Week 4 Isolation, Body Image, QOL

Question 1

What are the layers of isolation and who proposed this?

Answer 1

Outer - community
Organization - school, work
Confidantes - fam, friends
Most inner - person itself

Lin

Question 2

Early isolate

Answer 2

Isolated as an early adult, but now is active

Question 3

Recent isolate

Answer 3

Active in early adulthood, but is isolated now

Question 4

How can feelings of isolation be characterized?

Answer 4

Boredom - lack of validation for one’s work, tasks become only busy work/a routine
Marginalization - feeling excluded

Question 5

What does alienation involve?

Answer 5

Powerlessness 
Normlessness
Isolation
Self-estrangement 
Meaninglessness

Question 6

What is powerlessness

Answer 6

Believing one’s behaviours is never good enough

Question 7

Normlessness

Answer 7

Belief that socially unapproved behaviours are needed to achieve goals

Question 8

Self-estrangement

Answer 8

Divorce of one’s self from one’s work or creative responsibilities

Question 9

Meaninglessness

Answer 9

????

Question 10

Definition of loneliness

Answer 10

Subjective emotional, psychological state

Question 11

Definition of social isolation

Answer 11

Deprivation of social contact and content

Question 12

Definition of aloneness

Answer 12

Lack of social support networks, feelings of rejection, more of a negative state

Question 13

Problems and issues

Social isolation and stigma

Answer 13

People may not want to be judged, parent’s hide their children’s condition, limiting their social network

Question 14

Problems and issues

.. and social roles

Answer 14

Loss of social roles due to illness, change of rolls

ie. wife becomes a caregiver so she no longer feels like a wife

Question 15

Problems and issues

… gender and culture

Answer 15

Immigrants are less able to engage in support networks because of long hours and low pay

Question 16

Problems and Issues

Social components of isolation are

Answer 16

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?

Question 17

What are three things to consider when assessing for social isolation?

Answer 17

1) If isolation is a negative factor
2) Is it involuntary
3) Is there a decline in social supports

Question 18

What are two measures of social isolation?

Answer 18

LSNS -Lubben Social Network Scale (measures older adults)

SNI - Berks Social Network Index

Question 19

Definition of body image

Answer 19

Mental image of how one sees themselves and how they believe others see them

Question 20

What is BDD

Answer 20

body dysmorphic disorder

- chronic condition where they are stressed by a small defect in appearance

Question 21

Factors influencing ADJUSTMENT to body image

Answer 21

Meaning and sig. 
Time 
Social and culture 
Age and gender 
Health care professionals

Question 22

Important EXTERNAL factors that influence body image are

Answer 22

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)

Question 23

3 Roles that are important facets to body image

Answer 23

Gendered, worker and sexual roles

- chronic illness can threaten a person’s ability to fulfill these roles

Question 24

Define quality of life

Answer 24

Multidimensional, subjective and objective

Question 25

Subjective meaning of QOL

Answer 25

each individual experiences shape QOL

Question 26

What are the two types of objective meaning of QOL

Answer 26

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

Question 26

5 Issues of Problems and Issues

Answer 26

Social isolation and stigma
And culture 
And social roles 
Social components 
Aging

“ACS SS”

Question 27

What is QALY

Answer 27

quality adjusted life years

• measures health benefits after treatment
• amount of years and quality of life after treatment
• resource allocation

Question 28

QOL r/t to clients perspective and priorities

Answer 28

• 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

Question 29

SF-36-v2

Answer 29

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

Question 30

What are the limitations of sf-36-v2?

Answer 30

Doesn’t address amount of sleep and sexual health

Question 31

WHO survey

Answer 31

26 item survey

• level of satisfaction, enjoymet
• limitations, capacity to do work, perform ADLs
• accessibility
• social support network

Question 32

5 Issues of Problems and Issues

Answer 32

Social isolation and stigma
And culture
And social roles
Social components