Adjustment to disability and chronic illness Flashcards
What are the rights of a person with a chronic illness?
Exempt from certain social roles
Not blamed for illness
What are the societal responsibilities expected of a person with a chronic illness?
Trying to get better
Seeking and cooperating with help given
Introspective individuals are less likely to report physical and psychological symptoms. T/F?
False - they are more likely to do so
What factors are important in determining the ability of a patient to cope well with disability or chronic illness?
Maintaining morale despite set backs pragmatic considers and uses a range of strategies considers a range of outcomes and their consequences flexible / open to suggestions internal locus of control composed
What factors will likely impede the ability of a patient to cope well with a chronic illness or disability?
Rigid and inflexible reluctant to compromise or ask for help intolerant of others excessive denial or rationalisation not problem focused impulsive passive approach
What factors may be obstacles the impede a patients ability to cope with a chronic illness?
Intrapersonal Psychiatric illness Personalitiy characteristics of illness (e.g. pain, lack of sleep) characteristics of treatment finances social support culture religion
What are the risk factors for a person with chronic illness to develop depression?
Pain Life threatening illness chronic physical health problems unpleasant and demanding treatment low perceived social support past psychiatric history substance misuse prescribed medicine (e.g. steroids, chemo)
How can successful adjustment to a disability or chronic illness be measured?
Successful performance of adaptive tasks absence of psychiatric disorder presence of high positive affect adequate functional status satisfaction and wellbeing in various life domains
Pro-inflammatory cytokines can promote psychological symptoms. Give examples of cytokines which can have this affect
TNF and interferon alpha can do this
How can the effects of cytokines be targeted to help aid good adjustment to disability or chronic illness?
Graded exercise
Activity scheduling
Use of diaries
Why is it important to deal with appropriate emotional expression in chronic illness?
This reduces stress, mobilises social support, can increase closeness to others and improves self-regulation
There is a clear correlation between good self management and good outcomes. T/F?
True
If a person finds benefits or positive aspects to their condition then they can adjust better. What positive aspects might these be?
Enhanced appreciation of life new opportunities change in life priorities enhances sense of purpose improved relationships
