Chronic illness Flashcards
what is the leading cause of death and disability in the US?
chronic disease!
- 7/10 deaths in america are from chronic illness annually
- heart disease, CA, CVA account for >50% deaths annually
facts about chronic illness
- obesity
- arthritis
- diabetes
- in 2005 almost 1 out of every 2 adults had at least 1 chronic disease.
- obesity is a major health concern: 1 out of every 3 adults is obese (BMI>95th percentile) *growing area
- 1/4 of people with chronic conditions have 1 or more daily activity restrictions *affects occupational performance
- arthritis is the most common cause of disability impacting activity
- diabetes is a leading cause of kidney failure, LE amputations, and blindness in adults ages 20-74
- neuropathy affects balance and fine motor
4 common causes of chronic illness
4 modifiable health risk behaviors are responsible for illness, suffering, and early death
- lack of physical activity- walk
- poor nutrition- *socio economical, cultural, depression (modify diet for diabetes)
- tobacco use- *diabetes, heart disease
- excessive alcohol consumption
physical activity
- more than 1/3 adults do not get recommended aerobic exercise based on 2008 guidelines
- 23% report no leisure time at all in preceding month-*caregiver for other people
*day 1- planning for d/c
max life style
-dowl ex., theraband ex.
poor nutrition
- 2007, less than 22% of HS students and 24% of adults eat 5 or ?fruits and veggies daily.
- no greens with Coumadin
tobacco
- (2007) 20% of HS students use tobacco (its increasing)
- lung cancer is leading cause of cancer death and almost all causes are caused by cigarette use
alcohol
- 45% of HS students report using ETOH in past 30 days
- 60% who drink report binge drinking (5 or >drinks on an occasion) within past 30 days
- ETOH is a risk factor for primary liver ca. Also link between ETOH and breast and colon CA
OTPF (occupational therapy practice framework)
-foundation for both clinical and community based practice
body functions domain
- physiological and psychological functions of body systems
- cognitive
- perceptual
- language
- sensory
- musculoskeletal
- cardiovascular
- immune
- respiratory
*can dig deeper if appropriate and/or you see further issues
international classification for function and disability and health (WHO)
useful model as it integrates cognitive and physical functioning *framework based on this model!
- body functions
- body structures
- activities and participation
- environmental factors *increase impact
body structures domain
- anatomical parts of the body such as organs, limbs, and their components
- brain
- muscles
- heart
- lungs
- skin *can go way deeper
activities and participation domain
- activities= individual functioning (dressing)
- participation= ones involvement in society
- useful model for community integration as it links physical, cognitive elements with activities integral to the success of social role fullfillment *resources, YMCA
health participation
when persons takes part in all life areas or situations they wish to participate in
- community
- social
- civic
- enhance health and well-being
environmental factors domain
make up the physical and attitudinal environment which people live and conduct their lives
- contextual factors
- viewed from client perspective
- technology *ipad fx for hand
- assistive products
- employment
- buildings *(accessibility)
- finances *low end resources
- climate *feel poor on cold damp weather days (gentile stretching)
- services
- relationships *explain and share perspective
medical model
-follow model in all settings
