Ch. 17 Flashcards
(28 cards)
What are two distinguishing features related to illness and the perception of disease?
chronology and severity of the disease
The timing of the onset of the condition
chronology
Two types of chronology
acute- time limited, bone fracture due to accident
chronic- expected to continue indefinitely after diagnosis, rheumtoid arthritis
the conditions may relate to the magnitude and frequency of symptoms experienced that interfere w/ daily functioning
severity
the prospect of survival and recovery from a disease as anticipated from the usual course of that disease or indicated by special features of the case
prognosis
recovery with out further impairment expected
acute conditions
continued decline is expected. ex. alzheimer’s
chronic conditions
Conditions may also be influenced by ____ associated with management of the disorder
lifestyle choices
traumatic brain injury or spinal cord injury
acquired limitations
cerebral palsy
congenital limitations
experience of change in functional ability results in a different way of being in the world
disablement
Level of impairment that constitutes disability are influenced by what factors
- degree of interference with daily activities as experienced by the person
- chronological age 3. level of intrinsic and extrinsic resources 4. attitudes 5. societal behaviors
using a wheelchair lift society views him as ___ he views himself as ___
disabled. not disabled
attitudes of others, discrimination in employment, and lack of access to services, spaces, and places in community
society barriers
disability status is influenced by…
conditions creating impairments
day to day physical & emotional needs of disabled family members; managing their own stress level & emotional responses; care giving results in a level of burden- depression
challenges for family caregivers in disablement
______ contributes to personal competence and feelings of mastery in the individual
occupation
_____ limitations can impair the person’s ability to be successful in ADLS, IADLS, work, leisure, play, etc.
activity limitations
sick role
free from blame for condition (assumed only when 4 condtions are met)
4 sick role conditions
- exempt from normal social role responsibilities
- will be cared for because cannot “will self well”
- active in desire to get “well”
- seek & comply with the expectations of technically competent help
- privileges & exemptions may become objects of secondary gain - enjoy exemptions from work & social demands - either exaggerates disability or fails to follow through on intervention strategies to return to workforce
malingering
-disincentives & lack of physical access - career path disrupted by disability
significant system barriers to gainful employment
Family members often support disabled loved ones ____ which becomes a source of conflict
financially
leisure participation barriers
- decreased capability to perform
- discrimination/ lack of access to options
- loss of opportunity/ means to travel
- energy & amount of effort required