ASBHD S1 Biospsychosocial Model And Socialogical Approaches To Illnesss

Question 1

What are advantages if self-management interventions?

Answer 1

Build coping and management skills
Reduced hospital admission
Patient in controlq

Question 2

What are the disadvantages of self-management interventions?

Answer 2

Responsibility is on ill patients.
May not understand their own condition
Not enough evidence to show efficiency savings.

Question 3

Distinguish between coping and strategy.

Answer 3

Coping - the cognitive processes involved in dealing with illness.
Strategy - the actions and process involved in managing the condition.,

Question 4

What is meant by emotional work?

Answer 4

The work done by an ill person to protect the emotional well being of others.

Question 5

What is involved in emotional work?

Answer 5

Downplaying symptoms/ pain
Strategic removal from relationships
Consciously trying to maintain normal activity.
Presenting happier.

Question 6

What is meant by identity work?

Answer 6

Work done to establish and maintain a new ACCEPTABLE identity.
Avoiding stigma - concealing symptoms to not be treated different (avoiding ENACTED stigma but experiencing FELT stigma) - not using mobility aids to avoid discredited stigma.

Question 7

What is a stigma?

Answer 7

A negatively defied condition, attribute, trait or behaviour

Mark of shame associated with a quality, person or circumstance.

Question 8

Distinguish between discredited and discreditable stigma.

Answer 8

Discreditable - not seen but if found out.

Discredited stigma - physically visible characteristic - well known stigma that isolates them.

Question 9

Distinguish between enacted and felt stigma.

Answer 9

Enacted - real experience of prejudice discrimination and disadvantage.
Felt - fear of enacted stigma - encompassed by a feeling of shame.

Question 10

What is everyday life work?

Answer 10

Actions and processes involved in managing the condition and its impact
Actions and processes involved in maintaining the households
Involves coping and strategy.

Question 11

Define biographical work.

What is biographical disruption?

Answer 11

Refers to the interaction between the body and identity necessitated by the continual or occasional reconstruction of his/her life.
“Taken for granted”

Loss of self confidence and interaction between body and identity that can lead to loss of consfidence in social interaction or self-identity

Question 11

Give some disadvantages of QALYs.

Answer 11

Disadvantage common conditions
Do not account for need but instead benefits/costs
Do not asses impact on carers or family