Chronic health events Flashcards

1
Q

What is the crisis model?

A
  • after being diagnosed with a chronic illness
  • individual loses their social status e.g. you can’t work
  1. Onset chronic illness
  2. irreversible loss of social status
  3. behaviour change
  • this leads to:
    ‘biographical disruption’ (BAD)
    ‘negotiation’ (GOOD)
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2
Q

What is biographical disruption?

A
  • enacted stigma (people abusing/discriminating)
  • felt stigma (you feel like you are being discriminated against but you are not)
  • Different conditions have diff social meanings e.g. cirrhosis= alcoholic
    HIV= drug user
  • stereotypes with conditions
  • Impairment of disability e.g. HIV= restriction in activities and social roles(bc of recurrent infections)
  • diminish patient self esteem
  • feel isolated
  • feel withdrawn from society
  • lack confidence
  • lack skill
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3
Q

What is a negative of the biographical disruption model?

A
  • implies you can’t exit from the cycle
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4
Q

What is negotiation?

A
  • you get illness
  • you might loss yourself and feel shit
  • reduce social activity
  • find it hard to maintain ‘normality’ with time
  • but refuse to accept labelling and stigmatization
  • they preserve their identity
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5
Q

When a patient goes through having a chronic illness, they need to make adjustments (According to Moos & Schaefer). What are these adjustments?

A
  • adjust to symptoms
  • adjust to the incapacities of the illness
  • adjust to the treatment procedures
  • adjust to hospital environment
  • maintain and develop relationships with healthcare providers
  • preserve a reasonable emotional balance
  • preserve a satisfactory self image
  • stay positive
  • sustain releations with family and friends
  • prepare for uncertain future
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6
Q

What are the 2 types of responses to chronic health diseases?

A

Type A Behaviour – (Pissed off)

Type B Behaviour – (Relaxed) – Self

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7
Q

What happens in Type A behaviour?

A
  • pissed off (HIC:)
  • hostile
  • impatient
  • competitive
  • higher risk of CHD
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8
Q

What happens in Type B behaviour?

A
  • relaxed
  • self-evaluative
  • imaginative
  • creative
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