Coping Strategies - Kubler-Ross

Question 0

Strategies to coping with chronic illness: Normalising

NDARA

Answer 0

Patient acknowledges the symptoms but redefines the, as part of normal existence. May result to poor compliance to treatment

Question 1

Outline the Kubler-Ross model (DABDA)

Answer 1

• Denial: Usually temporary defence that gives time to absorb news of change. Initial stage of shock. We dont want to believe the change is happening. If we can pretend that the change isnt happening, then maybe it will go away
• Anger: Realise change is real and will affect us, denial turns to anger. Look to blame something or someone for making this happen.
• Bargaining: Attempt to postpone what is inevitable. Try to find a way out of the situation. Most bargains are secret deals with God.
• Depression: Reality of change sets in. Individual becomes silent, refuse visitors and spend much of time crying and grieving. Disconnect from things of love and affection.
• Acceptance: Start considering their options and a sense that they must get on with it.

Question 2

Strategies to coping with chronic illness: Denial

NDARA

Answer 2

• Patient denies having the illness
• Benefits in early stages of threatening illness
• May help patient draw back from condition and resume daily tasks in short term
• But in long term could prevent patient from confronting illness

Question 3

Strategies to coping with chronic illness: Avoidance

NDARA

Answer 3

• Dont deny problem

- Avoid situations that might exacerbate their symptoms

Question 4

Strategies to coping with chronic illness: Resignation

NDARA

Answer 4

• Patient becomes totally consumed by illness
• Most important thing in their life
• In long term patient depends on others

Question 5

Strategies to coping with chronic illness: Accommodation

NDARA

Answer 5

• Patient acknowledges and deals with problem that illness produces
• Everyday handling of disease is seen as part of normal living