WEEK ONE Flashcards
What is the definition of Chronic Illness?
the irreversible presence
acumulation or latency of disease states or impairments involving the total human environment for supportive care, self-care, maintenance of function and prevention of further disabilities
What is the definition of Disability?
- Body structure or function impairment
- participation restrictions and other limitations
- lasting more than 6 months
Chronic illness and disability statistics:
- Affects 1 in 4 australians
- 77% of Australians have more than one long term condition: Asthma 10%, osteoarthritis 7.9%, depression 5.3%, diabetes 3.5%
- Higher risk in indigenous population: Diabetes x14, Chronic Kidney diease x8, Heart disease x5, Disability x2
What are some socio economic factors?
- Low income
- Risk taking behaviours
- Poor housing
- Exposure to violence
- Sense of no control
- Poor communication
What are Wagners components of how care is provided?
- Health system
- Self-management support
- Decisional Support
- Delivery system design
- Clinical information systems
- Community resources
- Policies
The integral components of that health care system include:
- Patients and family members
- Health care organisations
- Community service organisations
- Policy frameworks
What are some focus areas of the models of care?
- Prevention and Promotion
- Early detection
- Integration and continuity of care
- Self management
What is the strategic intent of the models of care?
- Healthy workfoce
- Healthy hospitals, health services and infrastructure
- Healthy partnerships
- Healthy community
- Healthy resources
- Healthy leadership
Ethical principles
- Clinical Integrity- Integrated care, discussion included family members, treatment is timely
- Respect for person- Listen to pt and family, cultural and spiritual wished respected
- Justice for all- Access for support and legal resources are available to pt, family members and carers.
- Benefit to the person- Manageing symptoms so that they are pain free
WA morbid obesity model of care 2008
- Definition of people in the overweigh range
- BMI calculation
- Risk of co-mobities, WC, WHR
- Mortality
Obesity statistics
3 in 5 australians are overweight or obese based on BMI
1 in 4 Australian children are overweight or obese
Consequences of obesity to the individual
Increased risk of: Blood pressure Respiratory distress Asthma High Cholesterol Stroke Diabetes Anxiety and depression Back pain Cancers Low self esteem Pre eclampsia
Consequences of obesity to family and community
Prejudice, TEASING Percieved as lazy Weight related stigma Reduced family and friends support Low expectation from previous weigh loss attempts
Consequences of obesity to health services
Increase: GP visitis Screening : Bloods, X rays Hospital admissions Medication Medical costs
How to ask and assess
Intention to change: “how importance do you think it is for you to make changes”
Skills and self confidence:”how confident are you that you can change your eating and physical exercise patterns”
Obstacles to change:”are there any stressful events in your life that might get in the way”
Positive feelings about change:”do you feel you can succeed and how worth it do you think it is”
Self image and group norms:”can you picture yourself changing behaviours how do you think your family will react”
Encouragment and support:”do you have people who can support you”
