Impact and trajectory of Illness

Question 1

Type of decline where the illness maintain a very platonic to steady slope before going dooowwnnnnn

Answer 1

Short period of evident decline

Question 2

Type of decline where the illness goes down a steady slope with sudden “burrows” in between meaning hospital admission before permanently plummeting

Answer 2

Long term limitations with intermittent serious episodes

Question 3

Type of decline where the illness has a very “rocky” slope going up and down without pattern before plummeting

Answer 3

Prolonged dwindling

Question 4

Illness that mostly contribute to Short period of evident decline

Answer 4

Mostly cancer

Question 5

Illness that mostly contribute to Long term limitations with intermittent serious episodes

Answer 5

Mostly heart and lung failure

Question 6

Illness that mostly contribute to Prolonged dwindling

Answer 6

Mostly frailty and dementia

Question 7

The normal course of the psychosocial aspects of the disease for the patient and his family.

Answer 7

FAMILY ILLNESS TRAJECTORY

Question 8

2 reasons Why we need to understand the trajectory?

Answer 8

1. Lets doctor know how to deal and anticipate the family’s response to illness
2. Allows doctors formulate special therapeutic plans

Question 9

5 Stages of the Family Illness Trajectory

Answer 9

1. Onset of Illness
2. Impact pahse
3. Major therapeutic efforts
4. Recovery phase
5. Adjustment to permanency of outcome

Question 10

Stage experienced prior to contact with medical care provider.

Answer 10

Stage 1: onset of illness

Question 11

The nature of illness often plays an important role on the impact of illness.

Answer 11

Stage 1: onset of illness

Question 12

illness provides very little time for physical and psychological adjustment

Answer 12

Acute

Question 13

Illness where the patient is in a state of uncertainty

Answer 13

Chronic

Question 14

4 Family adaptations in acute illness requires

Answer 14

1. Tolerate fast changing situations
2. Rapid mobilization of family resources
3. Flexibility and efficiency
4. Resourcefulness

Question 15

2 areas by which the patient and the family react

Answer 15

1. Emotional Plane

2. Cognitive Plane

Question 16

Reaction that contains initially denial, disbelief,

anxiety followed by anger, depression

Answer 16

Emotional plane

Question 17

Reaction that contains tension and confusion;

repeated failure in diagnosis leads to distress; relief comes with acceptance

Answer 17

Cognitive plane

Question 18

5 issues in choosing the

therapeutic plan

Answer 18

1. Psychological state of the patient and family
2. Assumption of responsibility of care early in
   the treatment plan
3. Economy of therapeutic plan
4. Lifestyle and cultural characteristics
5. Effects of hospitalization, surgery

Question 19

Return to full health is the simplest outcome or a Return from the hospital or major therapy starts a period of gradual movement from the role of being sick to some form of recovery or adaptation

Answer 19

early adjustment to outcome - recovery

Question 20

Signals a second crisis and Points to a family’s adjustment to crisis

Answer 20

ADJUSTMENT TO PERMANENCY OF THE OUTCOME

Question 21

Continued unwillingness to accept the permanency of the outcome may be a sign of pathology Prolonged and serious illness results in structural change in the family system

Answer 21

ADJUSTMENT TO
PERMANENCY OF THE
OUTCOME

Question 22

MAJOR ILLNESSES INVOLVE 4 LOSSES OF THE FOLLOWING

Answer 22

1. Body parts
2. basic motor function
3. Self esteem
4. Plans for the future

Question 23

For patients with a terminal illness, the ____ remains the most difficult time of the
entire illness.

Answer 23

the moment of

diagnosis

Question 24

The physician can assist the patient and the family
in relating to the health care system and should
always ____

Answer 24

Provide quality care

Question 25

% of dying patients prefer to die at home

Answer 25

60%

Question 26

3 IMPACT OF ILLNESS

Answer 26

1. Emotional trauma
2. Social dislocation
3. Economic catastrophe

Question 27

2 Things that happen during Family crisis

Answer 27

1. unavailable resources,

2. poor problem solving skills

Question 28

Disengaged family, dysfunctional and psychosocial factors, family conflicts, poor living conditions contribute to

Answer 28

poor outcome.

Question 29

3 ways of Evaluating family in crisis:

Answer 29

1.Assess family history of
coping with problems
2. Determine style of family development
3. Role of patient in the family