Introduction

Question 1

Time line/phase of illness?

Answer 1

Crisis: Pre-Dx with Sx ->Dx->Initial adjustment period
Chronic: Really long, it depends
Terminal:

Question 2

Goal of Palliative care?

Answer 2

Reduce Sx, like pain.

Question 3

Chronic disease vs Illness

Answer 3

Disease: Not passed from person to person, long duration and generally of slow progression (WHO, 2017)
Illness: The lived experience of long‐term health disturbance

Question 4

Contributing/risk factors?

Answer 4

Non-modifiable (genes)
Behavioral
Envir.

Question 5

Canadian 20 years old>over with chronic disease?

Answer 5

3 out of 5

Question 6

Wagner’s Chronic Care Model six key elements?

Answer 6

1) Delivery System design (how primary health care system is organized)
2) Decisional Support: How to keep HCP informed on drug/innovation.
3) Clinical Information Systems: Innovative ways to store and access pt informations
4) Community resources/policies: Existing self-management programs within the community.
5) Health Care Organization: from reactive to proactive system. Which is a system where we go find people who are at risk.
6) Self-Management

Question 7

Expanded chronic care model

Answer 7

Wagner model + community (Ottawa charter 5 health promotion actions)

Question 8

Chronic illness Measurement framework (4) aspect of the experience?

Answer 8

1) Pt experience
2) Family experience
3) Pt/family shared perspective
4) Interaction with the healthcare system

Question 9

Chronic illness Measurement framework author and goal of framework?

Answer 9

Loiselle, improving pt experience

Question 10

Rolland model and his perspective?

Answer 10

Family System-Illness Model

Question 11

1) Self-Management vs 2) self-management support?

Answer 11

1) Task the pt does to live well when living with a chronic illness
2) What others (family, health care system) do to support individuals with chronic illness.

Question 12

Stanford’s Chronic Disease Self Management author? Efficacy?

Answer 12

Kate Lorig

Meta-analysis: improved self-efficacy, reduced pain/fatigue

Question 13

Patient Activation Measure (PAM) 4 levels?

Answer 13

Level 1: Disengaged/overwhelmed ->passive, lack confidence, “my doctor is in charge of my health”
Level 2: Becoming aware, but still struggling ->Some knowledge, “I could be doing more”
Level 3: Taking action -> Building self-management skills “I’m part of my health care team”
Level 4: Maintaining behaviors and pushing further -> i’m my own advocate”

Question 14

E-Health vs M-Health

Answer 14

E-health: Internet

M-Health: Mobile health