Chronic health events Flashcards
1
Q
What is the crisis model?
A
- after being diagnosed with a chronic illness
- individual loses their social status e.g. you can’t work
- Onset chronic illness
- irreversible loss of social status
- behaviour change
- this leads to:
‘biographical disruption’ (BAD)
‘negotiation’ (GOOD)
2
Q
What is biographical disruption?
A
- enacted stigma (people abusing/discriminating)
- felt stigma (you feel like you are being discriminated against but you are not)
- Different conditions have diff social meanings e.g. cirrhosis= alcoholic
HIV= drug user - stereotypes with conditions
- Impairment of disability e.g. HIV= restriction in activities and social roles(bc of recurrent infections)
- diminish patient self esteem
- feel isolated
- feel withdrawn from society
- lack confidence
- lack skill
3
Q
What is a negative of the biographical disruption model?
A
- implies you can’t exit from the cycle
4
Q
What is negotiation?
A
- you get illness
- you might loss yourself and feel shit
- reduce social activity
- find it hard to maintain ‘normality’ with time
- but refuse to accept labelling and stigmatization
- they preserve their identity
5
Q
When a patient goes through having a chronic illness, they need to make adjustments (According to Moos & Schaefer). What are these adjustments?
A
- adjust to symptoms
- adjust to the incapacities of the illness
- adjust to the treatment procedures
- adjust to hospital environment
- maintain and develop relationships with healthcare providers
- preserve a reasonable emotional balance
- preserve a satisfactory self image
- stay positive
- sustain releations with family and friends
- prepare for uncertain future
6
Q
What are the 2 types of responses to chronic health diseases?
A
Type A Behaviour – (Pissed off)
Type B Behaviour – (Relaxed) – Self
7
Q
What happens in Type A behaviour?
A
- pissed off (HIC:)
- hostile
- impatient
- competitive
- higher risk of CHD
8
Q
What happens in Type B behaviour?
A
- relaxed
- self-evaluative
- imaginative
- creative