Sociological Approaches To Chronic Illn Flashcards
LO2: underst how self managem impacts on LTC managem.
-sociol theory on chronic illn- WORK:
Illn work, everyday life work, emot work, biographical work, ID work.
-illn work- getting diag: Poss long uncert. Ambiv status of some diag eg IBS, chronic fatigue. Unpleasant proc. Diag shocking, threatening or relief.
Symp managem: deal with physic manif bef soc. Interac btw body and ID. Self conception changes.
Self managem: optim diffic to achieve eg adherance, reduc QoL, psych wellbeing. Brief intervens to impr self managem deliv online/in person/phone vary in effectiveness.
(Expert pt prog: coping and cond managem skills, reduce hosp admiss, pt cent, responsib of care placed on pt, little ev of efficiency savings).
Self managem at dist- telehealth/med, mixed ev of effectiven, whole sys demonstrator trial.
-everyday life work: coping and strategic managem: Coping- cog proc inv in dealing with illn. Strategy- actions and procs inv in managing cond and its impact.
Normalisat: can try keep prev ID eg disguise/minim symps. Or redesignate new life as norm, poss change ID.
-emot work- work to protect emot wellbeing of others. Concious maint of norm activs. Restrict soc circle. Downplay symps.
Impact on role: dependancy.
-biographical work- loss of self: former self image gone, interac btw body and ID.
Biographic disrup: New conciousness of body and fragility. Biographic shift to abn trajectory.
LO3: expl whats meant by stigma.
-identity work- work to maint acceptable ID. connotations of cond. self percep and that of others. Can define ID.
Stigma: contr of body means we present ourselves in socially valued ways. Stigma is neg defined cond, attrib, trait, or behav conferring deviant status.
Discreditable stigma: nothing seen but if found out… Eg ment illn, HIV.
Discredited stigma: physic visib chars or well kn stigma sets them apart eg physic disabil, kn suicide attempt. Some conds both eg epilepsy.
Enacted stigma: real exper of prejudice, discrim and disadv.
Felt: fear of enacted, also encompasses feeling of shame. Selective concealment.
LO4: expl diff ways of conceptualising disabil.
-rel btw chronic illn and disabil complex and disputed.
-medical model- disabil as deviat from medic norms. Disadv are direct conseq of impairm. Needs medic interven to cure/help.
This model lacks recog of soc and psych facs. Stereotyping and stigmatising lang.
-soc model- probs are prod of env and fail of env to adjust. Disabil is form of soc oppression. Polit action and soc change req.
this model leaves out the body. Overly drawn view of society. Failure recog bodily realities and extent to which these can be solved socially.
-internat classif of impairm- ICIDH classif 3 conseqs of dis:
Impairm: abn struc and func of body.
Disabil: perf of activs.
Handicap: soc and psych conseqs.
PROBS- word handicap implies probs are intrinsic or inevit.
-internal classif of functions, disabil and health= WHO framew for meas health and disabil. Tried integ medic and soc models. Incl role of env. Key compons:
Body struc and func, activities the indiv can/cant do, particip in life situations. All interact with each other and are aff by personal and env facs.
LO1: desc sociologic research on how chronic illn/LT conds and/or disabil may impact a persons life and ID.
- chronic illn incls range LTCs, big infl on lives, often co morbidities. Manifs vary daily. Controlled not cured. Will incr with aging popn but in yng too.
- RA: Us diag 40-60. More wom. Prog inflamm autoimm. Int pain, swell, fatigue, musc atrophy, anaemia, osteoporosis. Exacerb and remiss.
- LTCs= 50% GP appt, 64% OP, 70% inpt. 70% england HC budget. Tx limited. Soc and psych facs imp.
- coping styles, emot resp, eff of distress on outcome.
- sociologic appr- foc on impact on soc interac and role performance. Experience and meanings of chronic illn. How people manage everyday.
- illn narative- story telling and accoutning practices in the face of illn. Lot research based on peoples narratives which offer way of making sense and perf cert funcs.
