hydro

Question 1

self management involves

Answer 1

• Disease management – i.e. treatments (medical and nonpharmacological), behavioural interventions
• New roles – what will change in their life?
• Psychological factors – emotions come along for the ride

Question 2

self management in chronic disease includes

Answer 2

• Learning about the chronic health condition
• Partnership with practitioner, shared decision making
• Skills development
• Peer support

Question 3

barriers to self management

Answer 3

• Limited partnership with health care practitioner(s)
• Limited access to self management programs and health care
  resources
• Low health literacy

Question 4

what facilitates self management

Answer 4

• Building patients’ self-efficacy * i.e. “I can do this!”
• Asking about patients’ goals and challenges
• Shared group appointments/education sessions
• Access to self-management programs

Question 5

treatment variables that impact intensity

Answer 5

temperature
duration
wetness
friction/pressure
size of applciation
frequency
time of day
permeability

Question 6

modifying intensity in extreme temeprature and neutral temperature

Answer 6

extreme temperature –> short duration –> more intense

neutral temperature –> ling duration –> more intense

Question 7

modify intensity by wetness

Answer 7

wetter= more intense

Question 8

modify intensity by friction and pressur

Answer 8

more friction or pressure= more intesnse

Question 9

modify intensity by size of application

Answer 9

increased area covered by heat –> stronger derivative effect

smaller area covered by cold –> stronger revulsive (depletion)/retrostatic effect

Question 10

modify intensity by frequency

Answer 10

repeat treatment more often= more intense

best time of day for patient may enhance treatment effefct

Question 11

variables that impact if effect is reflexive or direct

Answer 11

temperature (how far is it from body temeprature)

location

Question 12

reflexive is useful when

Answer 12

limited access to area

local hot or cold contraindicated

Question 13

what carries temperature well

Answer 13

water

Question 14

closed system

Answer 14

Skin > nerves > vessels

Question 15

how to direct blood and lymph flow

Answer 15

Derivation

Question 16

derivation- what is the mechanism?

Answer 16

• Heat is the mechanism
• Blood and lymph flow towards heat

Question 17

depletion (revulsive/retrostatic)- what is the mechanism?

Answer 17

• Cold is the mechanism
• Blood and lymph flow away from cold

Question 18

alternating/ contrast

Answer 18

• Combination of heat and cold = pumping action
• Decongestive

Question 19

arterial trunk reflex

Answer 19

Application over arterial trunk has the same effect on arterial branches

Question 20

collateral circulation

Answer 20

• Relationship between superficial and deep branches of a vessel
• Opposite effect between branches

if apply to one branch (superficial) heat and vasodialte, then the other branch (deep) will constrict

Question 22

modify intensity by permeability

Answer 22

Covering material more impervious–> increased derivative effect

Question 23

burnout

Answer 23

“… chronic workplace stress that has not been successfully managed. It is characterized by three dimensions:

• feelings of energy depletion or exhaustion;
• increased mental distance from one’s job, or feelings of negativism or
  cynicism related to one’s job; and * reduced professional efficacy”
• Specifically related to work, not in other areas of life.
• Not a medical condition

Question 24

compassion fatigue

Answer 24

“… the cost of caring for others or for their emotional pain, resulting from the desire to help relieve the suffering of others.

It is also known as vicarious or secondary trauma, referencing the way that other people’s trauma can become their own.”

Question 25

signs of compassion fatigue

Answer 25

Feelings of helplessness and powerlessness in the face of patient suffering
* Reduced feelings of empathy and sensitivity
* Feeling overwhelmed and exhausted by work demands
* Feeling detached, numb and emotionally disconnected
* Loss of interest in activities you used to enjoy
* Increased anxiety, sadness, anger and irritability
* Difficulty concentrating and making decisions
* Difficulty sleeping and sleep disturbances like nightmares
* Physical symptoms like headaches, nausea, upset stomach and dizziness
* Increased conflict in personal relationships
* Neglect of your own self-care
* Withdrawal and self-isolation
* Increase in substance use as a form of self-medication

Question 26

general themes for burnout and compassion fatigue

Answer 26

• Boundaries (where possible)
• Self-awareness
• Recognizing limitations, control
• Can self-compassion help?

Question 27

symptoms are similar in burnout and compassion fatigue

Answer 27

• Symptoms are similar
• Burnout related to work,
• Compassion fatigue in helping professions
• Similarities in addressing both: * Boundaries
• Pause
• Possibly a role for self-compassion

Question 28

informed consent

Answer 28

• Is a conversation and ongoing
• Is not sufficiently completed when someone signs a form
• For:
• taking the history
• completing physical exam
• Interventions (assessment and treatment) * collecting personal health information
• Should be repeated each time will repeat treatment, even if it is the same treatment

Question 29

aspects of informed consent

Answer 29

• Nature of the intervention (or assessment) and rationale
• Expected outcomes and/or benefits
• Material risks (including financial costs, significant harm or death)
• Alternatives
• Consequence of no treatment
• Right to withdraw consent at any time

Question 30

capacity in informed consent

Answer 30

• Practitioner to determine capacity
• Needs to be able to understand information related to making the decision
  and potential consequences of the decision
• Presumed capacity unless have information to believe otherwise