Chronic Conditions Flashcards
Define Chronic Conditions (5 parts)
Something is chronic if it lasts 3 months.
May be invisible (may not look sick or be asymptomatic)
Can be lonely and isolating.
May be constant or have acute exacerbations.
May be terminal or progressive.
What are the 3 parts of the Self-concept component of self?
Domain specific evaluations of self (are you a good mother?)
Conscious and cognitive appraisal
Thoughts and opinions about self.
What are the 3 parts of the Self-esteem component of self?
Global evaluation of self.
How one feels about oneself.
Am I important to someone?
What are the 3 parts of the Personal Identity component of self?
One’s sense of self
Is multifaceted–but unified.
Among possible selves, who is really me?
What are the 3 parts of the Body Image component of self?
Complex construct.
Affects how we relate to ourselves, others, and environment.
Affected by sensory perceptions, incorporating personal, interpersonal, cultural, etc. information (How I perceive how you react to me.)
In adaptation to traumatic or acute onset of a chronic condition how does it come on? How does the patient react with shock?
Sudden onset of disability, with physical stability achieved relatively soon afterward.
Shock may be more generalized.
In adaptation to chronic or progressive course of chronic conditions how does it come on? How does the patient react with shock?
Onset is gradual and insidious–with course of illness often uncertain with periods of deterioration and remission.
Shock may be more focused–or may not be experienced.
In adaptation to traumatic or acute onset of a chronic condition, how does the patient deal with anxiety and depression? Loss?
Anxiety and depression are typically focused on grieving loss of intact physical or cognitive ability (past oriented).
Involves adapting to permanent, relatively stable loss or alteration of function – goal: reconstruct one’s life and work to reintegrate into society. (situations can effect reactions)
In adaptation to chronic or progressive onset of chronic conditions, how does the patient deal with anxiety and depression? Loss?
Axiety and depression focused more on fear of body damage, fear of an uncertain future, fear of death (future oriented).
Can involve some form of recognition or internalization that the condition is likely to worsen or that death is imminent (adapting in this instance is somewhat inconceivable.)
Those with a chronic condition need to maximize social access and participation in what 4 areas of life?
Why is this important?
Lifestyle
Work
Physical environments
Relationships
To help keep depression at bay.
What 3 factors of the International Classification of Function and Disability schema must combine in order for one to participate?
Ability,
Activity,
Environment combine
The are 5 reasons why it is important to document outcomes related to activity and participation. What are they?
Ensure civil rights according to ADA
Meet the needs and priorities of the client and family.
To lay the groundwork for research and best practices.
To keep insurance companies and ordering doctors happy.
Fostering communication with physicians and policy makers.
What are the 4 goals for treating Chronic Conditions?
Decrease incidents or severity of symptoms.
Improve function.
Prevent or lessen the occurrence or secondary conditions or disability. (ie. asthma–primary condition. patient does less–loses function.)
Chronic pain can effect what 5 things?
Sleep Functional capacity. Employment Depression Will to live
Injury and disease trigger pain. What 5 things are additional risk factors for pain?
Genetic predisposition Gender (women=more pain) Psychosocial history (PTSD) Psychological state at time of injury Lifestyle
