Week 4 Isolation, Body Image, QOL Flashcards
What are the layers of isolation and who proposed this?
Outer - community
Organization - school, work
Confidantes - fam, friends
Most inner - person itself
Lin
Early isolate
Isolated as an early adult, but now is active
Recent isolate
Active in early adulthood, but is isolated now
How can feelings of isolation be characterized?
Boredom - lack of validation for one’s work, tasks become only busy work/a routine
Marginalization - feeling excluded
What does alienation involve?
Powerlessness Normlessness Isolation Self-estrangement Meaninglessness
What is powerlessness
Believing one’s behaviours is never good enough
Normlessness
Belief that socially unapproved behaviours are needed to achieve goals
Self-estrangement
Divorce of one’s self from one’s work or creative responsibilities
Meaninglessness
????
Definition of loneliness
Subjective emotional, psychological state
Definition of social isolation
Deprivation of social contact and content
Definition of aloneness
Lack of social support networks, feelings of rejection, more of a negative state
Problems and issues
Social isolation and stigma
People may not want to be judged, parent’s hide their children’s condition, limiting their social network
Problems and issues
.. and social roles
Loss of social roles due to illness, change of rolls
ie. wife becomes a caregiver so she no longer feels like a wife
Problems and issues
… gender and culture
Immigrants are less able to engage in support networks because of long hours and low pay
Problems and Issues
Social components of isolation are
Reciprocity or mutuality - amount of give and take between isolate and others
Level of agreement - ie. elderly women said her family was never there for her, but in actuality, they sent her money all the time and visited
** do they have social networks? Sports? Go to church?
What are three things to consider when assessing for social isolation?
1) If isolation is a negative factor
2) Is it involuntary
3) Is there a decline in social supports
What are two measures of social isolation?
LSNS -Lubben Social Network Scale (measures older adults)
SNI - Berks Social Network Index
Definition of body image
Mental image of how one sees themselves and how they believe others see them
What is BDD
body dysmorphic disorder
- chronic condition where they are stressed by a small defect in appearance
Factors influencing ADJUSTMENT to body image
Meaning and sig. Time Social and culture Age and gender Health care professionals
Important EXTERNAL factors that influence body image are
Appearance - when appearance draws attention to disease ie. kaposi's sarcoma Visibility and invisibility - the more visible a defect, the more of a threat it is to body image ie. hair loss, scarring - making invisible parts visible Functional significance - sexual and physical dysfunction Rate of change (time)
3 Roles that are important facets to body image
Gendered, worker and sexual roles
- chronic illness can threaten a person’s ability to fulfill these roles
Define quality of life
Multidimensional, subjective and objective
Subjective meaning of QOL
each individual experiences shape QOL
What are the two types of objective meaning of QOL
General/global - related to social and economic factors, cultural and values
Health-specific meaning of QOL - refers to perceived physical and mental health over time
5 Issues of Problems and Issues
Social isolation and stigma And culture And social roles Social components Aging
“ACS SS”
What is QALY
quality adjusted life years
- measures health benefits after treatment
- amount of years and quality of life after treatment
- resource allocation
QOL r/t to clients perspective and priorities
- framework that focuses on clients POV rather than models developed by experts emphasizing a “good death”
ie. being in charge is more important than having a good death
SF-36-v2
36 questions that cover mental and physical health and well-being
Questions
- perception of health
- how health influences their activities, ability to MAINTAIN relationships
- if pain interferes with their functional and social roles
What are the limitations of sf-36-v2?
Doesn’t address amount of sleep and sexual health
WHO survey
26 item survey
- level of satisfaction, enjoymet
- limitations, capacity to do work, perform ADLs
- accessibility
- social support network
5 Issues of Problems and Issues
Social isolation and stigma
And culture
And social roles
Social components
