Impact and trajectory of Illness Flashcards
Type of decline where the illness maintain a very platonic to steady slope before going dooowwnnnnn
Short period of evident decline
Type of decline where the illness goes down a steady slope with sudden “burrows” in between meaning hospital admission before permanently plummeting
Long term limitations with intermittent serious episodes
Type of decline where the illness has a very “rocky” slope going up and down without pattern before plummeting
Prolonged dwindling
Illness that mostly contribute to Short period of evident decline
Mostly cancer
Illness that mostly contribute to Long term limitations with intermittent serious episodes
Mostly heart and lung failure
Illness that mostly contribute to Prolonged dwindling
Mostly frailty and dementia
The normal course of the psychosocial aspects of the disease for the patient and his family.
FAMILY ILLNESS TRAJECTORY
2 reasons Why we need to understand the trajectory?
- Lets doctor know how to deal and anticipate the family’s response to illness
- Allows doctors formulate special therapeutic plans
5 Stages of the Family Illness Trajectory
- Onset of Illness
- Impact pahse
- Major therapeutic efforts
- Recovery phase
- Adjustment to permanency of outcome
Stage experienced prior to contact with medical care provider.
Stage 1: onset of illness
The nature of illness often plays an important role on the impact of illness.
Stage 1: onset of illness
illness provides very little time for physical and psychological adjustment
Acute
Illness where the patient is in a state of uncertainty
Chronic
4 Family adaptations in acute illness requires
- Tolerate fast changing situations
- Rapid mobilization of family resources
- Flexibility and efficiency
- Resourcefulness
2 areas by which the patient and the family react
- Emotional Plane
2. Cognitive Plane
Reaction that contains initially denial, disbelief,
anxiety followed by anger, depression
Emotional plane
Reaction that contains tension and confusion;
repeated failure in diagnosis leads to distress; relief comes with acceptance
Cognitive plane
5 issues in choosing the
therapeutic plan
- Psychological state of the patient and family
- Assumption of responsibility of care early in
the treatment plan - Economy of therapeutic plan
- Lifestyle and cultural characteristics
- Effects of hospitalization, surgery
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
early adjustment to outcome - recovery
Signals a second crisis and Points to a family’s adjustment to crisis
ADJUSTMENT TO PERMANENCY OF THE OUTCOME
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
ADJUSTMENT TO
PERMANENCY OF THE
OUTCOME
MAJOR ILLNESSES INVOLVE 4 LOSSES OF THE FOLLOWING
- Body parts
- basic motor function
- Self esteem
- Plans for the future
For patients with a terminal illness, the ____ remains the most difficult time of the
entire illness.
the moment of
diagnosis
The physician can assist the patient and the family
in relating to the health care system and should
always ____
Provide quality care
% of dying patients prefer to die at home
60%
3 IMPACT OF ILLNESS
- Emotional trauma
- Social dislocation
- Economic catastrophe
2 Things that happen during Family crisis
- unavailable resources,
2. poor problem solving skills
Disengaged family, dysfunctional and psychosocial factors, family conflicts, poor living conditions contribute to
poor outcome.
3 ways of Evaluating family in crisis:
1.Assess family history of
coping with problems
2. Determine style of family development
3. Role of patient in the family
