Managing Illness Flashcards
Barofsky’s 4 functions of self-care (1978)
- Restorative (alleviate illness)
- Reactive (alleviate symptoms)
- Preventative (prevent disease)
- Regulatory (regulate body processes)
What is self-care maintenance?
Behaviours performed to improve well-being, preserve health or maintain physical + emotional stability
What is self-care monitoring?
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
Crawford’s healthism definition (1980)
“the representation of good health as a personal choice.. the maintenance of good health is an individual’s responsibility”
Greenhalgh & Wessely’s healthism definition (2004)
“conspicuous consumption”
Factors contributing to self-care
- Symptom management
- Definitions of health/illness
- Healthism/consumerism
- Body maintenance
- Changing beliefs of medical power/expertise
- Internet use
- Technology (eg. self-testing kits)
- OTC medication
- Increase in people with chronic disease
- Expert patients
- Patient choice/empowerment
- Need to reduce NHS costs
What does the Expert Patient Programme emphasise on?
Developing the confidence and skills to improve quality of life and work in partnership with health professionals
12 self-management tasks in chronic disease
- Recognising and responding to symptoms, including monitoring symptoms and controlling triggers to symptoms
- Using medications
- Managing acute episodes and emergencies
- Maintaining good nutrition and an appropriate diet
- Maintaining adequate exercise and physical diet
- Not smoking
- Using relaxation and stress-reducing techniques
- Interacting appropriately with health care providers
- Seeking information and using community resources
- Adapting work and other role functions
- Communicating with significant others
- Managing the negative emotions and psychological responses to illness
