7) Chronic Illness Flashcards

1
Q

What is the focus of a sociological approach to chronic illness?

A

Impact on social interaction and role performance

How people manage and negotiate the illness in everyday life

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2
Q

What is the work of chronic illness?

A

Everyday interactional work people have to do

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3
Q

What does illness work involve?

A

Diagnosis - period of uncertainty
Managing symptoms
Self management

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4
Q

What is an expert patient programme?

A

Where a patient with a LTC helps another

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5
Q

What are the advantages of an expert patient programme?

A

Coping and condition management skills
Aims to reduce hospital admissions
Patient centred

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6
Q

What are the disadvantages of an expert patient programme?

A

Responsibility for care placed on (ill) patients
Do they have a real understanding?
Lack of evidence of efficiency saving

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7
Q

What does everyday life work involve?

A

Coping, management strategy and normalisation

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8
Q

What is normalisation?

A

Try to keep pre-illness lifestyle e.g. disguising symptoms

Redesignate your new life as ‘normal life’

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9
Q

What does emotional work involve?

A

Work that people do to protect emotional well being of others e.g. I’m ok, don’t worry about me

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10
Q

What is biographical work?

A

Former self image lost - struggle to lead valued lives and maintain positive definitions of self

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11
Q

What is identity work?

A

Condition affects how people see themselves and how others see them
Illness defines identity

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12
Q

What is stigma?

A

Negatively defined condition, attribute, trait or behaviour conferring deviant status

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13
Q

What is discreditable stigma?

Give an example

A

Nothing seen but if people found out, would view you differently e.g. mental illness, HIV

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14
Q

What is discredited stigma?

Give an example

A

Physically visible characteristics which sets them apart e.g. physical disability

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15
Q

What condition can have both discreditable and discredited stigma?

A

Epilepsy

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16
Q

What is enacted stigma?

A

Real experience of prejudice or discrimination due to the condition

17
Q

What is felt stigma?

A

Fear of enacted stigma

18
Q

What is the medical model of disability?

A

Disability is a deviation from medical norm and disadvantages are consequences of impairment
Needs medical intervention

19
Q

What is the social model of disability?

A

Problems are product of environment and failure of environment to adjust
Need political and social changes

20
Q

What are the critiques of the medical model of disability?

A

Lacks recognition of social and psychological factors

Stereotyping and stigmatizing language

21
Q

What are the critiques of the social model of disability?

A

Body is left out

Overly drawn view of society

22
Q

What is the aim of the ICIDH?

A

Classify consequences of disease by 3 concepts:
Impairment
Disability
Handicap (social and psycho)

23
Q

What are the problems with ICIDH?

A

Use of term ‘handicap’

Implies problems are inevitable

24
Q

What are the key components of ICF?

A
Integrates medical and social models using key components:
Body structures and functions
Impairments 
Activities undertaken and limitation 
Participation in life situations
25
Q

What are all components in ICF affected by?

A

Personal and environmental factors