Chronic Illness Flashcards
concerns in chronic illness
misdiagnosis
stigma
impact on daily life (spoon theory)
impact on relationships
impact of self-concept
coping with chronic illness
relaxation and acupuncture
Efficacy and coping strategies
Social support
key factors in psych adjustment
- activity and cytokines
- emotional regulation
- self-management
- cog processing and benefit finding
- activity and cytokines
proinflammarory cytokines is a characteristic of most chronic illnesses
cytokines mediate disease induced inactivity and distress
tailored exercise to indiv capabilities
- emotional regulation
avoidance vs exression
cultural fit
- self-management
engage in health behvaiours
- cog processing and benefit finding
Recalibration of health
Reprioritization of goals and values
Reconceptualization of what a good life is
Implications of activity intervention
limits imposed by disease and adjust
Implications of emotion-regulation intervention
acknowledgemnt of emotions > better expression
Implications of self-management intervention
occupational therapy to build skills
Implications of cog processing intervention
CBT
What is important to patients to have a good death?
pain and symptom management
not prolonged life/ death
sense of autonomy
not being a burden
strong relationships
What is important to families
comptent and prepared
have info
emotional support
access to coordinated care
to follow patients wishes
palliate care
to provide comfort in dying days
not focused on curing diease
can simultaneously receive curative treatment
hospice care
for people with less than 6 months or less,
no longer seeking curative care,
wish to maximise remaining time, comprehensive pain and symptom management,
psycho-social and spiritual support,
can take place at home or hospice
Impact of hospice care
- average: live 29 days longer
- heart failure ppl lived 81 days longer
- lung cancer ppl lived 39 days longer
Passive Euthanasia
do not resuscitate orders
Active Euthanasia
Medical aid in dying (MAID) and phsician assisted suicide
What are the two ways one has the right to die in Canada?
- physician directly administers substance
- patient can administer by self
What is the 1. requirement to meet the right to die in Canada?
Serious and incurable illness, disease and disability
What is the 2. requirement to meet the right to die in Canada?
Advanced state or irreversible decline in capability
What is the 3. requirement to meet the right to die in Canada?
Physical and psych suffering that is intolerable
What is the 4. requirement to meet the right to die in Canada?
Natural death is foreseeable (recent change removes this requirement)
What is the 5. requirement to meet the right to die in Canada?
18 years old and mentally competent
