Family Involvement Flashcards
(30 cards)
What does nonadherence look like?
Failed to fill or refill a prescription, missed a dose, took a different dose than prescribed, used old medication for new problems, not attending follow-up appointments
Unintentional non-adherence can occur, such as forgetting medication. Intentional non-adherence may be due to side effects or financial concerns.
What is creative nonadherence?
Deciding on your own to be nonadherent based on personal beliefs or lifestyle choices, such as taking smaller doses to spread medication over a longer time.
This falls within the category of international nonadherence.
Name some self-reported reasons for nonadherence.
- Forgot
- Ran out
- Away from home
- Trying to save money
- Had side effects
- Too busy
- Prescription isn’t working
- Didn’t like taking it
Reasons can be intentional or unintentional.
What is triadic medical interaction?
Involves the physician, patient, and the patient’s spouse.
A major issue is that doctors may talk directly to the caregiver, making the patient feel undervalued.
What is patient-centered communication?
Doctor actively listens and asks open-ended questions while respecting patient decision-making.
This approach includes respecting the patient’s beliefs and values.
What factors influence adherence?
- Quality of patient-provider communication
- Pain
- Perceived seriousness of condition
- Visibility of symptoms
- Complexity of treatment
- Side effects of treatment
- Mental health
As treatment complexity increases, adherence tends to decrease.
How do family relationships impact patient adherence?
Patients in cohesive families are more likely to be adherent, while conflict-ridden families tend to have less adherence.
Living with others can increase adherence due to support and accountability.
What are common challenges when adjusting to chronic diseases?
- Wake-up call to change lifestyle
- Impact on close others
- Need for social support
Adjusting can significantly affect family and friends.
How do family members assist in disease management?
- Communicating with medical professionals
- Making healthcare decisions
- Monitoring health status
- Performing essential activities for prescribed regimens
Family involvement is ideal for managing chronic diseases.
What role do romantic partners play in health?
Partners share experiences and stressors, often providing the first line of social support.
They can collaboratively combine resources and strategies to solve problems.
What is dyadic appraisal?
Both patient and spouse have their own appraisals and shared appraisals regarding health management.
This perspective is important for understanding the dynamics in couples coping with chronic disease.
What is diabetes?
A disease involving insulin that regulates blood sugar levels.
Type 1 is insulin-dependent and develops in childhood, while Type 2 is more common and related to obesity.
What are the types of diabetes?
- Type 1: insulin-dependent, develops in childhood
- Type 2: more common, related to obesity and insulin resistance
Type 2 diabetes can occur even in individuals with normal body weight.
What does managing diabetes require?
- Glucose control
- Complex behavioral changes (diet, monitoring)
- Stress management
Nonadherence can lead to severe health problems.
How can spouses be involved in diabetes management?
- Spousal support
- Spousal persuasion
- Spousal pressure
Supportive behaviors are generally more effective than pressure.
What did the study on spousal involvement in diabetes management reveal?
Emotional support was associated with better dietary adherence, while pressure led to more distress.
Spousal support was reported more than pressure in the study.
What is the relationship between spousal support and dietary adherence?
Greater spousal support correlates with increased dietary adherence on the same day.
Pressure and persuasion were not significantly predictive of adherence.
What is cancer?
Diseases characterized by abnormal cell growth.
Cancer is the leading cause of death in Canada.
What health behaviors are related to cancer risk?
Smoking, alcohol use, diet.
Psychosocial factors like stress and depression also play a role.
How do stress and depression influence cancer?
They impact the course of the disease but are less evidenced to cause cancer development.
Important to focus on mental health of cancer patients.
What are common stressors associated with prostate cancer?
Incontinence, impotence.
These are physical symptoms patients deal with.
What type of coping did researchers look at in the prostate cancer study?
Collaborative coping.
They examined teamwork and joint problem-solving.
What is emotional transmission in the context of couples coping with prostate cancer?
More emotional transmission among highly collaborative couples.
Positive emotions can influence each other.
What is rheumatoid arthritis (RA)?
Inflammation of joints, especially small joints like hands and feet.
Higher prevalence among females.
