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PSYC 314 (33)
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Ch 11.docx

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Department
Psychology
Course
PSYC 314
Professor
Janata
Semester
Winter

Description
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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