Chapter 4&5 Flashcards

1
Q

How does collaborative self-management education change Behavior?

A

By working collaboratively with their healthcare provider, patients are better able to understand their condition and make informed decisions about their care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the several ways in which collaborative self-management education can change behavior?

A

Increased knowledge

Improved self-efficacy

Enhanced communication

Increased motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How does it increase knowledge?

A

Through collaborative self-management education, patients gain a better understanding of their condition, including its causes, symptoms, and treatments. This increased knowledge can lead to better adherence to treatment plans and improved health outcomes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does it improve self-efficacy?

A

By taking an active role in managing their own health, patients can develop a sense of control and confidence in their ability to manage their condition. This improved self-efficacy can lead to better adherence to treatment plans and improved health outcomes.


How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does it enhance communication?

A

Collaborative self-management education involves a partnership between the patient and healthcare provider, which can lead to improved communication between the two parties. Can lead to better understanding of treatment plans and increased adherence to those plans.


How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does increase motivation?

A

Collaborative self-management education can help patients see the value in taking an active role in managing their own health. This increased motivation can lead to better adherence to treatment plans and improved health outcomes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Identify whether pulmonary rehabilitation programs should be focused on group or individual needs.

A

When it comes to deciding whether these programs should be focused on group or individual needs, it depends on several factors.
Group-based pulmonary rehabilitation programs can be beneficial for individuals who are looking for social support and motivation from peers. In a group setting, patients can interact with others who are going through similar experiences, which can create a sense of camaraderie and support. This type of program can also be cost-effective and offer a more structured approach to rehabilitation.

Individual-focused pulmonary rehabilitation programs, on the other hand, can be more personalized and tailored to meet the specific needs of each patient. These programs can allow for more one-on-one attention and individualized treatment plans, which can lead to better outcomes for some patients. It should be done on a case-by-case basis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the goal of the COPD action plan?

A

-to help individuals with COPD and their healthcare providers manage their condition and prevent exacerbations.

-to provide individuals with the necessary tools and information to take an active role in their care and respond quickly and appropriately to changes in their symptoms.
-to reduce the frequency and severity of exacerbations, minimize the impact of COPD on daily life, and improve overall health outcomes for individuals with this chronic condition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the goal of palliative care in COPD ?

A

to improve the quality of life for individuals with advanced COPD by managing their symptoms and addressing their physical, emotional, and spiritual needs.

to address symptoms such as dyspnea (shortness of breath), fatigue, anxiety, depression, and pain.

involve discussions about end-of-life care and advance care planning to provide support and comfort to patients and their families throughout the course of their illness.

to improve the patient’s overall quality of life by providing relief from symptoms and addressing their emotional and spiritual needs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the definition of ADL(Activities of Daily Living)?

A

basic tasks and activities that individuals perform every day to take care of themselves and their personal needs
Ex: bathing, dressing, grooming, toileting, eating, and mobility

are essential for maintaining an individual’s independence, dignity, and quality of life

a measure of a person’s functional status and ability to perform daily tasks independently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the most common psychological concerns seen in chronic pulmonary patients?

A

Depression and anxiety are common psychological symptoms experienced by individuals with chronic pulmonary conditions and can have a negative impact on their quality of life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the importance of assessing cognitive impairment in COPD patients?

A

-cognitive impairment, such as memory loss, confusion, and difficulty with attention, can be a common complication of COPD.

-impact a patient’s ability to self-manage their condition, adhere to medication regimes, and make appropriate healthcare decisions.

-negative impact on a patient’s overall quality of life, leading to social isolation, reduced independence, and decreased participation in daily activities.

-increase the risk of hospitalization and morbidity in COPD patients.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the symptoms of a major depressive disorder including the protocol for diagnosis?

A

-Depressed mood, feelings of sadness, emptiness, or hopelessness that persist for most of the day, nearly every day.

-Diminished interest or pleasure in most activities, including hobbies and social interactions.

-Significant weight loss or weight gain, or a change in appetite.

-Insomnia or hypersomnia (excessive sleepiness) nearly every day.

-Psychomotor agitation or retardation, such as slowed speech or movements or restlessness.

-Fatigue or loss of energy nearly every day.

-Feelings of worthlessness or excessive guilt.

-Difficulty thinking, concentrating, or making decisions.

-Recurrent thoughts of death or suicide, or a suicide attempt.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do doctors use to diagnose major depressive disorder?

A

DSM-5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are two possible tools for assessing depression and depressive symptoms in pulmonary rehabilitation?

A

BDI & HADS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is BDI (Beck Depression Inventory)?

