Psychological Impacts of Chronic Illness

Question 1

Somatic symptom disorder with predominant pain

Answer 1

Pain that is distressing or causes significant disruption of daily life
Persistent and excessive thoughts, feelings, or behaviours related to the pain or associated health concerns with one of
- disproportionate and persistent thoughts about seriousness
- persistently high anxiety about it
- excessive time and energy devoted to it

Question 2

3 effective agents for neuropathic pain

Answer 2

Tricyclic antidepressants (ex: nortriptyline)
Duloxetine (SNRI)
Gabapentin and pregabalin

Question 3

Order of what psych illnesses and headache

Answer 3

Anxiety
Headache
Depression

Question 4

4 sources of meaning

Answer 4

Historical
Creative
Attitudinal
Experiential

Question 5

What is existential suffering?

Answer 5

Lack of meaning or purpose
Loss of connectedness to others
Thoughts about the dying process
Struggle around the state of being
Difficulty in finding a sense of self
Challenges of freedom and choice
Loss of hope
Spiritual distress

Question 6

2 strongest predictors of desire for hastened death

Answer 6

Depression
Hopelessness
Stronger predictors than poor physical function

Question 7

FICA spiritual history tool

Answer 7

Faith
Importance/influence
Community
Address (do you want me to talk about it)

Question 8

4 concepts of death for children

Answer 8

Universality (all living things die)
Irreversibility
Non-functionality
Causality