The impact of long term conditions Flashcards
What are the 5 principles of patient centred care?
Respect Choice and empowerment Patient involvement in health policy Access and support Information
Define incidence and prevalence
Incidence - number of new cases in a population in a specified period of time
Prevalence - number of people in a population with a specific disease at a single point in time or in a defined period of time
Define vulnerability
An individuals capacity to resist disease, repair damage and restore physiological homeostasis
List som aspects of the burden of treatment
Changing behaviour or policing the behaviour of others to adhere to lifestyle modifications
Monitoring and managing their symptoms at home
Complex treatment regimens and multiple drugs
Complex administrative systems and accessing, navigating and coping with uncoordinated health care and social care systems
What is a biographical disruption?
Loss of confidence in body, social interaction and self identity associated with a long term condition.
May involve renegotiating existing relationships at home or work
Describe the impact of long term conditions
Individual - negative or positive, denial, self pity, apathy
Family - financial, emotional, physical, can become ill too
Community - isolation of an individual
What are the 3 components of disability?
Body and structure impairment
Activity limitation
Participation restriction
What can affect the way an individual responds to disability?
Nature of the disability Information base of the individual Personality of the individual Coping strategies of an individual Role of the individual - loss of role, change of role Mood and emotional reaction of the individual Support network of the individual Reaction from those around them Support network of the individual Additional resources available to them Time to adapt
Describe the sick role
Parsons - role of sanctioned deviance
Rights - exempt from normal social roles, not responsible for their own condition
Obligations - they should try to get help, could seek competent help and cooperate with medical professionals
Describe some different causes of disability
Congenital Injury Communicable disease Non-communicable disease Alcohol Drugs - iatrogenic, illicit use Mental illness Malnutrition Obesity
Describe Wilsons criteria for screening tests
Knowledge of disease - natural history, course
Knowledge of test - suitable, acceptable
Treatment for disease - must be available
Cost considerations
