using illness narratives. Shows how people make sense of their illness in the context of their own lives
What are the strengths and limitations of the ‘biographical disruption’ theory?
STRENGTH
- Accomodates differences in individuals
WEAKNESSES
- Does not deal with conditions from birth
- Some social groups expect illness more than others
- Older people see chronic illness as biographically normal
What is stigma?
A negatively defined condition, attribute, trait or behaviour conferring deviant status, therefore cutting someone off from norms of society
Describe the difference between discreditable and discredited stigma?
Discredited - stigma seen and known
Discreditable - stigma unknown and concealable
What is the difference between felt and enacted stigma?
Felt stigma (internal stigma) - the shame and expectation of discrimination that prevents people from talking about their experiences and stops them seeking help
Enacted stigma (external stigma, discrimination) - refers to the experience of unfair treatment by others.
