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

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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

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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

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4
Q

When are people less likely to seek medical care

A

Recognizable
Unimportant
Explainable

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5
Q

What are the 4 stages of Delaying medical care

A
  1. Appraisal Delay
  2. Illness Delay
  3. Behaviour Delay
  4. Medical delay
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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

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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

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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

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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

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10
Q

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

A

Over three million

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11
Q

What is the average length of stay

A

7 days and this has remiained unchanged over recent years

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12
Q

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

A

the most common reason was for giving birth

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13
Q

What is an Outpatient

A

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

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14
Q

What is an Outpatient

A

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

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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

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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.

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17
Q

What could lead to better outcomes for patients

A

being involved in the decision making process for their health care

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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.

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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.

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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.

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21
Q

What are Monitors

A

Patients who welcome information and seek it out

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22
Q

What are blunters

A

Patients who prefer to avoid information

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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.

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24
Q

What is depersonalization

A

taking away of ones sense of invdividuality

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25
What is Dehumanization
Tendency to see people as objects or body parts rather than human beings
26
What is the most common point of entry for many patients in hospitals
The Emergency department. more than half of all hospital admissions take place through here
27
What is tridge
the sorting and classifying of patients to determine priority of need and proper location and means of treatment
28
What is Patient controlled analgesia
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.
29
What is Lock-out interval
Period of time between allowable dosages, when PCA is used. a device is set by a practicioner to control this period
30
Where is modern technology most prominent
In the ICU (Intensive care unit)
31
How long do emotional consequenes persist after patients are discharged from the ICU
Up to a yaer
32
What is the incommunication stage for patient in the ICU
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
What is the Readaptation stage for patients in the ICU
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
What is the refelction stage for patients in the ICU
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
What is Relocation stress in the ICU
stress caused by being seperated from those things that were keeping patients alive- the one on one care and technology
36
what is the expertise model
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
What is the negotiated model
decision making model that allows decision making to be shared among the practitioners, patient and family
38
What is discharge planning?
[rpcess in which post hospital care is organized and risks, such as social problems and lack of support are assessed.
39
What is Palliative Care
Care to maintain quality of life as best as possible for a patient who in the advanced stage of an illness
40
What is a progressive illness
a condition that will continue to worsen in spite of treatment
41
what is an advanced illness
a stage of illness at which death is imminent
42
What is Euthanisai
the deliberate ending of a patients life to relieve suffering
43
What is a DNR (Do not resuscitate order)
an order given by a physician indiciating that CPR and other interventions are not to be used if the patient stops breathing
44
What is the mixed management model of care
The prepration of a patient for eventual death while at the same time providing life sustaining treatments
45
What is the second leading cause of cancer related death in Canada?
Colorectal cancer
46
What are the most common screening procedures for Colorectal cancer
Colonoscopy and fecal occult blood tests
47
What is Invasiveness
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
What are some points for physicians emotional involvement in their work
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
What causes physicians stress
Often work under time pressure work overload a significant source of stress
50
What does it mean when someone experiences burnout
A condition that includes symptoms of physical exhaustion, depersonalization of patients, and feelings of discouragement and low accomplishment
51
Why is uncertainity a source of stress
resulting from the fact that the conseuqences of medical decisions are often unknown
52
what is a prognosis
a prediction of how a medical condition will change in the future
53
What is physican impairment
a state in which stress related symptoms interfere with physicians abilities to perform their jobs
54
What are the gender issues in medical practive
Among physicans, men and women bring different attributes to their work differently and communicate with their patients differently
55
What is the feminization of Medicine
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
What roles do most laypeople think are the primary tasks of nurses
Caring
57
What roles do most laypeople think are the primary tasks of physicians
Curing
58
What is advanced practive nursing
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
What is compassion fatigue
lack of energy among health care professionals, particularly nurses, who are constantly working in an environment in which suffering is common
60
What is reality shock
the reaction to the discrepancy between a training environment and an actual work envrionment
61
What are social factors in stress for nursing
The elemnts of a persons social network, such as family, friends and coworkers, that affect ability to cope with job stressors
62
what are personal factors of stress in nursing
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
What is the psychological empowerment in stress for nursing:
a personal factor in stress that can include finding work meaningful, having a sense of autonomy, feeling competent, and having a positive impact.
64
Challenges faced by physiotherapists are _____ in nature
Pyschological
65
Physiotherapists must be sensitive to what
issues of motivation, adherence, mood, and social support
66
If physical therapists and occuptional therapists hope to be successful what must they do
enter in a partnership with their patients if they hope to be succesful
67
What is Adherence
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
What is external reinforcement when it comes to behavioural interventions
The encouragement and praise from physiotherpaists, friends, family and other practitioners needed by rehab patients for their success
69
What is self reincorcement
praising oneself or rewarding oneself for accomplishments
70
What are efficacy beliefts
the extent to which one thinks a course of action will actually work
71
what are attributions:
the explanations people give for events such as their success or failures.