The Impact of Heart Disease on Quality of Life Flashcards

1
Q

What is Quality of Life?

A

The presence of a reasonable amount of pleasurable, successful and meaningful experience

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2
Q

What is Health Related quality of life?

A

Quality of life relative to one’s health or disease status

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3
Q

What 3 factors does the ICF (International Classification of Functioning, Disability and Health (WHO)) focus on with regard to QOL?

A

Bodily functions and structures
Activity
Participation

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4
Q

In the Wilson and Cleary model of HRQOL, characteristics of both the individual and those of the environment are taken into account. What 4 factors do these characteristics branch out into and lead to HRQOL?

A

Biological function
Symptoms
Functional status
General health perceptions

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5
Q

What are the most important properties of HRQOL measurement scales?

A

Reliability
Validity
Responsiveness
Sensitivity

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6
Q

Define reliability.

A

Extent to which a measure provides similar values for individuals with a similar underlying QOL

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7
Q

Define validity.

A

Extent to which it measures what it purports to measure

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8
Q

Define responsiveness.

A

Extent to which changes in HRQOL measures correlate with true changes in QOL

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9
Q

Define sensitivity.

A

The extent to which a measure can detect meaningful changes in QOL

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10
Q

In the Seattle Angina Questionnaire, what are type of elements are explored?

A

Patients physical limitations caused by angina - Frequency of angina
Angina stability
Satisfaction with treatment
Degree to which they perceive their disease to affect their quality of life

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11
Q

What are the 8 domains of the S-36?

A
  1. Physical functioning
  2. Physical role functioning
  3. Bodily pain
  4. General health
  5. Vitality
  6. Social role functioning
  7. Emotional role functioning
  8. Mental health
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12
Q

What are the 5 determinants of QOL?

A
  • Physical functioning
  • Psychological functioning
  • Social functioning
  • Occupational functioning
  • Perception of health status
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13
Q

What are the physiological symptoms of anxiety?

A

– Fear of losing control
– Impending doom – Sense of dread
– Fear or terror
– Hopelessness

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14
Q

What are the behavioural symptoms of anxiety?

A
– Fidgeting
– Hesitating
– Avoidance
– Shaking
– Always rushing
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15
Q

What are the cognitive symptoms of anxiety?

A

– Apprehension
– Difficulties concentrating
– Memory problems
– Catastrophic thinking

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16
Q

What are psychological symptoms of depression?

A
Low self-esteem
Loss of confidence
Flat affect
Concentration difficulties
Negative thinking
Suicidal ideation / self-harm
Feelings of uselessness / worthlessness / hopeless / inadequate

17
Q

What are biological symptoms of depression?

A

Changes in sleep (over / under tired)
Mood (diurnal variation)
Changes in appetite (reduced / increased)
Reduced activity

18
Q

What does the Hospital Anxiety and Depression Scale (HADS) give an indication of?

A

Psychological distress