UT Southwestern - Human Behavior - Chronic Disease
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What is a chronic disease? | show 🗑
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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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show | 5% 65 year olds, 6% 75-84 year olds, 22% >85 years old. family/friends usually give >80% needs.
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What are the Activities of Daily Living (ADL)? | show 🗑
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What is the Instrumental Activities of Daily Living? | show 🗑
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What are the key components of ideal chronic care? | show 🗑
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What are potential members of the interdisciplinary health care team? | show 🗑
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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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What is the best way to deal with a Preparing chronic illness patient? | show 🗑
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What is the best way to deal with an Action chronic illness patient? | show 🗑
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show | 1) Reward sustained behavior, 2) focus on Long-term benefits
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What is the best way to deal with a Relapse chronic illness patient? | show 🗑
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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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micah52
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