Illness interusiveness, self-management, and psych effects of pharm tx

Question 1

Illness intrusiveness is…

Answer 1

A common, underlying determinant of quality of life (QOL) in people affected by chronic disease

Question 2

The result of disease and treatment causes…

Answer 2

disruptions to lifestyle, activities, and interests

Question 3

Disease variables associated with illness intrusiveness:

Answer 3

o Severity of disease, co-morbid conditions, sleep disturbances, fatigue, recurrent pain, physical disability

Question 4

The goal of self-management approaches is to assist people in three realms:

Answer 4

1. Compensating for deficits that can be addressed directly
2. Accommodating to those that cannot be addressed directly
3. Minimizing illness intrusiveness and maximizing QOL

Question 5

What is the assumption re. what facilitates adaption?

Answer 5

goal-directed coping and self-efficacy to exercise such skills

Question 6

Three fundamental principles of self-management:

Answer 6

1. Emphasis is on self-management (i.e., taking responsibility and learning about condition)
2. Partnership between service providers and recipients (i.e., collaboration v subservience)
3. Information acquired must be implemented through effective coping skills and behavior (i.e., implementing and following plans made)

Question 7

Psych. effects of being offered pharm tx (PROS/CONS)

Answer 7

PROS:
- Benefits of improved pain control to sleep, mood, and self-confidence
- Benefits of improved sleep for mood, fatigue, and exercise tolerance
- Benefits of improved mood when active rehabilitative effort is required
CONS:
- Dangers of psychological over-dependence on medication
- Possibility of superstitious reliance on medication
- Risk of misattribution of therapeutic change to medication
- Difficulty in offering patients conflicting treatment models