Week 4 Pre Reading Flashcards
(32 cards)
Chronic illness
Health condition that persists overtime that are often associated with activity limitations
Morbidity
Rates of disease in a population
Comorbidity
When two or more disorders occur n the same person at the same time
Mulitmorbidity
Lots of disorders at once
Associated with decreased QOL, polypharamcy, etc
Lifestyle
Choices made
Also influence of social economic environmental factors on health
Background risk factors
Sex, age, level of education, genetics
Intermediate risk factors
Diabetes, hypertension, obesity,e tc
Behavioural risk factors
Smoking, unhealthy diet, etc
Community level risk factors
Social/economic conditions, poverty, employment
Best buys
Actions that should be done immediately to produce results of better lives
- smoke free places
- tax on alcohol
- public awareness of diet
Social model of disability
Sees disability as a socially created problem
Illness behaviour
Varying ways people respond to symptoms
Health related hardiness
Personality resource that buffered stress and allows people to experience high degree of stress without falling ill
Qualities in a hardy person (3 Cs)
Control
- Belief they can influence things
commitment
- ability to feel committed
challenge
- anticipation to change
Health related quality of life
Ways which health influences and is influenced by overall QOL
- perceptions of physical and mental health
- resources, conditions, practices
Illness trajectory
Experiential pathways which a person with an illness progresses
Time phases in the illness trajectory (3)
Crisis phase
- before/during diagnosis
- learning to live w/symptoms
Chronic phase
- key task is continuing to live life as normal as possible
Terminal phase
- issues surrounding grief and death
Illness trajectory phases (9)
Pre trajectory
Trajectory onset
Stable
Unstable
- goal to return to stable
Acute
- control illness
Crisis
- remove life threat
Comeback
Downward
Dying
Shifting perspectives model of chronic illness
Talks about how as the reality of illness experiences change, the persons perspective shifts so that illness or wellness is in the foreground and background in a moment
3 levels of patient response
Compliance, adherence, self care
Compliance
Coercion of patient to engage in recommendations
Adherence
Conformity of the patient to recommendations
4 tasks related to coping with chronic illness
Processing emotions
Adjusting to changes
Integrating illness into daily life
Determining meaning of teh illness
Chronic care model 6 parts
Self management support
Clinical info systems
Delivery system redesign
Decision support
Health care organization
Community resources
