lecture_8_chronic_illness - Management of Chronic Illness...

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    Management of Chronic  Illness
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Prevalence of Chronic Illness 50% of the population have at least one  chronic illness Approximately 30% of adults between  18 and 44 years of age have a chronic  illness.
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Reactions to Chronic Illness Shock Being stunned, bewildered Behaving in an automatic fashion Feeling detached (i.e., like observer) Encounter: disorganized thinking, grief,  helplessness, feeling overwhelmed Retreat: deny and avoid so as to control  emotional response to the stressor
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Influences on Coping and  Chronic Illness Change plans Changes view of oneself Highlights one’s vulnerability Element of uncertainty (e.g., course,  outcome, treatment)
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Crisis Theory Illness-related factors Greater threat = more difficulty coping Disfigurement Embarrassing problems Visible conditions (e.g., tics, seizures) Pain Time commitment for treatment regimen Lifestyle changes
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Behavioural and Personal  Factors Good “copers” have hardy or resilient  personalities – can remain positive Men have more difficulty adjusting to  chronic illness Timing during the lifespan affects  reactions Personal health belief issues
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Physical and Social  Environmental Factors Hospital environments can be depressive Home/hospital environments may not  foster self-sufficiency Social support enhances coping Network members may act as bad  examples
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The Tasks and Skills of  Coping Cope with symptoms or disabilities Adjust to hospital or procedures Develop and maintain good relationships  with practitioners
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Psychosocial Functioning  Tasks Control negative feelings and remain  positive Maintain satisfactory self-image Preserve good relationships Prepare for uncertain future
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Coping Skills Denying or minimizing Seeking information Learning to provide one’s own medical  care Setting concrete, limited goals Recruiting support Considering possible future events Gaining a manageable perspective
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Long-term Adaptation Adaptation  – making changes to adjust  to life circumstances Quality of life  – fulfillment, purpose,  personal control, relationships,  activities, personal and intellectual  growth, material possessions
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Asthma Impaired breathing due to obstructed  airways More in children than adults More in boys than girls Many (up to 50%) no longer have  symptoms as adults 10th most common reason for going to the  doctor Prevalence increasing
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Asthma – Physiological Causes  and Effects Immune systems reacts in an allergic  manner Bronchial tubes and other tissues release  histamines Histamines irritate the tissues and they  become inflamed, develop spasms, and  produce mucus
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This note was uploaded on 09/26/2011 for the course PSYCHOLOGY 110 taught by Professor Kannan during the Spring '11 term at Anna University Chennai - Regional Office, Coimbatore.

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lecture_8_chronic_illness - Management of Chronic Illness...

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