A

widely used self-report questionnaire that assesses the presence and severity of depressive symptoms. It consists of 21 items, and patients rate each item on a scale of 0 to 3. The total score ranges from 0 to 63, with higher scores indicating more severe depressive symptoms.

17
Q

What is HADS (Hospital Anxiety and Depression Scale)?

A

HADS is a 14-item questionnaire that assesses anxiety and depression separately. It is a self-administered tool that has been validated in patients with chronic obstructive pulmonary disease (COPD) and other medical conditions. The depression subscale consists of seven items, and patients rate each item on a scale of 0 to 3. The total score ranges from 0 to 21, with higher scores indicating more severe depressive symptoms.

18
Q

What are other tools for assessing depression and depressive symptoms in pulmonary rehabilitation?

A

Patient Health Questionnaire (PHQ-9) and the Center for Epidemiologic Studies Depression Scale (CES-D).

19
Q

What is the definition of anxiety and panic attacks?

A

Anxiety: feelings of worry, nervousness, or unease about a future event or situation

Panic attacks: sudden and intense episodes of fear or discomfort that are accompanied by physical symptoms, such as chest pain, rapid heartbeat, sweating, shaking, and shortness of breath.

20
Q

How do you screen for panic disorder and generalized anxiety?

A

Generalized Anxiety Disorder 7-item (GAD-7) Scale

Panic Disorder Severity Scale (PDSS)

Hamilton Anxiety Rating Scale (HAM-A)

Structured Clinical Interview for DSM-5 (SCID)

21
Q

What is the Generalized Anxiety Disorder 7-item (GAD-7) Scale?

A

self-report questionnaire that assesses the severity of generalized anxiety disorder. It consists of seven items, and patients rate each item on a scale of 0 to 3. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety symptoms.

22
Q

What is the Panic Disorder Severity Scale (PDSS)?

A

self-report questionnaire that assesses the severity of panic disorder. It consists of seven items, and patients rate each item on a scale of 0 to 4. The total score ranges from 0 to 28, with higher scores indicating more severe panic disorder symptoms.

23
Q

What is the Hamilton Anxiety Rating Scale (HAM-A)?

A

clinician-administered questionnaire that assesses the severity of anxiety symptoms. It consists of 14 items, and the clinician rates each item on a scale of 0 to 4. The total score ranges from 0 to 56, with higher scores indicating more severe anxiety symptoms.

24
Q

What is the Structured Clinical Interview for DSM-5 (SCID)?

A

diagnostic tool used by healthcare professionals to assess and diagnose various mental health disorders, including panic disorder and generalized anxiety disorder. It involves a structured interview with the patient, and the clinician asks specific questions to determine whether the patient meets the diagnostic criteria for the disorder.

25
Q

Can you interpret MMSE cognitive assessment scores?

A

Mini-Mental State Examination: total score on the MMSE ranges from 0 to 30, with higher scores indicating better cognitive functioning
0 to 17 suggests severe cognitive impairment
18 to 23 suggests mild cognitive impairment.
24 to 30 indicates normal cognitive function

26
Q

What is the importance of motivation, self-efficacy, coping and social support in pulmonary rehabilitation?

A

contribute to the success of pulmonary rehabilitation.

Patients who are motivated to improve their respiratory health are more likely to adhere to exercise and medication regimens, attend pulmonary rehabilitation sessions regularly, and make lifestyle changes to support their goals. It can be a powerful predictor of success in pulmonary rehabilitation.

Self-efficacy refers to a person’s belief in their ability to perform a specific task or behavior. self-efficacy can influence patients’ adherence to treatment regimens and their confidence in their ability to manage their respiratory symptoms.

coping strategies can help patients to manage their respiratory symptoms, deal with anxiety or depression, and overcome barriers to treatment adherence.

social support can help patients to cope with the challenges of managing a chronic respiratory condition, promote treatment adherence, and improve quality of life.

27
Q

How do you assess the patient for tobacco use and smoking cessation needs?

A

We ask about their smoking history and current smoking status, measuring their level of nicotine dependence, and assess their readiness to quit.

We provide education on the health risks of smoking, offer counseling and behavioral support, and prescribe nicotine replacement therapy or other medications to assist with smoking cessation

28
Q

What are pharmocologic and patient counseling strategies for smoking cessation?

A

Nicotine replacement therapy (NRT): such as nicotine gum, patch, lozenge, inhaler or nasal spray can help reduce nicotine cravings and withdrawal symptoms.

Non-nicotine medication: such as bupropion and varenicline can also help reduce nicotine cravings and withdrawal symptoms.

Behavioral counseling: patients can be offered individual or group counseling sessions to help identify their smoking triggers and develop coping strategies to deal with cravings and withdrawal symptoms.