Quality Of Life Flashcards
Qol info used to
Compare treatments
Investigate reasons for poor adherence
Policy making and resource allocation
What is quality of life
Broad ranging concept affected by persons PHYSICAL HEALTH, PYSCH STATE, level of INDEPENDENCE, social RELATIONSHIPS and their relationship with ENVIRONMENT
Types of QOL scale for assessing
- generic or illness specific
- standardised or individualised
- unidimensional or multidimensional
Generic or illness specific
Generic
- Short form 36: patient reported survey of health. Used to calcukate cost effectiveness of treatment
- EQ5D: wide range of health conditions and treatments, simple descriptive profile and single index value
- Nottingham health profile
Generic or illness specific
Illness specific
- Arthiritis impact measurement scale
- Salford psoriasis index
Stadardised
Barthel index
Everyone answers same questions, asked about tasks etc and asked to rank from 0(totally dependant) to 100 (totally independat)
Individualised
SEI QOL
Each individual has own different definition for QoL.
Select 5 most important domains to them and evaluate own life worst to best for each domain
Unidimensional
General health questionnaire
Single score for mood
Multidimensional
SF 36
Mental health, physical functioning, pain and energy, social functioning asked about
Types of appraisal
Primary: nature and magnitude of the threat
Secondary: what resources do i have to deal with stressor (knowledge and skills etc)
Coping styles
Approach coping: solving problem
Avoidance coping: avoiding the problem
Type of strategy best matched with situation
If stressor NOT controllable - emotion focused coping better
If stressor controllable - problem focused coping better
Emption focused coping
Reframing, comparisons
Give new focus
Usually denial, distraction, anxiety management, wishful thinking or drug use
Problem focused coping
Seeking advice and info about problem
Taking meds
Coping strategies
Coping with stressor (problem focussed)
Coping with my reaction (emotion focussed)
