Encouraging Healthy Patient Behaviors

Question 1

What is the cyclical process of chronic illness?

Answer 1

1. Diagnosis: Grieving begins
2. Initial coping
3. Long-term coping
4. Grieving revisited

Question 2

Kubler-Ross Stages of Grief

Answer 2

shock, fear and anxiety, denial, anger and guilt, bargaining, depression, acceptance.

Fears:
- Loss of control
- Loss of self-image
- Dependency
- Stigma
- Abandonment
- Anger
- Isolation
- Death

Question 3

What are factors that influence the experience of illness?

Answer 3

• Stages of Life
• Culture
• Type of Illness and Symptom Distress
  (onset, course, outcome)
  (Interruption, intrusiveness, immersion)
• Provider Interaction
• Previous Experience and Coping Practices
• Social Support

Question 4

What tasks do caregivers do?

Answer 4

• Activities of daily living
• Instrumental activities of daily living
• Monitoring health
• Communicating with providers
• Advocating for the loved one

Question 5

Explain the communication process

Answer 5

Initiator: Sending, receiving , and processing information

Receiver: Processing information, Receiving, and sending

Question 6

What is literacy?

Answer 6

Verbal, Print, Numeracy

Process:
You need to obtain information, interpret the information, understand it, and use the information to guide decision making.

What should provider do?
- more information given to the patient. More detailed consultation and scaffolding.
- emphasize the key points

What is the problem?
What does the patient need to do?
Why is it important for the patient to do this?