Chapter 11 Flashcards
Asthma
- rates have skyrocketed in recent years.
Chronic conditions
- moderate ones (partial hearing loss)
- life-threatening disorders (cancer, coronary artery disease, diabetes)
Ages 18-44
- more than 1/3 have at least one chronic condition.
Ages 45-65
- nearly half have 2 or more chronic conditions that require medical care or limit daily activities.
Multimorbidity
- have more complicated treatment regimens, substantially higher health care costs, lower quality of life, and shorter lives.
Quality of Life’s components
- physical functioning
- social functioning
- psychological status
- disease or treatment related symptoms
What does Quality of Life measure?
- assess the impact of treatments.
- can help pinpoint which
problems are likely to emerge for patients with which diseases. - the extent to which a patient’s normal life activities have been compromised by disease and treatment.
People with chronic disorders
- more likely to suffer from: depression, anxiety, generalized distress
Denial
- defense mechanism by which people avoid the implications of a disorder, especially one that may be life-threatening.
Depression is more common in patients with
- stroke patients
- cancer patients
- heart disease patients
- multi-morbidity patients
People with depression are more likely to get
- heart disease
- atherosclerosis
- hypertension
- stroke
- dementia
- osteoporosis
- type 2 diabetes.
Many symptoms of depression, such as fatigue, sleeplessness, and weight loss, can also be symptoms of?
- disease or side effects of a treatment.
Cognitive-behavioral and other evidence-based interventions are effective for?
- the depression that so frequently accompanies chronic health disorders
Self- concept
- stable set of beliefs about one’s personal qualities and attributes.
Body image
- the perception and evaluation of one’s physical functioning and appearance.
- can plummet during illness.
Chronic disorders
- require some self-management.
- compromise sexual activity.
- create problems for patients’ vocational activities and work status.
- may face job discrimination.
- can have financial impact.
- have an impact on family (partner or children may have a new role as a caretaker, increased dependency).
Physical rehabilitation involves several goals:
- to learn how to use one’s body as much as safely possible
- to learn how to sense changes in the environment to make
the appropriate physical accommodations - to learn new physical management skills
- to learn a necessary treatment regimen
- to learn how to control energy expenditure.
Gender Impact of Chronic Health Disorders
- Women with chronic health disorders experience more deficits in social support than do men with chronic health disorders.
Interventions for Chronic Health Disorders
- Pharmacological interventions
- CBT
- Brief psychotherapeutic interventions
- Relaxation training
- Mindfulness training
- Exercise
- Social Support
- Family Support
- Support Groups
Management of chronic health disorders centers around?
- physical problems, especially recovery of functioning and adherence to treatment
- vocational retraining, job discrimination, financial hardship, and loss of insurance
- gaps and problems in social support
- psychological reactions and personal losses, such as the threat that disease poses for long-term goals.
Most patients experience some benefits as wel as negative effects from chronic health disorders. These positive outcomes may occur in part because ?
- patients compensate for losses in some areas of their lives with value placed on other aspects of life.
