Impact of long term conditions, demographics and aging well Flashcards
Define vulnerability
capacity to resist disease, repair damage and restore normal physiological homeostasis. Varies between individuals and between body systems/organs
Define Long Term health condition
Conditions for which there are no cure, and which are managed with drugs and other treatments.(The King’s fund 2020)
Conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. (US department of Health and Human services 2020)
% LTC GP appointments, outpatient appointmtnets, inpatient bed days
50% of all GP appointments.
64% of all outpatient appointments.
70% of all inpatient bed days.
6 key factors influencing a patients ability to tolerate treatment
Personal attributes and skills
Physical and cognitive abilities
Support network
Financial status
Life workload
Environment
What is the “sick role”
“our health is not only determined by our illness but by our own reactions and those of society”
basically that it is accepted and expected socially when you are sick to stay in bed and rest and be cared for.
Patients rights and obligations in the “sick role”
Rights: Not obliged to do usual daily work, to be cared for and not blamed for their illness.
Obligations: want to get better, take help.
Doctors righst and obligations in the “sick role”
Rights:
Status and reward due to functional importance of role
Autonomy in practice
Position of authority in relation to the patient
The right to question and examine the patient
Obligations:
To be highly trained (skilled and knowledgeable)
To be motivated by concern for the patient and community
To be objective and emotionally detached
To be bound by rules of professional conduct
Disability definition
An umbrella term for impairments, activity limitations and participation restrictions. It is the interaction between individuals with a health condition and personal and environmental factors.
Social vs medical models of disability.
Social: Disability isn’t the persons fault, rather the lacking ability of society to adapt to it.
Medical: Disability is the pathological changes to an individual, that require medical care/treatment to “correct” problem with individual so they can fit back again into normal society
Activity vs participation restrictions with the example of COPD patient
Activity restrictions: Movements etc unable to do, eg COPD patient unable to walk as far, struggling to get changed etc due to breathlessness
Participation restrictions: What the activity restrictions mean for that patient, eg. COPD patient losing socialisation when they use to shop with others etc
What is the Biopsychosocial model
Basically the effects that activity restrictions as a result of a disability will have on the wellbeing of a person as a whole.
“Body Structures are anatomical parts of the body such as organs, limbs and their components.
Impairments are problems in body function or structure such as a significant deviation or loss.
Activity is the execution of a task or action by an individual.
Participation is involvement in a life situation.
Activity Limitations are difficulties an individual may have in executing activities.”
What are the protected characteristics against discrimination
MARDS SoGR Mc
Maternity
Age
Race
Disability
Sex
Sexual orientation
Gender reassignment
Religion/belief
Marrige civil partnership
What is PVD
Perhipheral Vascular Disease (Angina of the limbs)
Define demographics
study of populations based on factors such as age, race, gender.
Define demographic data
Demographic data – socio-economic information expressed statistically.
Income, education, marital status, employment status etc
