Perspectives Of Chronic Illness Flashcards
Approximately what percentage of Canadians over 20 are living with at least one chronic condition
50%
In 2012 what was the highest proportion of global disease
Cardiovascular disease
What fraction of deaths in Canada each year result from chronic diseases?
2/3
Illness
Is the human experience of diease
-responses to condition
Chronic illness
Refers to experience of health problems that persist over extended periods of time
Sick role
Doctor is the expert and decides wether the individual is ill or not
-> the person must want to get well if not there is a benefit to getting sick
Building self efficacy
You need to gain mastery over a specific thing
-understand patient expertise and goals = interventions
Outcome expectancy
Belief that behaviour leads to the outcome
Vicarious experience
See others and become motivated
-support groups
Efficacy expectancy
Belief that they can do it
Nurse must be sensitive to patients with chronic diseases concerning…
-the variety of strategies and wether they are helpful or maladaptive
-patients may hide and conceal disease
-the disease may be visible or invisible
Disability
Difficulty in function at the body, personal or society levels
-one or more life domains
Medical model of disability
Disability is directly caused by disease, trauma, or other health conditions
-requires treatment from medical professionals
Social model of disability
Socially created problem, calling for political RESPONSE
-not enough ramps for wheelchair users
Biopsychosocial model for disability
Integration of medical and social
Shifting perspectives model
Perspective determine how people respond to the disease, themselves, caregivers and situations
-reality = these shift
A perspective is representative of
Beliefs, perceptions, expectations, attitudes and experience
Shifting perspectives model switches between
Illness in foreground and wellness in the foreground
Illness in the foreground
Focus on sickness, suffering, loss and burden
-destructive
-protective function to show realness of disease
-helps person learn, reflect and come to terms with disease
Wellness in the foreground
Illness as opportunity or meaning for change
-revision ing what is normal
-health is good beside disease
-self is not diseased, body is the source of identity
The spoon theory
Difference in being sick vs healthy, is having to make conscious decisions about simple life things that normally healthy people don’t worry about
Morbitity vs morality
Morbitity- rate of disease in a population
Mortality- rates of death
The state of health is repentant upon
Complex integration between social and economic factors
-determintents of health
Signs vs symptoms
Signs- objective
Symptoms- subjective
