Pyschology Lecture 9 Flashcards

Chapter 9 The World of Health Care: Places, Procedures and People.

1
Q

What are 4 influences that go towards interpreting symptoms when you get sick

A

Education and health literacy
expectations about health
attentional resources
prior experience with the symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some individual differences in the perception of symptoms

A

People whop pay attention to their internal states are more likely to notice a symptoms
Current mood, traits, and stress level
gender
age
environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When are people more likely to seek medical care

A

When it is new
unexpected
painful
disruptive
highly visible
or a highly valued body part

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When are people less likely to seek medical care

A

Recognizable
Unimportant
Explainable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 4 stages of Delaying medical care

A
  1. Appraisal Delay
  2. Illness Delay
  3. Behaviour Delay
  4. Medical delay
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Appraisal delay when it comes to seeking medical care

A

The time it takes for someone to realize they might be sick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the illness delay stage when it comes to seeking medical care

A

the time it takes for someone to understand they’re really sick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the behavioural delay stage when it comes to seeking health care

A

the time it takes for someone to decide to do something about being sick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the medical delay stage when it comes to seeking health care

A

the time it takes to actually get medical help once someone decides to do something about being sick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How many canadians are hospitalized ina cute care facilities between 2019- 2020

A

Over three million

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the average length of stay

A

7 days and this has remiained unchanged over recent years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the most common reason for hospitalization from 2019-2020

A

the most common reason was for giving birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is an Outpatient

A

A person who goes to the hospital for a procedure or test but does not stay overnight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is an Outpatient

A

Someone who visits the hospital for a procedure or test but does not stay overnight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a Day care patient

A

A person who goes to the hospital for a procedure or test that is more involved, but does not stay overnight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a total institutions (in terms of hospitals)

A

the hospital takes responsibility for the total care and control of its inhabitants.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What could lead to better outcomes for patients

A

being involved in the decision making process for their health care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is reactance

A

When people push back or resist against rules or recommendations because they feel like their freedom or control is being taken away. patients who don’t follow medicaladvice or hospital rules because they feel like their personal control over their health is being restricted or challenged. someone rebels against being told what to do because they want to maintain their sense of independence or autonomy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is Empowering care

A

An approach where patients are actively involved in decisions about their health and treatment. aims to enhance autonomy, confidence and ability to manage their own health effectively.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is disempowering care

A

Patient care that yields dependence and results in learned helplessness

Diminishes patients sense of autonomy, control, and participation in decisions about their health care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are Monitors

A

Patients who welcome information and seek it out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are blunters

A

Patients who prefer to avoid information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the Uniformity Myth

A

Belief that all patients with same condition should receive identical treatments or interventions. assumes that what works for one will work with all other patients with the same diagnosis or symptoms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is depersonalization

A

taking away of ones sense of invdividuality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is Dehumanization

A

Tendency to see people as objects or body parts rather than human beings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the most common point of entry for many patients in hospitals

A

The Emergency department. more than half of all hospital admissions take place through here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is tridge

A

the sorting and classifying of patients to determine priority of need and proper location and means of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is Patient controlled analgesia

A

Analgesic administration that is independly controlled by the patient

Analgesia (relief of pain without loss of consciousness) using pain killers like opioids, acetaminophen, anesthetics etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is Lock-out interval

A

Period of time between allowable dosages, when PCA is used. a device is set by a practicioner to control this period

30
Q

Where is modern technology most prominent

A

In the ICU (Intensive care unit)

31
Q

How long do emotional consequenes persist after patients are discharged from the ICU

A

Up to a yaer

32
Q

What is the incommunication stage for patient in the ICU

A

The initial phase when patients might not be fully aware or able to communicate effectively due to their medical condition or sedation. may be unconscious or too disoriented to understand their surroundings or interact with others.

33
Q

What is the Readaptation stage for patients in the ICU

A

This is the second phase where patients regain consciousness and are more aware of their surroundings. Can now communicate with healthcare providers and family members perhaps still feeling weak or confused. This stage involves physical and mental readjustment as patients recover from their critical illness and adapt to being in the ICU environment

34
Q

What is the refelction stage for patients in the ICU

A

Final tage
Once patients are more stable and alert they enter this stage. they reflect on their experiences, their illness and their future. and may begin to process any emotional or psychological challenges they faced during their hospitalization. this stage can be a time for patients to gain insight, set goals for their recovery, and prepare for the transition out of the ICU

35
Q

What is Relocation stress in the ICU

A

stress caused by being seperated from those things that were keeping patients alive- the one on one care and technology

36
Q

what is the expertise model

A

model in which the phsyican and the intensive care team are assumed to be best informed and most objective. and therefore best equipped to make end of life decisions

37
Q

What is the negotiated model

A

decision making model that allows decision making to be shared among the practitioners, patient and family

38
Q

What is discharge planning?

