WEEK ONE Flashcards

1
Q

What is the definition of Chronic Illness?

A

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

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2
Q

What is the definition of Disability?

A
  • Body structure or function impairment
  • participation restrictions and other limitations
  • lasting more than 6 months
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3
Q

Chronic illness and disability statistics:

A
  • 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
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4
Q

What are some socio economic factors?

A
  • Low income
  • Risk taking behaviours
  • Poor housing
  • Exposure to violence
  • Sense of no control
  • Poor communication
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5
Q

What are Wagners components of how care is provided?

A
  1. Health system
  2. Self-management support
  3. Decisional Support
  4. Delivery system design
  5. Clinical information systems
  6. Community resources
  7. Policies
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6
Q

The integral components of that health care system include:

A
  • Patients and family members
  • Health care organisations
  • Community service organisations
  • Policy frameworks
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7
Q

What are some focus areas of the models of care?

A
  • Prevention and Promotion
  • Early detection
  • Integration and continuity of care
  • Self management
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8
Q

What is the strategic intent of the models of care?

A
  • Healthy workfoce
  • Healthy hospitals, health services and infrastructure
  • Healthy partnerships
  • Healthy community
  • Healthy resources
  • Healthy leadership
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9
Q

Ethical principles

A
  • 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
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10
Q

WA morbid obesity model of care 2008

A
  • Definition of people in the overweigh range
  • BMI calculation
  • Risk of co-mobities, WC, WHR
  • Mortality
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11
Q

Obesity statistics

A

3 in 5 australians are overweight or obese based on BMI

1 in 4 Australian children are overweight or obese

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12
Q

Consequences of obesity to the individual

A
Increased risk of:
Blood pressure
Respiratory distress
Asthma
High Cholesterol
Stroke
Diabetes
Anxiety and depression
Back pain
Cancers
Low self esteem
Pre eclampsia
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13
Q

Consequences of obesity to family and community

A
Prejudice, TEASING
Percieved as lazy
Weight related stigma
Reduced family and friends support
Low expectation from previous weigh loss attempts
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14
Q

Consequences of obesity to health services

A
Increase:
GP visitis
Screening : Bloods, X rays
Hospital admissions
Medication
Medical costs
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15
Q

How to ask and assess

A

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”

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16
Q

Advise

A
  • You will decrease your risk of cardiac problems by losing a modest amount of weight.
  • You will prevent and improve your control over the condition of type 2 diabetes
  • If you lose at least 5% off your weight, it will lesson problems you are having with your sleep apnea, kidney disease, musculoskeletal problems, GI reflux and/or urinary incontinence.
  • You will experience an increase in your quality of life, your self-esteem and your will feel less depressed.
17
Q

Surgical intervention for obesity?

A

Restrictive operations
-Adjustable gastric band (Gold Standard for laparoscopic procedures)

Malabsorptive procedures
-Biliopancreatic Diversion