Ch. 10 Chronic Illness, Terminal Illness & Death Flashcards
progressive illness
chronic illness that gets worse w/ time
- proliferation (increase) extent to which the immune cells multiply & produce more cells
- proliferation (increase) is mostly seen as a sign of a strong immune system
remitting illness
an illness that eases w/ time & ends
life expectancy
the age at which you would be expected to die given biopsychosocial factor existing in society at that time
quality of life
a measure of physical states & functioning, psychological status, social functioning & the presence of the disease or treatment related symptoms
appraisal
way of potentially stressful event is interpreted
- a significant component of Lazarus’ psychological explanation of why we get stressed
optimism
personality trait where a person has a general tendency to expect that good things, rather than bad things will happen
denial
one of the 1st psychological reactions felt the moment a person is informed that he or she has a chronic illness or realizes he or she is dying
anxiety
unpleasant state of internal turmoil
nuclear family
family consisting of a mother (female), a father (male) & unmarried children
blended family
family consisting of 2 parents, either or both of whom may have been previously married, w/ their children
extended family
family consisting of a blended or nuclear family plus grandparents or grandchildren, aunts, uncles & other relatives
broken family
families consisting of divorced and/or single parents living w/ their kids
risky family
families in which a lot of arguing occurs btwn family members & in which relationships are cold, unsupportive & neglected
euthanasia (passive)
termination of life by withdrawing life-sustaining treatment
- more common
physician-assisted suicide
euthanasia involving a physician who supplies the actual drug although not actually administering it him/herself
euthanasia (active)
termination of life by purposeful means, often lethal injection
palliative care
form of treatment aimed at alleviating symptoms without necessarily affecting the cause
anger
stage of death in which person is upset that death is happening to them
bargaining
stage of death in which person tries to restore their belief in a just world & may promise to be good or live life better in exchange for life
anticipatory grief
process in which a dying person feels a lack of control & now grieves in expectation of his/her death
acceptance
stage of death where person fully acknowledges that death cannot be avoided
- at this point, person often very weak & faces death w/ a peaceful calm
hospice
nursing homes for the dying, where the dying are comforted & their pain & other symptoms are alleviated
dementia
marked problems in thinking & remembering often experienced by older adults
depression
a mood disorder that causes a persistent feeling of sadness & loss of interest
Jack Kevorkian
medical pathologist who willfully helped dozens of terminally ill people end their lives
terminal illness
chronic illness that are advancing or terminal
- people w/ this illness often die after a relatively short time ranging from months to a few years
(ie) cancer & AIDS
The current life expectancy estimate for women born in 2006 is approximately ______ years.
a. 65
b. 72
c. 78
d. 82
d. 82
The most prevalent chronic disease is also the nation’s primary cause of death, which is
a. CHD
b. cancer
c. diabetes
d. pneumonia
a. CHD
From a health psychologist’s perspective, one of the main treatment goals for those with a chronic illness is:
a. increasing the QOL
b. preventing the spread of the disease
c. safeguarding other family members
d. curing the disease
a. increasing the QOL
From a biological standpoint, chronic illnesses are difficult to cope with because they:
a. disrupt normal life functioning
b. are often contagious
c. always bring pain
d. fluctuate unpredictably
a. disrupt normal life functioning
One of the most effective psychological resources that people with chronic illness have is:
a. self-esteem
b. appraisals of situations
c. levels of extroversion
d. hardiness
b. appraisals of situations
One of the first psychological reactions to discovering you have a chronic illness is
a. denial
b. depression
c. anxiety
d. optimism
a. denial
One of the psychological reactions to a chronic illness that tends to be long term & increases as pain and disability increases is
a. denial
b. depression
c. anxiety
d. fear
b. depression
Psychological interventions to help people cope with chronic illnesses are primarily designed to
a. change health behaviors that influence disease progression
b. change personality traits to make the person more optimistic
c. physically rehabilitate the person to make them live life normally
d. help caregivers care for the patients
a. change health behaviors that influence disease progression
Social support is good to help people cope, but
a. those who really do not need it benefit the most
b. support is only helpful if people believe it will help
c. getting more support if you already have enough can be harmful
d. not providing enough support can hurt more than providing none at all
c. getting more support if you already have enough can be harmful
_________ is termination of life by a lethal drug administered by a physician.
a. euthanasia
b. mercy killing
c. self-suicide
d. assisted suicided
a. euthanasia