A

[rpcess in which post hospital care is organized and risks, such as social problems and lack of support are assessed.

39
Q

What is Palliative Care

A

Care to maintain quality of life as best as possible for a patient who in the advanced stage of an illness

40
Q

What is a progressive illness

A

a condition that will continue to worsen in spite of treatment

41
Q

what is an advanced illness

A

a stage of illness at which death is imminent

42
Q

What is Euthanisai

A

the deliberate ending of a patients life to relieve suffering

43
Q

What is a DNR (Do not resuscitate order)

A

an order given by a physician indiciating that CPR and other interventions are not to be used if the patient stops breathing

44
Q

What is the mixed management model of care

A

The prepration of a patient for eventual death while at the same time providing life sustaining treatments

45
Q

What is the second leading cause of cancer related death in Canada?

A

Colorectal cancer

46
Q

What are the most common screening procedures for Colorectal cancer

A

Colonoscopy and fecal occult blood tests

47
Q

What is Invasiveness

A

the extent to which hospital procedures involve piercing the skin or entering the body with instruments or, in a psychological sense, have the potential to cause embarassment

48
Q

What are some points for physicians emotional involvement in their work

A

Few professions require such emotional conversations (positive or negative)
such extreme emotional experiences are potentially exhausting and distracting
Physicians must learn to control their emotions
must distance themselves from the patient
medical students learn to dehumanize their patients by referring to them as body parts rather than as people

49
Q

What causes physicians stress

A

Often work under time pressure
work overload a significant source of stress

50
Q

What does it mean when someone experiences burnout

A

A condition that includes symptoms of physical exhaustion, depersonalization of patients, and feelings of discouragement and low accomplishment

51
Q

Why is uncertainity a source of stress

A

resulting from the fact that the conseuqences of medical decisions are often unknown

52
Q

what is a prognosis

A

a prediction of how a medical condition will change in the future

53
Q

What is physican impairment

A

a state in which stress related symptoms interfere with physicians abilities to perform their jobs

54
Q

What are the gender issues in medical practive

A

Among physicans, men and women bring different attributes to their work differently and communicate with their patients differently

55
Q

What is the feminization of Medicine

A

Trend towards increased proprotions of female physicians in the profession
in 1969,\6% of medical students in Canada were female
in 2011, 58% of medical students in Canada were female.

56
Q

What roles do most laypeople think are the primary tasks of nurses

A

Caring

57
Q

What roles do most laypeople think are the primary tasks of physicians

A

Curing

58
Q

What is advanced practive nursing

A

nursing that includes teaching, consultation and research within a speciality area where superior clinical skills and judgements are acquired through a combination of experience and education

59
Q

What is compassion fatigue

A

lack of energy among health care professionals, particularly nurses, who are constantly working in an environment in which suffering is common

60
Q

What is reality shock

A

the reaction to the discrepancy between a training environment and an actual work envrionment

61
Q

What are social factors in stress for nursing

A

The elemnts of a persons social network, such as family, friends and coworkers, that affect ability to cope with job stressors

62
Q

what are personal factors of stress in nursing

A

personal characteristics, such as high self esteem and clear sense of control that make some people better able to cope with the stressors of their job

63
Q

What is the psychological empowerment in stress for nursing:

A

a personal factor in stress that can include finding work meaningful, having a sense of autonomy, feeling competent, and having a positive impact.

64
Q

Challenges faced by physiotherapists are _____ in nature

A

Pyschological

65
Q

Physiotherapists must be sensitive to what

A

issues of motivation, adherence, mood, and social support

66
Q

If physical therapists and occuptional therapists hope to be successful what must they do

A

enter in a partnership with their patients if they hope to be succesful

67
Q

What is Adherence

A

Adherence is closely related to goal setting
physiotherapist cannot oversee all the work a patient must do
patients must work diligently on their rehabilitation

68
Q

What is external reinforcement when it comes to behavioural interventions

A

The encouragement and praise from physiotherpaists, friends, family and other practitioners needed by rehab patients for their success

69
Q

What is self reincorcement

A

praising oneself or rewarding oneself for accomplishments

70
Q

What are efficacy beliefts

A

the extent to which one thinks a course of action will actually work

71
Q

what are attributions:

A

the explanations people give for events such as their success or failures.