The Patient in the Treatment Setting Flashcards
(10 cards)
What factors affect the interpretation of symptoms? (4)
- Prior experience
- Expectations (ignoring unexpected ones and amplifying expected ones)
- Seriousness of symptoms
- Illness schemas
Describe the Common Sense Model of Self-regulation of Health and Illness
Health threat (symptoms) –> cognitive/emotional perceptions –> coping –> appraisal –> symptoms
What are 5 components of illness representations?
Identity
Cause
Timeline (how long it may last)
Consequences
Curability/controllability
What are the 3 models of illness?
Acute illness - short duration, no long term consequences
Chronic illness - long duration, severe consequences
Cyclic illness - alternating periods with no symptoms, then many - e.g., herpes
How do emotional disturbances lead people to misuse health services? (4)
The Worried Well - perceive minor symptoms as serious
Somaticizes - convince themselves that they are physically ill
Polysymptomatic Somaticizes - multiple chronic symptoms, unresponsive to treatment, unexplained by medical diagnosis
Secondary Gains - illness bring benefits of rest
What is delay behaviour?
individual is aware of the need to seek treatment but puts off doing so
What are 5 types of delay behaviour?
- Appraisal - is it serious?
- Illness - does a symptom imply illness?
- Behavioural
- Medical - time between making an appointment and receiving appropriate care
- Provider delay - ruling out common causes of symptoms rather than ordering invasive tests or malpractice
What are some examples of faulty patient-provider communication? (4)
Jargon
Baby talk
Nonperson treatment (depersonalization)
Stereotypes (discrimination)
What is the consequence of poor patient-provider communication?
Nonadherence to treatment
What are the causes of non-adherence to treatment?
Long lasting, complex treatments that interfere with desirable behaviours
Modifying a prescribed regimen based on personal theories about a disorder
