Unit 3- Chronic Conditions

Question 1

Chronic Conditions

Answer 1

• Considered chronic if lasts at least 3 months
• May be invisible (may not look sick, may not be symptomatic at a given time)
• Can be lonely and isolating
• May be constant or have acute exacerbation
• May be terminal or progressive

Question 2

Chronic Conditions Cont.

Answer 2

• 7 to 10 deaths each year result form chronic conditions
• More than half of Americans have at least one chronic condition
• # affected is rising
• Incidents increase with age
• More likely among poor population
• Estimated $1.3 trillion loss each year to US economy

Question 3

Self-concept

Answer 3

• Domain specific evaluation of self
• Conscious and cognitive appraisal
• Thoughts and opinions about self

Question 4

Self-esteem

Answer 4

• Global evaluation of self
• How one feels about oneself
• Am I important to someone

Question 5

Personal Identity

Answer 5

• One’s sense of self
• Is multifaceted- but unified
• among possible selves, who is me really?

Question 6

Body Image

Answer 6

• Complex construct
• Affects how we relate to ourselves, others, and environment
• Affected by sensory perceptions, incorporating personal, interpersonal, cultural, etc. information

Question 7

Traumatic or acute onset

Answer 7

• Sudden onset of disability, with physical stability achieved relatively soon afterward
• Shock may be more generalized
• anxiety and depression typically focused on grieving loss of intact physical or cognitive ability
• involves adapting to permanent, relative stable loss or alteration of function.
• goal: reconstruction of one’s life and work to reintegrate into society

Question 8

Chronic or progressive course

Answer 8

• Onset is gradual and insidious- with course of illness often uncertain with periods of deterioration and remission
• Shock may be more focused- or may not be experienced
• Anxiety and depression focused more on fear of body damage, fear of an uncertain future, fear of death
• Can involve some form of recognition or internalization that the condition is likely to worsen or that death is imminent

Question 9

Individuals with chronic condition need

Answer 9

• Lifestyle
• work
• physical environments
• relationships

Question 10

Importance of documenting outcomes

Answer 10

• ensuring individual’s civil rights to fully participate in society post rehab, as mandated within the Americans with Disabilities Act
• Meeting individual clients’ needs and priorities, well as those family and significant others
• Guiding effective and efficient clinical practice
• Responding to a growing call for activity and participation outcome document by funders and service delivers
• Fostering communication with physicians and policy makers

Question 11

how to foster client adjustment and acceptance

Answer 11

• by recognizing and helping them work through their loss

- By emphasizing strengths

Question 12

Goals for treating chronic conditions

Answer 12

• decrease incidents or severity of symptoms
• improve function
• prevent or lessen the occurrence of secondary conditions or disability

Question 13

Acute P ain

Answer 13

pain associated with tissue damage or the threat of such damage and typically resolves once the tissue heals or the threat resolved

Question 14

Chronic Pain

Answer 14

Pain that persists past the healing phase following an injury. impairment is greater than anticipated based on the physical findings or injury and it occurs in the absence of observed tissue injury or damage. Pain that is long lasting, persistent, and of sufficient intensity and duration to adversely affect a patients well being, function and quality of life

Question 15

Psychosocial Aspects of Pain: Biomedical framework

Answer 15

• Cause/effect
• duality
• automatic response
• single cause
• type (organic and psychogenic)

Question 16

Psychosocial Aspects of Pain: Biopsychosocial Framework

Answer 16

• Multifaceted
• perception of pain
• experience of suffering
• pain behavior

Question 17

Chronic pain affects:

Answer 17

Sleep
functional capacity 
employment 
depression 
will to live

Question 18

Chronic pain

Answer 18

• injury and disease often trigger the development of pain
• additional risk factors include: genetic predisposition, gender, psychosocial history, psychological state at time of injury, lifestyle

Question 19

Mindfulness

Answer 19

the awareness that emerges through paying attention on purpose in the present moment, and nonjudgmentally to the unfolding of experience moment to moment