Health illness transition Flashcards
Describe phases of the Family Cycle of Health and illness
Phase 1 - Individual & Family Health
-health promotion and risk reduction needs of family members
Phase 2 - Vulnerability and the Symptoms Experience
- family member exhibits symptoms of an illness, other family members become aware.
- previous experience with similar symptoms, folk medicine. Seek opinions from other family members or friends.
Phase 3 - The Sick Role & Family Appraisal
- family coping tasks are to accept, adjust, and adapt to the sick role and to respond to the situation.
- family adapts or accommodates to the changes
Phase 4 - Medical Contact and Diagnoses
- establish a positive working relationship with HCP
- gather information about the diagnosis
- accept the diagnosis
Phase 5 - Illness Career and Family Adjustment/Adaptation
- acceptance of treatment plan
- recognize family role change
- maintain a positive relationship with HCP
Phase 6 -Recovery & Rehabilitation
- relinquish the sick role
- establishment & adaptation to newly defined “normal or re-establishment of original family system
- re-entering phase 1
Phase 7 - Chronic Adjustment/Adaptation
- redefine sense of “normal”
- maintain relationships with HCPS
- Family and Individual must learn to modify and learn new patterns, skills, & roles. Maintain sense of control
- Adapt to altered social relationships and stigma of disability
- complete tasks of grieving process in relation to losses incurred & anticipated from disability
- Balance the needs of the family with the needs of the ill individual
Phase 8 - Death & Family reorganization
- working through the grieving process
- reorganization of family to fill vacancy left by decreased
- realignment of roles
Distinguish between health, illness, sickness, and disease in Labonte’s model of health/illness
Health is not a continuum; it overlaps with illness and disease. Health is objective, illness is subjective, disease is objective, wellness is subjective
Explain the impact of hospitalization across the lifespan
anxiety, loss of control, fear of the unknown
Childhood
- confusing, overwhelming, stressful events
- children are more vulnerable to the impact of illness/hospital
- separation anxiety 3 stages: Protest, despair, and detachment
- regression is lack of control over previously mastered skill
INFANT
- trust vs mistrust
- separation anxiety, stranger anxiety, disruption of normal routine and growth
Toddler
-disruption of mastering accomplishments, loss of control, separation anxiety, extremely vulnerable, stranger anxiety, disruption of familiarity
Pre-school
- initiative vs. Guilt
- fear mutilation and intrusive procedures
- interpret words literally
- egocentric
- magical thinking
SCHOOL AGED
- industry vs inferiority
- distress over medical treatments
- separation from friends
- sexual discomfort
- lonely bored, depression, isolated
ADOLESCENT
- body image
- want independence
- separation anxiety from friends
- does not share info
- disruption of normal routine
- may not follow treatment
- be creative in doing investigation
ADULT
- intimacy vs isolation
- anxiety related to disruption of relationships, not being able to provide for your family and maintaining a career and controlling finances
- anxiety related to childbearing or parenthood and family care
- loss of control and independence
- fear of unknown
MIDDLE ADULTHOOD
- Anxiety: finances, debts
- still have children but also have elderly parents to take care of
- feeling guilty about leaving the responsibility for others
- loss of control: mid-life crisis, loss of independence and dreams
- fear of unknown
ELDERLY
- ego integrity vs despair
- lack of routine and independence
- decrease in cognitive and physical abilities
- loss of ADLS
Labonte’s Model of Health
A- health/wellness
B- illness
C- grey area, feel so so, could become healthy or ill
D- sickness - diagnosis validates and explains subjectives feeling of illness
E- ill after being diagnosed
F- diseased undiagnosed
G- ill and diagnosed but have perception of health
