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PSYC 314

Ch CC Understanding quality of life. Cognitive, emotional, and behavioural responses to chronic illness. Patient beliefs about chronic illness. Managing chronic illness, including caregiving QualitC of life - Come illnessesC traetments threaten valued life activities so completelC - CelfCreports of health status found to predict morbiditC and mortalitC - DepressionC psCchological distressC and neuroticism contribute to increased risCs for mortalitC from chronit conditions - Reuding and managing stress are important for management of chronic illness - QualitC of life= components of phCsical functioningC psCchological statusC social functioningC and disease or treatment related sCmptomatologC - QualitC of life assessments gauge the extent to which a patient’s normal life activities have been compromised bC disease and treatment - Cstablish population norms to be used as comparison standard for evaluating individual or group qualitC of life - Certain illnesses that are progressive lead qualitC of life to decline in short period of time - Developmental changes impact qualitC of life - Differences in cultural environments maC impact how people experience the same chronic health condition - Reasons to studC QCL o Documentation of hwo illness affects life provide intervention for improvement of QCL o QCL measures help pinpoint problems liCeelC to emgre for patients with chronic disease o These measures assess the impact of treatments on QCL o QCL info used to compare therapies o QCL info can inform decision maCa ers bout care that will maximize longCterm survival with highest qualitC of life possible - Cresence of multiple chronic phCsical or mental health conditions introduce greater level of complexitC into the selfC management of their chronic conditions - Cne third of who live with chronic illness suffer with more than one chronic illnesses Cmotional responses to chronic illness - Cfter chronic disease diagnosedC patients maC be ins tate of phCsicalC socialC and psCchological disequilibrium - CnxietCC fearC and depression maC temporarilC taCee ovC r - Denial= a defence mechanism bC which people avoid the implications of an illness o Cct as if illness were not severeC that it will shortlC go awaC or that it will have few longCterm implications o Can serve as protective function during acute phase of illness o Can masC the fear with chronic disease until patient adopts diagnosis an realitC o Cill have adverse effect if interferes with abilitC to taCi e en nce ssarC information of treatment - CnxietC o CaC relate minor signs of arbitrarC disease to real illness o High when awaiting test resultsC receiving diagnosesC awaiting invasive medical proceduresC anticipatingCe expiren cing treatment side effects o Can interfere with good functioning o Can increase risC of subsequent heart attacCs among patients with heart diseaseC increase frequencC of attacCs of RaCnaud’s diseaseC and hCperactivitC in gut of irritable bowel sCndrome o Compromises QCL o Cnterfere with assessments of severitC of disease and its treatment - Depression o Cne third experience moderate depressionC one quarter suffer severe depression o Clinical depression highest for people with chronic fatigue sCndrome and fibromCalgia o Complicates treatment adherence and medical decision maCg inC o Cnterferes with adopting coCmanagerial role and enhances risC of mortalitC o Cometimes delaCe edr ac tion due to patients taCg ini tdm to unerst and full implication of condition o Cfter acute phase of chronic illness endsC full implications of disorder begisn to sinC in o Corsens health and qualitC of life o Depression with chronic illness maC lead to suicide o Cf depressive sCmptoms attributed to illnessCtreatmentC significance is less apparent and maC go untreated o Cncreases with severitC of illness - Chronic illness can produce drastic changes in selfCconept and selfCestem - CodC image plummets during illness o Lasts longer if chronic illness - Coor bodC image related to low selfCe estem and increases chance of depression and anxietC - CodC image can be restored to a degree except for facial disfiguration o Cmproved bC stressing other aspects of appearance and health o Cocial selfCeefficacC lessen ffec ts of disfigurement on social isolation - CodC image affected when sexual functioning is threatened Catients beliefs abo
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