Managing Illness Flashcards
Los
• Define self-care and its components (maintenance, monitoring, management)
• List, explain and give examples to illustrate the 4 components of Barofsky’s (1978) model of the functions of self-care
• Give examples of factors which have contributed to the rise in self-care
• Compare and contrast the role of self-care in acute & chronic illness
• Describe the 12 self-management tasks in chronic disease (Lorig et al, 1996)
What is self care
“..is a part of everyday living.. It is the care taken by individuals towards their own health and well-being and includes the care extended to their children, family, friends and others in neighbourhoods and local communities.”
Actions for self care:
“Self-care includes the actions people take for themselves, their children and their families to stay fit and maintain good physical and mental health; meet social and psychological needs; prevent illness or accidents; care for minor ailments and long-term conditions: and maintain health and well-being after an acute illness or s discharge from hospital”
What is the intention of self care week
raises awareness of the huge benefits of people looking after themselves better. For some people, and at some times, this is easier than for others.
But for some people self care can also mean day-in-day- out, conscious management of their own wellbeing, because they are living with one or more long term condition such as diabetes, arthritis, or COPD. And for others, living with chronic conditions severely restricts their choice, control and ability to self care
The Functions of self care (why we self care) by barofsky
• Restorative: to alleviate illness
• Reactive: to alleviate symptoms
• Preventative: to prevent disease
• Regulatory: to regulate body processes
What is self care maintenance
behaviours performed to improve well-being, preserve health, or to maintain physical and emotional stability
What is self care monitoring
a process of routine, vigilant body monitoring, surveillance or “body listening”
What is self care management
evaluation to determine if
action is needed, treatment implementation and
treatment evaluation
What are the typical characteristics of people who adopt healthiest
Young Middle aged
Educated
Health aware and enthusiastic about info
Generally make positive lifestyle choices
Takes food supplements
Concerned about unnatural substances
What is healthism
Middle class
‘the representation of good health as a personal choice…the maintenance of good health is an individual’s responsibility’
‘conspicuous consumption’
Actively choosing lifestyle choices to be more healthy and advertising these choices
What are the 6 key trends that underpin healthy consumerism
Consumers are looking externally to their surroundings and internally towards their physical and mental wellbeing, expecting holistic approaches to wellness.
Across the globe consumers are increasingly seeking personalisation and in the UK, as many as 42% of British consumers are interested in a personalised diet based on their genes/DNA.
Developments in health monitoring, such as skin sensors or ingestible capsules, will satisfy consumers’ demand for this personalised approach, while also building on scientific research in these emerging fields.
What is orthorexia
Desire for healthy eating becomes an obsession
What are potential harms/ positives about self monitoring at home
-
May measure incorrectly
May not know how to deal with bad/ negative result
+
Time saving
Keeps results private (wont be on GP notes)
Why is self medicating dangerous
May overdose
May self diagnose incorrectly
May interact with other meds
Should tell doctor what meds youre taking
What factors are contributing to the rise in self care
• Symptom management (the clinical iceberg)
• Definitions of health and illness (how ppl define it)
• Healthism/consumerism
• Body maintenance
• Changing beliefs about medical power and expertise (against med)
• Internet use
• Technology (self-testing kits)
• Over-the-counter medication/on-line pharmacy
• Increase in number of people with chronic disease
• Expert patients
• Patient choice/empowerment
• Need to reduce NHS costs
What is multimordbidity and the problem with them
Can be:
Synergistic - under the same specialism (such as arterial disease, hypertension and heart failure)
See the same specialist.
Non-synergistic (for instance arthritis and hypertension).
Care may be fragmented. Harder to manage.
May contradict each other.
Continuing to focus on individual conditions rather than individuals leads to fragmented, poorly coordinated care, which is inefficient, ineffective and delivers poor patient experience.
