Introduction Flashcards Preview

NUR1 322 - Chronic Illness and Palliative Care (Xavier) > Introduction > Flashcards

Flashcards in Introduction Deck (14):
1

Time line/phase of illness?

Crisis: Pre-Dx with Sx ->Dx->Initial adjustment period
Chronic: Really long, it depends
Terminal:

2

Goal of Palliative care?

Reduce Sx, like pain.

3

Chronic disease vs Illness

Disease: Not passed from person to person, long duration and generally of slow progression (WHO, 2017)
Illness: The lived experience of long‐term health disturbance

4

Contributing/risk factors?

Non-modifiable (genes)
Behavioral
Envir.

5

Canadian 20 years old>over with chronic disease?

3 out of 5

6

Wagner's Chronic Care Model six key elements?

1)Delivery System design (how primary health care system is organized)
2)Decisional Support: How to keep HCP informed on drug/innovation.
3)Clinical Information Systems: Innovative ways to store and access pt informations
4)Community resources/policies: Existing self-management programs within the community.
5)Health Care Organization: from reactive to proactive system. Which is a system where we go find people who are at risk.
6) Self-Management

7

Expanded chronic care model

Wagner model + community (Ottawa charter 5 health promotion actions)

8

Chronic illness Measurement framework (4) aspect of the experience?

1)Pt experience
2) Family experience
3) Pt/family shared perspective
4) Interaction with the healthcare system

9

Chronic illness Measurement framework author and goal of framework?

Loiselle, improving pt experience

10

Rolland model and his perspective?

Family System-Illness Model

11

1) Self-Management vs 2) self-management support?

1) Task the pt does to live well when living with a chronic illness
2) What others (family, health care system) do to support individuals with chronic illness.

12

Stanford's Chronic Disease Self Management author? Efficacy?

Kate Lorig
Meta-analysis: improved self-efficacy, reduced pain/fatigue

13

Patient Activation Measure (PAM) 4 levels?

Level 1: Disengaged/overwhelmed ->passive, lack confidence, "my doctor is in charge of my health"
Level 2: Becoming aware, but still struggling ->Some knowledge, "I could be doing more"
Level 3: Taking action -> Building self-management skills "I'm part of my health care team"
Level 4: Maintaining behaviors and pushing further -> i'm my own advocate"

14

E-Health vs M-Health

E-health: Internet
M-Health: Mobile health