MCQ assessment Flashcards
Chronic illnesses
prolonged; rarely cured; periods of exacerbation and remission
chronos
passage of time itself
growing life expectancy with chronic illness
> 60 have 2.2 chronic conditions
cardiovascular diseases
most cause of disability world wide
health is multidimensional
state of complete physical, mental, and social well being and not merely the absence of disease
disease
biological event with diagnosis
illness
subjective experience
Biomedical model
by Descartes; body as machine and mechanistic view of illness
mechanistic view
every disease has bio cause
association btw pathophysiology
includes psychosocial and environmental factors
George Engel
understand respond to patients suffering
biopsychosocial model
Bio -> social -> psycho
disability
limited physically or mentally
medical model of disability
disease that can be changed by doctors and specialists
social model of disability
address barriers socially to help individual
WHO of disability
both medical and social; biopsychosocial approach
impairments
loss/abnormality of body/organ structure and function
disabilities
restriction or lack of ability t perform
handicap
social consequences of disabilities; disadvantage in the social roles
ICIDH definition
disease (glaucoma) -> impairment (vision) ->
disability (seeing) -> handicap/disad -> orientation
criticism of ICIDH
focus on handicap and disability and stigmatizing
ICF definition
activities (disabilities) and participation (handicap)
ICF of functioning disability and health
body functions and structures -> activities/participation (capacities) -> environmental factors (barriers)
specific symptoms
physiological/psychological
specific illness
cold, cancer
consequence
can’t do what used to
timeline
how long symptoms last
Illness representations
beliefs about their illness impact life
Common sense model/self regulation model (leventhal)
how representations guide illness experiences
dimensions of illness perceptions
identity, consequence, causes, time line, cure/control
identity
signs of symptoms
consequence
physical, social, economic consequences of disease
cause
perceived cause of disease
time lien
time frame for development and duration
cure/control
extent of responsiveness to treatment
diagnostic labeling
associated with symptom reporting
attribution models
a person locating the cause
cause of disease
locus, controllability, stability
locus
extent the cause is a part of inside or outside person
controllability
extent person has control over cause
stability
extent to which cause is stable or changeable
timeline
acute, cyclical, chronic
measuring illness representations
Illness perception questionnaire (IPQ) - measures five dimensions
leventhal’s self regulatory model of illness behavior
internal and environmental stimuli -> a. representation of problem & b. emotional experience -> a. action plan for problem & b. plan for emotion -> appraisal
psychological variables
more mutable than sociodemographic variables
Health Belief Model
perceived susceptibility vs perceived benefits -> demographic variables to perceived health threat and evaluation of action -> likelihood of action from cues to action