Chapter 11 Flashcards

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1
Q

Asthma

A
  • rates have skyrocketed in recent years.
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2
Q

Chronic conditions

A
  • moderate ones (partial hearing loss)
  • life-threatening disorders (cancer, coronary artery disease, diabetes)
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3
Q

Ages 18-44

A
  • more than 1/3 have at least one chronic condition.
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4
Q

Ages 45-65

A
  • nearly half have 2 or more chronic conditions that require medical care or limit daily activities.
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5
Q

Multimorbidity

A
  • have more complicated treatment regimens, substantially higher health care costs, lower quality of life, and shorter lives.
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6
Q

Quality of Life’s components

A
  • physical functioning
  • social functioning
  • psychological status
  • disease or treatment related symptoms
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7
Q

What does Quality of Life measure?

A
  • 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.
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8
Q

People with chronic disorders

A
  • more likely to suffer from: depression, anxiety, generalized distress
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9
Q

Denial

A
  • defense mechanism by which people avoid the implications of a disorder, especially one that may be life-threatening.
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10
Q

Depression is more common in patients with

A
  • stroke patients
  • cancer patients
  • heart disease patients
  • multi-morbidity patients
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11
Q

People with depression are more likely to get

A
  • heart disease
  • atherosclerosis
  • hypertension
  • stroke
  • dementia
  • osteoporosis
  • type 2 diabetes.
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12
Q

Many symptoms of depression, such as fatigue, sleeplessness, and weight loss, can also be symptoms of?

A
  • disease or side effects of a treatment.
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13
Q

Cognitive-behavioral and other evidence-based interventions are effective for?

A
  • the depression that so frequently accompanies chronic health disorders
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14
Q

Self- concept

A
  • stable set of beliefs about one’s personal qualities and attributes.
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15
Q

Body image

A
  • the perception and evaluation of one’s physical functioning and appearance.
  • can plummet during illness.
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16
Q

Chronic disorders

A
  • 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).
17
Q

Physical rehabilitation involves several goals:

A
  • 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.
18
Q

Gender Impact of Chronic Health Disorders

A
  • Women with chronic health disorders experience more deficits in social support than do men with chronic health disorders.
19
Q

Interventions for Chronic Health Disorders

A
  • Pharmacological interventions
  • CBT
  • Brief psychotherapeutic interventions
  • Relaxation training
  • Mindfulness training
  • Exercise
  • Social Support
  • Family Support
  • Support Groups
20
Q

Management of chronic health disorders centers around?

A
  • 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.
21
Q

Most patients experience some benefits as wel as negative effects from chronic health disorders. These positive outcomes may occur in part because ?

A
  • patients compensate for losses in some areas of their lives with value placed on other aspects of life.