Week 4 Isolation, Body Image, QOL Flashcards

(33 cards)

1
Q

What are the layers of isolation and who proposed this?

A

Outer - community
Organization - school, work
Confidantes - fam, friends
Most inner - person itself

Lin

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2
Q

Early isolate

A

Isolated as an early adult, but now is active

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3
Q

Recent isolate

A

Active in early adulthood, but is isolated now

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4
Q

How can feelings of isolation be characterized?

A

Boredom - lack of validation for one’s work, tasks become only busy work/a routine
Marginalization - feeling excluded

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5
Q

What does alienation involve?

A
Powerlessness 
Normlessness
Isolation
Self-estrangement 
Meaninglessness
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6
Q

What is powerlessness

A

Believing one’s behaviours is never good enough

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7
Q

Normlessness

A

Belief that socially unapproved behaviours are needed to achieve goals

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8
Q

Self-estrangement

A

Divorce of one’s self from one’s work or creative responsibilities

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9
Q

Meaninglessness

A

????

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10
Q

Definition of loneliness

A

Subjective emotional, psychological state

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11
Q

Definition of social isolation

A

Deprivation of social contact and content

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12
Q

Definition of aloneness

A

Lack of social support networks, feelings of rejection, more of a negative state

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13
Q

Problems and issues

Social isolation and stigma

A

People may not want to be judged, parent’s hide their children’s condition, limiting their social network

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14
Q

Problems and issues

.. and social roles

A

Loss of social roles due to illness, change of rolls

ie. wife becomes a caregiver so she no longer feels like a wife

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15
Q

Problems and issues

… gender and culture

A

Immigrants are less able to engage in support networks because of long hours and low pay

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16
Q

Problems and Issues

Social components of isolation are

A

Reciprocity or mutuality - amount of give and take between isolate and others
Level of agreement - ie. elderly women said her family was never there for her, but in actuality, they sent her money all the time and visited

** do they have social networks? Sports? Go to church?

17
Q

What are three things to consider when assessing for social isolation?

A

1) If isolation is a negative factor
2) Is it involuntary
3) Is there a decline in social supports

18
Q

What are two measures of social isolation?

A

LSNS -Lubben Social Network Scale (measures older adults)

SNI - Berks Social Network Index

19
Q

Definition of body image

A

Mental image of how one sees themselves and how they believe others see them

20
Q

What is BDD

A

body dysmorphic disorder

- chronic condition where they are stressed by a small defect in appearance

21
Q

Factors influencing ADJUSTMENT to body image

A
Meaning and sig. 
Time 
Social and culture 
Age and gender 
Health care professionals
22
Q

Important EXTERNAL factors that influence body image are

A
Appearance 
- when appearance draws attention to disease ie. kaposi's sarcoma 
Visibility and invisibility 
- the more visible a defect, the more of a threat it is to body image ie. hair loss, scarring 
- making invisible parts visible 
Functional significance 
- sexual and physical dysfunction 
Rate of change (time)
23
Q

3 Roles that are important facets to body image

A

Gendered, worker and sexual roles

- chronic illness can threaten a person’s ability to fulfill these roles

24
Q

Define quality of life

A

Multidimensional, subjective and objective

25
Subjective meaning of QOL
each individual experiences shape QOL
26
What are the two types of objective meaning of QOL
General/global - related to social and economic factors, cultural and values Health-specific meaning of QOL - refers to perceived physical and mental health over time
26
5 Issues of Problems and Issues
``` Social isolation and stigma And culture And social roles Social components Aging ``` "ACS SS"
27
What is QALY
quality adjusted life years - measures health benefits after treatment - amount of years and quality of life after treatment - resource allocation
28
QOL r/t to clients perspective and priorities
- framework that focuses on clients POV rather than models developed by experts emphasizing a "good death" ie. being in charge is more important than having a good death
29
SF-36-v2
36 questions that cover mental and physical health and well-being Questions - perception of health - how health influences their activities, ability to MAINTAIN relationships - if pain interferes with their functional and social roles
30
What are the limitations of sf-36-v2?
Doesn't address amount of sleep and sexual health
31
WHO survey
26 item survey - level of satisfaction, enjoymet - limitations, capacity to do work, perform ADLs - accessibility - social support network
32
5 Issues of Problems and Issues
Social isolation and stigma And culture And social roles Social components