Year 2 Flashcards
What is patient centred care
Where the patient is at the centre of their decision making
5 principles of patient centred care
Respect Choice and empowerment Patient involvement in health policy Access and support Information
What is incidence
the number of new cases of a disease in a population in a specified period of time (trend in causation and aetiology of disease)
What is prevalence
the number of people in a population with a specific disease at a single point in time or in a defined period of time; existing cases (assess current workload on healthcare)
What factors contribute to aetiology
Genetic factors
Environmental factors
Both/neither
What is vulnerability
individuals capacity to resist disease, repair damage, and restore physiological homeostasis.
What are the different types of natural history of a disease
Acute onset (MI stroke)
Gradual: (angina, dementia)
Relapse and remission (MS)
What Burden of Treatments are patients with long term conditions often put under by the healthcare system
Changing behaviour for lifestyle modifications
Monitoring and managing symptoms at home
Complex treatment and multiple drugs
Complex Admin systems working with uncoordinated health and social care system
What are the types of stigma
Invisible
Visible
Both
What are the treatment aims in chronic disease
Resolve disease, or treat symptoms
Come to terms with chronic condition
Admit failure in diagnosis or cure if necessary
What is meant by biographical disruption
Long term condition leads to loss of body confidence
What are the effects of biographical disruption in long term conditions
Leads to lost confidence in social
interaction/self-identity
“Re-negotiate” relationships at work and home
Need to make sense of the condition before “adjusting”
Redefine “good/bad”, to emphasis positive life and lessen negativity of illness
Give an example of visible stigma
Being in a wheelchair
Give an example of invisible stigma
mental health
Who often stigmatises
those who are unnaffected
Why might people chose to not disclose their condition or disability
Fear of stigmatisation
What are the individual effects of long term conditions
negative/positive, denial, self-pity, apathy
What are the family impacts of long term conditions
Financial
Emotional
Physical
Contagious
What are the community/social impacts of long term conditions
Isolation of individual
Community can be judged on hos it treats ill
What is the expert patient
Patient understand disease better than healthcare professional”
What are the 3 types of disability as defined by WHO
Body and structure impairment:
- Abnormalities of structure, organ or system function
Activity level:
- Changed functional performance and activity by the individual
Participation restriction:
- Disadvantage caused by disability, interaction in society/environment
What are the medical models of disability
Individual cause (accident while drunk) Pathology (obesity) Individual intervention (health professional advise) Individual change (change in behaviour)
What are the social models of disability
Societal cause (low wage)
Housing conditions
Social/political action (facilities for disabled)
Social attitude (use of politically correct language)
Which 2 acts give rights to disabled people
Disability Discrimination Acts 1995 and 2005
Equality Act 2010
What do reactions to disability depend on
Nature of disability Information Personality/mood/emotion Coping strategy Reaction of those around/support networ Time to adapt
What are the rights of the sick role
Exemption from societal norms
Not responsible for condition
What are the obligations of the sick role
Should try to get well
Should seek professional help and cooperate
What areas of life can disability affect a family
Personal
Economic
Social
Epidemiology of disability
Congenital Injury Disease Alcohol/drugs Mental illness Malnutrition/obesity Rise in UK with age: ⅓ with disability are employed
What are the responsibilities of the healthcare professional regarding disability
Attitude Listen to patients and learn Take into account age and culture Ensure empathy Don't spectate: -> Assess -> Coordinate MDT -> Intervene with rehab
Definition of disease
Symptoms
Signs
Diagnosis
Biomedical perspective
The biological view on it
Definition of illness
ICE
Patient perspective
The disease relating to the patients view on it
What factors affect care uptake (going to get care)
Lay referral: going from family -> community -> traditional/cutureal healing -> medial system
Sources of info: peers, family, media
Medical factors: new symptoms, increasing severity, duration
Issues:
Patient believe self to be healthy: physically fit, doesn’t want to use tablets
Doctor: perform additional investigation, educate self of concerns
Definition of epidemiology
Describe amount and distribution of disease in human population
Describe explanation and epidemiology
To elucidate the natural history
Identify aetiological factors for disease usually by combining epidemiological date with date from other disciplines such as biochemistry, occupational health and genetics
What are the 3 main aims of epidemiology
Description
Explanation
Disease control
Describe disease control and epidemiology
Provide basis for preventative measures/public health practices
Therapeutic strategy for disease control
Why does epidemiology compare gourps
To detect differences pointing to:
Aetiological clues (what causes the problem)
The scope for prevention
Identification of high risk or priority groups in society