Psychosocial of cancer

Question 1

Coping behaviour

Answer 1

appraisal focussed- how you’ve interpreted the situation

problem focussed- potential solutions

info seeking

reward setting

Question 2

Resilience

Answer 2

coping is how we adapt to stress

resilience is the outcome of successful coping. dynamic and changes over time

Question 3

Screening and self examination

Answer 3

beliefs about medicine
perceived risks
health professional factors- communication
organisational factors- invitation? location?

Question 4

Increase chance of screening

Answer 4

self confidence
motivation for health
being married

Question 5

negative associations of screening

Answer 5

perceived barriers
age
socioeconomic status

Question 6

Psychological aspect of diagnosis

Answer 6

health beliefs
denial
heightened response 
cabler ross model
self regulation- appraisal

Question 7

psychological morbidity

Answer 7

diagnosis is associated with depression

Question 8

kubler ross model

Answer 8

reaction to loss

1) shock and numbness
2) denial and isolation
3) anger, blaming
4) bargaining for time/ goals
5) acceptance

Question 9

Shontz model following a diagnosis of chronic illness

Answer 9

1) Shock (feelings of detachment, autopilot)
2) Encounter reaction (disorganised thinking, loss)
3) retreat (denial of the problem, retreat into self)

Question 10

Framework for breaking bad news

Answer 10

Setting- quiet and support
Perception- sequence of events, their ideas
Invitation- check if they want to know results
Knowledge- deliver info in sizeable chunks
Emotions and pathways- give accurate info
Strategy- make a plan, reassure, summarise, check understanding