Management of Chronic Health Disorders

Flashcards about Management of Chronic Health Disorders.

What are the key areas of focus in the management of chronic health disorders?

Physical problems, vocational retraining, social support gaps, and psychological reactions.

What percentage of the US population has a chronic condition at any given time?

60%

What are the results of multimorbidity, or living with two or more chronic illnesses?

Complicated treatment regimens, higher health care costs, and shorter lives.

What are the components of Health Related Quality of Life (HRQoL) as measured by the SF-36?

Physical functioning, social functioning, mental health, energy, pain, and general health perception.

According to appraisals, how might chronic illness be viewed as a stressor

Harm, threat, or challenge.

How can denial have adverse effects during the rehabilitative phase of a chronic illness?

It keeps the patient from dealing with the full range of problems posed by the illness and can reduce adherence to treatment.

When does anxiety increase after a chronic illness diagnosis?

When people are waiting for test results, anticipating adverse side effects, or awaiting invasive medical procedures.

What factors predict depression in individuals with chronic health disorders?

Greater severity of illness, pain and disability, negative life events, social stress, or lack of social support.

What are the personal issues impacted by chronic health disorders?

The physical self, the achieving self, the social self, and the private self.

What are the five most common coping strategies for chronic health disorders?

Social support/direct problem solving, distancing, positive focus, cognitive escape/avoidance, and behavioral escape/avoidance.

What are the negative outcomes of avoidant coping strategies?

Greater psychological distress and exacerbation of the disease process.

What are the three key aspects of patients' beliefs about chronic health disorders?

Nature of the health disorder, cause of the health disorder, and controllability of the health disorder.

What are the benefits of physical rehabilitation for individuals with chronic health disorders?

Reduce symptoms, increase self-efficacy, and minimize loss of functioning.

What are the negative impacts of the caregiving role in families dealing with chronic illness?

Distress, depression, declining health, compromised immune functioning, and cardiovascular disease.

How might chronically ill people experience positive changes in response to their conditions?

They may perceive a narrow escape from death, reorder their priorities, and find meaning in smaller activities of life.

What are the adverse effects of chronic disease that should be evaluated as standard in chronic care?

Anxiety, depression, and disturbances in interpersonal relationships.

What are Patient Education Programs designed to do?

Inform patients about the disorder and its treatment and train them in methods for coping with the disorder and its corresponding limitations.

What are some benefits of relaxation training for the chronically ill?

Decreases anxiety and nausea, and pain.

What do interventions teach patients to do regarding social support?

Recognize potential sources of support and draw on these resources effectively.