chronic illness experience Flashcards

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1
Q

chronic illness

A

a long-term condition, a disease that lasts a lifetime

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2
Q

impairment

A

abnormalities in the functioning of the body

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3
Q

disability

A

inability to perform. an activity in a manner considered normal for a human being

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4
Q

handicap

A

a social disadvantage which results from the inability to fulfill a role that is normal

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5
Q

multiple sclerosis, diabetes, heart disease etc… are examples of

A

impairment

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6
Q

walking with support is an example of

A

disability

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7
Q

disadvantage due to inability to have full-time employment is an example of

A

handicap

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8
Q

what disadvantage might patients experience due to chronic illness?

A
  • difficulty to manage the symptoms
  • difficulty to manage the treatment
  • adjust to a new life, adopt the sick role
  • psychological distress
  • social isolation
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9
Q

psychological changes in chronic illness

A
  1. uncertainty
  2. family relations
  3. biographical disruption
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10
Q

3 forms of uncertainty

A
  • uncertainty about the cause
  • uncertainty about functionality
  • uncertainty about prognosis
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11
Q

how chronic illness affects family relations

A
  • reallocation of tasks
  • patients may feel like a burden
  • patients may withdraw from family
  • marital breakdown
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12
Q

biographical disruption

A

patients’ daily lives are disrupted

ex - a patient withdrawing from daily activities to undergo chemotherapy

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13
Q

what does it mean for a patient to enter the “sick role”

A
  • nobody blames them
  • they are excused to be withdrawn from social activities
  • they are expected to seek help
  • they are expected to return to social activities
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14
Q

the sick role can be applicable in many cases

A
  • for acute conditions, patients adopt the sick role and get better
  • for chronic conditions, patients adopt it to improve their quality of living
  • in any case, the purpose is to return to social stability
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15
Q

biographical disruption has two main types

A
  1. disruption of what patients take for granted (routine)
    ex: daily routine schedule
  2. disruption of patients’ biography (structures of identity)
    ex: family, education, career
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16
Q

patients respond to disruption through

A

negotiation

17
Q

negotiation

A

refers to a kind of introspection where patients renegotiate with their new ill self

18
Q

3 ways patients respond to disruption

A
  1. coping - cognitive process
    ex: comparing self with another with worse condition
  2. strategy - action taken by the patient
    ex: start up a new hobbies or participate in patient groups
  3. style - the way a patient deals with his/ her condition
    ex: use humor to present one’s condition or take full control of own condition