WEEK 6 Flashcards
(44 cards)
Define self-care
The care taken by individuals towards their own health and well-being, including the care extended to their children, family, friends and others in the community
What are the 4 functions of self-care (Barofsky’s model)?
1) Restorative: to alleviate illness
2) Reactive: to alleviate symptoms
3) Preventative: to prevent disease
4) Regulatory: to regulate body processes
What is self-care maintenance?
Behaviours performed to improve well-being, preserve health or to maintain physical and emotional stability
What is self-care monitoring?
Process of routine, vigilant body surveillance/listening
What is self-care management?
Evaluation to determine if action is needed
What is “Healthism”?
The representation of good health as a personal choice
Characteristic population associated with “Healthism”
Young/middle-aged, well educated, vocal/articulate, middle class (high consumer choice)
What is the predominant feature of the movement towards “healthism”?
Consumers looking externally and internally towards holistic/biopsychosocial approach to health
What is orthorexia?
Obsession with healthy eating
What are examples of being a DIY doctor?
Measuring body weight (scale), BP monitor, cholesterol monitor
What are the positives of being a DIY doctor?
Saves time (for you and GP) Confidential beyond HCPs
What are the negatives of being a DIY doctor?
+ve test can result in unwarranted complacency
-ve test can result in unnecessary anxiety/stress
Detail the 12 factors contributing to self-care
1) symptom management
2) definitions of health and illness
3) healthism/consumerism
4) body maintenance
5) changing beliefs about medical power/expertise
6) internet use
7) technology (self-testing kits)
8) OTC medication
9) increase in chronic conditions
10) expert patients
11) patient choice/empowerment
12) need to reduce NHS cost
What is co-morbidity?
Someone with two conditions
What is multi-morbidity?
Someone with three or more conditions
What are synergistic conditions?
Conditions with a common cause
What are non-synergistic conditions?
Conditions with no common cause
What is the most common disease related to multi-morbidity?
Hypertension
What is the Master Status in medicine?
The condition that people focus on the most
Why has the focus on patient expertise increased in recent times?
Rise in chronic conditions due to an ageing population resulting in increased health service demand
7 assumptions and characteristics of acute illness
1) Ongoing
2) Cure expected
3) QoL highly dependent on professional care
4) QoL highly dependent on acute healthcare services
5) HCP knowledge>Pt knowledge
6) Short-term goals set
7) Compliance expected
7 assumptions and characteristics of chronic illness
1) Episodic
2) Incurable
3) QoL highly dependent on Pt’s self-care and decision-making skills
4) QoL highly dependent on ongoing support services
5) Pt knowledge>HCP knowledge
6) Short-term goals for long-term outcomes
7) Compliance and self-reliance expected
What are the 12 self-management tasks in chronic disease?
1) Recognising and responding to symptoms
2) Using medications
3) Maintaining acute episodes and emergencies
4) Maintaining good nutrition and appropriate diet
5) Maintaining adequate exercise and physical diet
6) Not smoking
7) Using relaxation and stress-reducing techniques
8) Interacting appropriately with HCPs
9) Seeking information and using community resources
10) Adapting work and other role functions
11) Communicating with significant others
12) Managing negative emotions and psychological responses to illness
Define confidentiality
The need for the physician to keep secret all information a patient gives them