Living with chronic illness Flashcards
To demonstrate knowledge of the prevalence and range of chronic illnesses in the population To demonstrate understanding of the impact of chronic illness on the sufferer To demonstrate understanding of the impact of chronic illness on carers To be able to relate this knowledge and understanding to dental patients and their oral health
what is a another name for chronic disease
non communicable diseases
describe non communicable diseases
long duration
generally slow progression
increasing prevalence worldwide
what are the four main types of non communicable diseases
CVD
diabetes
cancer
respiratory diseases
what are the four main risk factors of non communicable diseases
tobacco
alcohol
obesity
lack of physical activity
what is also included in NCDs
neurological and muscle skeletal
how many people live with a chronic illness
15 million
what is the probability of dying from the four main NCDs between the age of 30-70 in the UK
12%
what is a disease
a pathological condition recognised by indications agreed among biomedical practitioners indicated by signs and systems
what is an illness
the subjective state which is experienced by an individual0- a feeling of being ill and its impacts
what is chronic illness associated with
lower socio economic status
what socio economic factors is considered with chronic illness
increased early disease development increased early disability increased prevalence of chronic illness increased severity of chronic illness reduced life expectancy
what is the healthy life expectancy for males and females
roughly the same
what is the relationship between ethnic background and chronic illness
no clear relationship
what can a person in the sick role expect of society
exempt from normal social roles
not held responsible for being ill
what can society expect of a person in the sick role
must want to get better
must seek a diagnosis and comply with treatment
when was parsons sick role rejected
the 1990s
why was parsons sick role rejected
applies to acute health care but not chronic illness
due to disease stigma and victim blaming
the role of a doctor and patient-
what does abraham maslow say
the appearance of one usually rests on the prior satisfaction of another
what might people with chronic illness suffer from
very isolating experience
what strategies are adapted with a chronic illness
normalising denial avoidance resignation accommodation
what are the pros for the normalising strategy
helps patient come to terms with symptoms
what are the cons for normalising strategy
may result in failure to comply with treatment if symptoms are normal
what is the denial strategy
denying existence of the illness
what are the pros of denial
may help the patient cope during initial uncertainty about the diagnosis and prognosis
what are the cons of denial
doesn’t help in the long term with planning
difficult to treat
what is avoidance
patient avoids situations which exacerbates symptoms
what are the pros of avoidance
May help the patient cope with the symptoms in the short term, or avoid triggers
what are the cons of avoidance
Can be maldadaptive or destructive
what is resignation
total acceptance-becomes the life of the patient
what are the pros of resignation
May be totally appropriate for very severe illnesses
what are the cons for resignation
for less severe illnesses it may render the patient invalid
what is accommodation
patient manages the symptoms, but does not make the illness central to their life
what are the pros of accommodation
Appropriate for less severe illnesses, so that the patient retains a sense of control in lives
what are the cons of accommodation
may not be appropriate for severe diseases
how many carers do we have in the uk
6 million
what percentage of carers are unpaid female
57.7%
what do we need to consider with chronic illnesses and dentistry
medical side effects of drugs
social consequences of their diagnosis
psychological consequences of their diagnosis