Patient Perspective Flashcards
How can body image be influenced by:
- physical perspective
- environmental/social aspects
- discourses
- embodiment - only tend to become aware of our bodies when things go wrong
- what is considered desirable
changes over time/social context - use of language
dominant discourses
What are the three elements of “The civilised body”
- hide natural functions
- control emotions
- separate space between bodies
- define body image
2. define self esteem
- the picture we have in our minds of the size, shape and form of our bodies
- relates to how much you like oneself, and how you recognise or appreciate your indvidual character, qualities, skills and acomplishments
How is body language gendered for:
a) men
b) women
a) language of power; related to function and action
b) language of control; body is an object; social currency
- What is biographical disruption
2. how can it occur following diagnosis
- the destabilisation and questioning of identity and biography
- can call into question the past, future, sense of “i” and where I am going.
Why can a diagnosis of breast cancer be challenging for men?
challenges sense of masculinity, and can be distressing/stigmatising to live with a disease associated with women
Name 4 problems with “leaky bodies”
- more likely to remain in hospital
- patients become withdrawn and more disengaged from others
- visibility of illness and aversion of others
- concern about leakage onto clothes
Name sources from which people develop their views of vaccines (4)
- publicly accessible media
- conspiracy theories
- celebrity endorsements
- blogs/forums
Describe responses to common objections of vaccination:
- the diseases is not serious
- the disease is uncommon
- the vaccine is ineffective
- the vaccine is unsafe
- other methods are preferable to immunisation
- diseases such as measles kill healthy children
- diseases such as measles, diptheria and polio are common in unimmunised populations and are easily spread worldwide
- all vaccines undergo vigerous trials to show they are effectove
- all vaccines are assessed for safety and monitoring continues. Adverse events are rare
- there is no evidence that homeopathic vaccines confer any protection
- What needs to be considered when introducing vaccines
- How may avoidance of a vaccine affect:
a) the individual
b) the community
- the safety of the vaccine, and how it is introduced/used in practice
2a) protection by herd immunity may be the safest option as it avoids the risk of the vaccine
2b) avoidance of vaccination leads to reduced coverage and diminished herd immunity.
Name the 4 phases of grief
- numbness
- yearning/pining and anger
- disorganisation and dispair
- reorganisation
Name symptoms of grief
- depression, sadness, helplessness, numbness
- somatic sensations - sensitivity to noise, stomach, muscle weakness, breathlessness
- sleep and appetite disturbance
- concentration impairment
Describe the 4 tasks of mourning
- accept the reality of the loss
- work through the pain of grief
- adjust to an environent in which the deceased is missing
- emotionally relocate the deceased and move on with life
describe factors affecting greif severity
- closeness of relationship
- expectedness/manner of death
- age and developmental stage of griever
- individual resilience
- attachment and dependency
- religious belief
- social support
Why is it important to consider spirituality?
- evidence of the effects of spirituality on health
2. leakage of values of the clinician
How can religious belief impact on bereavement? (5)
- belief in afterlife - continuing existence of loved one
- continued attachment - prayer as means of communication
- defence against fear of personal extinction
- funeral rituals aid and progress grief process
- funeral rituals recruit social support
Name 5 examples of complimentary therapies
- chiropractic
- osteopathy
- acupuncture
- herbal medicine
- homeopathy
Which CAMs are staturory regulated?
chiropractic
osteopathy
- What is chiropractic medicine?
2. What is osteopathy?
- use of hands to relieve problems with bones, muscles and joints, in a process called manipulation
- a way of detecting, treating and preventing health problems by moving, stretching and massaging a person’s muscles and joints
- How much of CAM is funded by the NHS
2. What percentage of people want CAM on the NHS?
- 13%
2. 75%
Name 4 contextual factors that can influence effectiveness of CAM
- patient-physician relationship
- treatment features - patient centred care, therapeutic touch
- health care setting features
- patient expectations
Describe how a social crisis may lead to the presentation of dementia
e.g. death of a spouse may lead to a person being unable to function, revealing cognitive dysfunction and impairment
- How may a patient respond to diagnosis of dementia?
- How may carers respond to diagnosis of dementia?
- Why may a person not want a diagnosis of dementia?
- denial (with or without insight)
grief reaction
acceptance/positive coping strategies - confirmation of something they long suspected
fear
anger
grief - big fear
concerns over impact on daily life
Describe 5 benefits of a diagnosis of dementia
- know what it is you are dealing with
- access to treatments
- access to support services
- infrormation and education
- access and manage risks
- What are the effects of dementia on a spouse/partner?
- What are the effects of dementia on a parent/child relationship?
- How can dementia impact on relationships?
- How can dementia impact on the health of carers?
- relationship becomes skewed.
altered outside relationships - role reversal
effects on other dependents - effects of physical care
poor sleep
constant vigilance
loss of support of affected family member - patient does not behave in any recognisable way as themselves
patient may not recognise carer
loss of dignitiy
anticipatory grief
