Managing illness Flashcards
What is self care?
Care taken by individuals towards there own health and well-being
Includes the care extended to there children, family, friends, and other neighbourhoods in local communities
Why do people do selfcare?
to stay fit maintain good physical and mental health meet social and phycological needs prevent illness and accidents care form minor ailments and long term conditions
What are the 4 components of Brakofsky’s model of self care
Restorative - to alleviate illness (done by doctor and health care professionals)
Reactive - to alleviate symptoms (patient tries to manage illness before seeing doctor)
Preventive - to prevent disease (e.g. lifestyle change)
Regulatory - to regulate body processes (e.g. put on a coat if its cold outside)
Why has there been a rise in self-care?
Symptom management idea of clinical iceberg most people manage illness outside of clinical setting
Different definitions of health and illness
Healthism and consumerism
(diet books detox’s , supplements)
Body maintain
Increase Internet use (popular sector of Kleinman’s model)
Changing beliefs about medical power and expertise due to media
Increase in prevalence of chronic disease
Technology self testing kits
over the counter and now online pharmacy
needs to reduce NHS costs
Self care for acute conditons?
Ongoing
Cure expected
QOL highly dependant on professional care
QOL high dependant on short term acute heath care services
Healthcare professional generally has a greater knowledge than the patient about their condition
short term goals set
Compliance is expected
Self care for chronicn condtions?
Episodic (symptoms may come and go in varying severity’s)
Incurable
QOL highly dependant on patients self-care
QOL dependant on ongoing support services
Patient generally has greater knowledge of there condition than the doctor
Short term goals to meet long term outcomes
Self reliance and compliance expected
What are synergistic conditions
And non-synergistic condtions?
conditions of the same area
conditions that occur in more than one system of the body
Why are multimorbity non-synergistic conditions harder to manage?
People have to see different specialists
What may be good for one aliment may not be good for the other or you many not be able to do because of the other
What is meant by master status?
What patients with multimorbites feel is the most important condition they want to be sorted out
This may not be the same thing you as a clinical feel is the most important but obviously is of importance to the patient
What is the Expert Patient?
Programme setup in 2002 to teach people how to deal with long term chronic conditions form other patients who manage that condition
increasingly ageing population and lack of education programmes to support people with chronic conditions
What are the 12 self management task of chronic disease?
Recognising and responding to symptoms
Using medications
Managing acute episodes and emergencies
Maintaining good nutrition and diet
Maintaining adequate exercise and physical activity
Not smoking
using relaxation and stress reducing techniques
Interacting with healthcare providers
Seeking information and community resources
Adapting work and other role functions
Communicating with significant others
managing the negative emotions and psychological response to illness
What are the advantages of giving a patient a disease label?
What are the disadvantages?
Empowering to patient they gain an insight and knowledge of the disease
Improves self image e.g there weight gain may not have been due to diet but due to medical condition
Improves clinical communication and enhances treatment access
Issues:
Dehumanising many doctors only see the diagnosis not the person
stigmatisation associated with lots of conditions
What is involuntary deception (patient)
patient makes a judgment that isn’t justified ie they misunderstand information heard by the doctor e.g. lump interpreted as cancer
What is voluntary deception?
Doctor knows patient has misunderstood information and chooses not the clear it up and clarify what they mean
What is inetional deception?
Doctor tells the patient something they know to be incorrect ie lying
