Module 1 - Chronic Care Intro + Self-management Flashcards
What is the leading cause of death for females
Dementia and Alzheimer
What is the leading cause of death for males
The leading cause of death for males was coronary heart disease
What does the Innovative care for Chronic conditions framework (ICCCF) encompass
Micro
Meso
Macro
What is the burden of disease
Burden of disease analysis is a technique used to assess and compare the impact of different diseases, conditions or injuries (referred to collectively as causes) on a population. It uses information from a range of sources that quantify the fatal and non-fatal effects and combine them into a summary measure of health called the DALY-a disability-adjusted life year.
What are the stages of the Levvett Jones Clinical Reasoning Cycle
- Consider patient situation
- Collect cues/information
- Process Information
- Identify problems/issues
- Establish Goals
- Take Action/interventions
- Evaluate outcomes
- Reflect on process and new learning
What does it mean by potential illness trajectory
‘Illness trajectory’ or ‘course of illness’ are phrases that are sometimes used in medicine. They look at time of diagnosis to the time of death. They describe what will usually happen. It is not what will always happen.
Which article defines health literacy as this:
states “definitions of health literacy should incorporate the role of language and cultural and social constructs. It is “a tapestry of skills combining basic literacy, math skills, and a belief in the basic tenets of the treatment modality”.
McCabe 2006 in Parnell
Who defines self-management as define self-Management as: “a process whereby education or training is provided to people with a chronic illness and an outcome when people with long term conditions achieve the skills and knowledge to manage the medical emotional and role aspects of their illness”
Chang and Johnson (2018)
What are some self-management skills
- Problem solving
- decision making.
- how to find and utilize resources
- form partnerships with their health care providers
- taking action
What are some self-management tasks
- medical management of the condition
- involves maintaining, changing, and creating new meaningful behaviours or life roles
- dealing with the emotional sequeli of having a chronic condition, which alters one’s view of the future
What are the family centered care principles
- Respect and Dignity
- Information sharing
- Collaboration
- Participation
What developmental stage are stage 1 infants (birth-1 year)
- Erikson (psychosocial): Trust Vs Mistrust
- Piaget (Cognitive Stages): only able to consider own wants/needs. Intelligence demonstrated through motor activity
What developemental spot are stage 2 children at (Toddlerhood 1-3 years)
- Eriksons (psychosocial): Autonomy Vs Shame and Self doubt
- Paiget (cognitive stages): Language and memory mature, imagination develop, play is symbolic and imitative
- Kohlberg (moral judgement): Punishment and obedience orientation [preconventional level]
What developemental spot are stage 3 children at
Early Childhood 3-6 years
- Eriksons (psychosocial): Initiative Vs Guilt
- Piaget (Cognitive): Able to focus on one aspect of an object or event only
-Kohlberg (moral judgement):
Naive instrumental orientation
[preconventional level]
What developemental spot are stage 4 children at
Middle Childhood 6-12 years
- Eriksons (psychosocial): Industry VS inferiority
- Paiget (cognitive): Evidence of organised logical thought, problem solving requires that the problems involve identifiable objects
-Kohlberg (Moral):
Good boy, nice girl orientation
[Conventional level]
What developmental spot are stage 5 children at
Adolescence 13-18 yrs
- Erikson’s (Psychosocial): Identity and Repudiations VS identity confusion
- Piaget (cognitive): Thought becomes less abstract, incorporating the principles of formal logic
Kohlberg (Moral): Postconventional or principled level
What developemental spot are stage 6 people at
Early adulthood
Eriksons: Intimacy and solidarity vs isolation
-Piaget (cognitive): Thought becomes less abstract, incorporating the principles of formal logic
Kohlberg (Moral): Social contract orientation
What developemental spot are stage 8 people at
Middle adulthood
Eriksons: Generativity Vs self-absorption
What developemental spot are stage 9 people at
Later adulthood adulthood
Eriksons: Ego integrity vs despair
Developmental milestones by 3 months
Fine and gross motor skills: -Lifts head when on belly -Kicks Talking and understanding: -Responds to sound -Responds to mothers voice Social: -Smiles -Recognises mother Intellectual: -Shows visual interest -Makes active movement
Developmental milestones by 6 months
Fine and gross motor skills: -Good head control -Rolls over -object from hand to hand -Weight on legs Talking and understanding: -Four or more sounds -Laughs Social: -Anticipates touch or being lifted -Drinks from cup with adult holding it -Enjoys play Intellectual: -Resists objects taken out of hands -Shows clear pleasure with new objects
Developmental milestones by 9 months
Fine and gross motor skills: -Sits without support -Crawls or attempts -Points with finger Talking and understanding: -Babbles -Responds to name Social: -Displays fear -enjoys games with people Intellectual: -Objects down and back up -feels objects
Developmental milestones by 12 months
Fine and gross motor skills: -Crawls well -Stands holding on Talking and understanding: -Babbles sentences six or more words -Understands no Social: -Points at wanted objects -Plays more complex games Intellectual: -Explores -copies actions
Developmental milestones by 18 months
Fine and gross motor skills: -Stands and walks alone -Bend to pick objects up -Kick ball Talking and understanding: -4/8 words clearly -Point to named pictures -Follow single instruction Social: -enjoys books -No, mine -Points to body parts Intellectual: -Plays correctly with toys -Completes simple puzzles
Developmental milestones by 2 yrs
Fine and gross motor skills: -Runs -Throws balls -Scribble Talking and understanding: -Increased vocab -Follow two step command -Talks to seld Social: -Throws tantrum -Plays side by side with same aged friend -Learn to self feed Intellectual: -Joins 2-3 words in sentence -Recognises details in picture