Flashcards in Introduction Deck (14):
Time line/phase of illness?
Crisis: Pre-Dx with Sx ->Dx->Initial adjustment period
Chronic: Really long, it depends
Goal of Palliative care?
Reduce Sx, like pain.
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
Canadian 20 years old>over with chronic disease?
3 out of 5
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.
Expanded chronic care model
Wagner model + community (Ottawa charter 5 health promotion actions)
Chronic illness Measurement framework (4) aspect of the experience?
2) Family experience
3) Pt/family shared perspective
4) Interaction with the healthcare system
Chronic illness Measurement framework author and goal of framework?
Loiselle, improving pt experience
Rolland model and his perspective?
Family System-Illness Model
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.
Stanford's Chronic Disease Self Management author? Efficacy?
Meta-analysis: improved self-efficacy, reduced pain/fatigue
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"