Education for life long conditions Flashcards
List some factors which get in the way of managing a long term condition?
motivation emotional well-being importance Health benefits Experiences
Why does knowledge not always mean a change in behaviour?
intention is in the middle
Factors effecting management
Perceived health beliefs
Seriousness of condition Effectiveness of treatments costs and benefits of following advice Self-efficacy vulnerability to future problems Impact of illness
What are the impact of health beliefs?
Many patients have (borderline) anxiety and depression
Psychological well-being associated factors
anxiety and stress
depression and low mood
adjustment problems
eating related and body image difficulties
Why is stress bad for diabetes?
stress raises [BG]
cortisol kicks in, trying to raise energy for the body
Depression symptoms
rumination fatigue decreased socialising decreased enjoyment of activities decreased motivation sadness
Anxiety symptoms
Worry, nausea, decreased focus, shaking, restlessness, muscular tension, sweating, avoidance
What can anxiety be due to in diabetes?
separate from diabetes
hypos
injections and needles
What does anxiety do to diabetes?
deposits glucose in the blood and reduces insulin efficiency
What is meant by behaviour being idiosyncratic?
People do the same thing for different reasons
What is positive reinforcement?
get something you want
get something you didn’t want
What is negative reinforcement?
lose something you didn’t want
lose something you wanted
How can we break well established habits?
stress reducing techniques eg mindfulness involve key people use prompts eg apps importance/motivation confidence
3 things behaviour changes can lead to
prevent disease
improve disease management
improve QOL
