UT Southwestern - Human Behavior - Chronic Disease
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| show | One which requires ongoing treatment and management typically greater than one year and often is lifelong and not curable.
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| show | 1) 45% Americans have @ least 1 (will be >50% in 2030), 2) 75% health care spending, 3) premiums increased 87% over last decade ($6k/year = 5x more than non-chronic)
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| show | 1) people live longer, 2) obesity (1/3 adults), 3) poor behaviors (booze/smoking), 4) poor diet (<1/4 eat veggies & fruit), 5) no physical activity
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| show | 1 risk factor for chronic disease in a patient?
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| show | 80% prevented x diet, no smoking, healthier eating
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| show | ability to maintain independence & respond to daily urgencies
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| How many people live in nursing homes? | show 🗑
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| show | Katz et al. 1963, a measure of functional status evaluating basic activities: Bathe, Dress, Toilet, Transfer from Bed, Continence, Feeding (lose in that order)
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| What is the Instrumental Activities of Daily Living? | show 🗑
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| show | 1) Informed and activated patients 2) Prepared, proactivae interdisciplinary teams 3) organized healthcare 4) Delivery system design 5) Community 6) Self-management 7) Decision support 8) Clinical information systems
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| show | Social Worker, Pharmacist, Physical/Occupational Therapist, Psychologist, Chaplain, Nurse, PA, Physician
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| show | 1) normalize emotions, 2) investigate previous stress coping mech's, 3) cultivate sense of control x teaching, 4) positive attitude, 5) locate support system, 5) Accept change in appearance
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| What are Prochaska & DiClemente's Stages of Change w/chronic illness? | show 🗑
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| show | 1) Validate state, 2) Clarify decision is theirs, 3) Encourage contemplation of future change benefits
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| show | 1) Validate state, 2) Clarify decision is theirs, 3) LIST pros & cons of change
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| show | 1) Identify obstacles, 2) patient Informs others of change, 3) Review benefits, 4) Plan of action
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| show | 1) Social Support system, 2) Plans for obstacles, 3) Acknowledge planning success, 4) Acnowledge need for change, 5) Manage stress
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| show | 1) Reward sustained behavior, 2) focus on Long-term benefits
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| show | 1) Evaluate changed behavior leading to relapse, 2) Identify triggers, 3) Reise action plan, 4) Review benefits of change, 5) Get back to action plan (don't dwell)
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| show | 1) denied chronicity, 2) ignorance, 3) illiteracy, 4) doesn't bother NOW, 5) can't afford, 6) no team treatment, 7) competing survival needs, 8) mental health, 9) lack of motivation, 10) cultural issues
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