Chapter 1 Flashcards
Biology; Pathophysiology
Disease
Sufferer’s experience of the disease
Illness
Short Period of Evident Decline
Cancer
Long-Term Limitations with Intermittent Serious Episodes
Heart and Lung Failure
Prolonged Dwindling
Frailtry and Dementia
Suffering and family dysfunction, Some disease are hazardous to other family members, structural family changes
Reason to study of impact of illness
explore health benefits: etiology, pathophysiology, outcome of illness, treatment; Explore perceptions; Ask prior experiences and concerns
how to investigate illness
(+) start of symptoms
Onset of illness
prior to consulting a health care provider
Onset of illness
factors affecting health seeking behaviors (1) belief’s (2) nature of onset
Onset of illness
Responsibilities of the Physician: Explore anxiety of patients
Onset of illness
Responsibilities of the Physician: determine apporiatness of health behaviors
Onset of illness
Responsibilities of the Physician: explore aspects of the disease and illness
Onset of illness
reaction to diagnosis
Impact Phase
Responsibilities of the Physician: anticipate problems that help with coping and adapting mechanism
Impact Phase
Responsibilities of the Physician: explain nature of illness
Impact Phase
Responsibilities of the Physician: explore possible inappropriate health beliefs
Impact Phase
Responsibilities of the Physician: asses likely effects of illness
Impact Phase
Responsibilities of the Physician: offer possible treatment plans
Impact Phase
most challenging and yet most rewarding part of medicine practice
Therapeutic Efforts
Psychological state and preparedness of the patient and family
Therapeutic Efforts
Define responsibilities of the family
Therapeutic Efforts
Economy of the therapeutic plan
Therapeutic Efforts
Effect of treatment plan
Therapeutic Efforts
Responsibilities of the Physician: Provide information to the family
Therapeutic Efforts
Responsibilities of the Physician: Deal with multiple variables
Therapeutic Efforts
Responsibilities of the Physician: Work in harmony with the patient and the family
Therapeutic Efforts
Responsibilities of the Physician: Coordinate all aspects of therapy
Therapeutic Efforts
Responsibilities of the Physician: Anticipate pathologic responses
Therapeutic Efforts
return from hospital or major therapy
Recovery Phase
early adjustment to outcome
Recovery Phase
possible outcomes: (1) return to full health; (2) partial recovery; (3) permanent disability
Recovery Phase
Responsibilities of the Physician: Deal with immediate effects of trauma
Recovery Phase
Responsibilities of the Physician: Alleviate anxiety
Recovery Phase
Responsibilities of the Physician: Psychological support
Recovery Phase
Responsibilities of the Physician: Explore level of understanding of the patient and family
Recovery Phase
family’s adjustment to crisis
Adjustment to Permanency of the Outcome
occurs when there is permanent disability
Adjustment to Permanency of the Outcome
Acute Illness = high emotions; (+) difficulty adjusting to stress
Adjustment to Permanency of the Outcome
Chronic Illness = higher incidence of illness in other family members
Adjustment to Permanency of the Outcome
Terminal Illness = highly emotional and potentially devastating
Adjustment to Permanency of the Outcome
Responsibilities of the Physician: Assist the patient and the family in relating to the health care system
Adjustment to Permanency of the Outcome
Responsibilities of the Physician: Aid in efficient and functional readjustment
Adjustment to Permanency of the Outcome
Responsibilities of the Physician: Provide quality care
Adjustment to Permanency of the Outcome
Responsibilities of the Physician: Alleviate anxiety
Adjustment to Permanency of the Outcome
DABDA
Adjustment to Permanency of the Outcome
