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Flashcards in Impact of long term conditions Deck (21):

define person centred care

the provision of care that places the patient at the centre ensuring that the healthcare system is designed to meet the needs and preferences of patients as defined by patients themselves


give the 5 principles of patient centred care

respect, choice and empowerment, patient involvement, access and support, information


give examples of long term conditions

ischaemic heart disease, respiratory disease, osteoarthritis


give examples of how long term conditions can affect lifestyle

constraints on family life, failure to re-establish the functional capacity to work, unremitting chronic pain


long term conditions account for what % of all GP appointments?

50% (64% of all outpatient appts and over 70% of all inpatient bed days)


what is the % of long term conditions in those>60 and those<40

58% over 60
14% under 40


define incidence

the no. new cases of a disease in a population in a specified period of time


define 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


define vulnerability

an individual's capacity to resist disease, repair damage and restore physiological homeostasis


give 3 examples of the burden of treatment

changing behaviour to adhere to lifestyle modifications, monitoring and managing their symptoms at home, polypharmacy


define biographical disruption

long term condition --> loss of confidence in the body --> loss of confidence in social interaction or self identity


coping with stigma leads to choosing between what?

decision to disclose or to conceal the condition


give examples of negative impacts of a long term condition on the individual/family

denial, self pity, apathy, financial, physical, emotional effects, isolation


define health

a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity


define disability

body and structure impairment, activity limitation and participation restrictions


give 4 medical models of disability

individual cause eg accident whilst drunk, underlying pathology eg obesity, individual level intervention eg health professionals advice, individual change eg change in behaviour


give 4 social models of disability

societal cause eg low wages, conditions relating to housing, social action needed eg facilities for disabled, societal attitude change eg use of politically correct language


what does personal reaction to disability depend on?

nature of disability, coping strategies of individual, support network of the individual, time to adapt, mood and emotional reaction of the individual


give 5 causes of disability around the world

congenital, injury, mental illness, malnutrition, alcohol/drugs


how many of those with a disability in the UK are in employment?



give 4 of Wilson's criteria for screening

condition should be important, must be a recognisable latent or early symptomatic stage, natural course of disease should be understood,
test acceptable to population