Chronic Illness, the coping process Flashcards
What is chronic illness?
Is it reversible?
is it stable on unstable?
Is chronic illness usually a cause of death?
an illness that persists and generally gets worse over a long period of time.
it is irreversible
Unstable
No it is long lasting and rarely the cause of death
In western societies nearly ____% of population has a chronic disease
and _____% of the population has serious problems caused by chronic disease
26
10
What are the most prevalent chronic diseases treated by PT’S ?
- Rhuematic diseases
- COPD, asthma
- Diabetes
- Central neurological diseases
- Cardiovascular diseases
- Depression
- Dementia
What is the difference between the terms “Disease” and “Illness”? which one is objective and which one is subjective?
Disease= damage of the body, it is the pathological condition of the body (objective) Illness= complaints or forms of personal behavior that emerge as the reality of having a diseases as experienced b the individual (subjective)
What are the consequences of chronic disease? (SCEBS-model)
Somatic- bodily functions
Cognitions
Emotions
Behavior
(All 3 psychological)
Social
What is the “extra” problem of central neurological diseases compared to other chronic diseases?
What is the difference between that “extra” problem and psychological problems?
Psycho-neurological problems
Psychological problems are a reaction to the disease while psycho-neurological problems are caused by the central neurological disease
Psycho-neurological problems are ___, ____, ____ problems.
These include aphasia, apraxia, and agnosia, what does each one mean?
cognitive, emotional, behavioral problems.
Aphasia= Loss of the ability to communicate Apraxia= Difficulty with motor planning to perform tasks or movements Agnosia= Inability to process sensory input, cannot recognize
What are the phases of the “phase-model” by Kubler-Ros which describe how people react to chronic illness?
What are the two disadvantages of this model?
"DABDA" Denial Anger Bargaining Depression Acceptance
- The patient is passive
- It can be understood as a “format” for the patient and their social environment, however everyone is different and may not go through all these phases or the order may differ from one patient to the next
The _____-model has replaced the phase-model when considering patient’s behavior/reactions to their chronic disease.
This model focuses on the patient having to _____ to changes, and to deal with _____ tasks,
An example of this model is the _____-theory (MOOS)
task-model
adjust
adaptive-task
crisis-theory
The crisis theory is designed to describe and to ____ the behavior of people who are faced with ______.
understand
chronic health problems
In the crisis theory what are the 3 influences on the coping process?
- Illness related factors
- Background and personal factors
- Physical and social environmental factors
In the crisis theory what are the 3 stages of the coping process?
- Cognitive appraisal of illness as: harm/loss, threat, or challenge
- Adaptive tasks= “what you are faced with”
Illness or treatment related
Related to psycho-social functioning - Coping skills = “How are you going to deal with it?”
Adaptive tasks can be related to ______ or ______ functioning
related to the illness/treatment (adjusting to the symptoms, to the environment, the regimen, procedures, etc)
Psycho-social functioning (controlling negative feelings, preserving relationships, maintaining satisfactory self image, etc)
Seeking information, denying or minimizing the seriousness of the situation, recruiting practical and emotional support, considering possible future events, and gaining a manageable perspective are all examples of _______ in the coping process
coping skills/strategies
Coping is the ____ by which people try to manage the ___ they experience.
It is either ____-oriented or _____- oriented.
Coping can also be passive, ____, or ____
process stress emotion problem (more practical) Active avoidant (focusing on something other than the problem)
