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UTSW 2011 HB Chr Dis Test

Enter the letter for the matching Answer
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1.
What are the key components of ideal chronic care?
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2.
How can you help a patient deal with chronic illness?
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3.
What is the best way to deal with a Preparing chronic illness patient?
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4.
What is the best way to deal with a Maintenance chronic illness patient?
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5.
What is the best way to deal with a Contemplative patient?
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6.
What is the best way to deal with a Pre-contemplative patient?
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7.
What would be most effective against chronic disease?
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8.
What is functional status?
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9.
What are Prochaska & DiClemente's Stages of Change w/chronic illness?
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10.
What are the stats on chronic disease?
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11.
What are some reason for non-compliance?
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12.
What is a chronic disease?
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13.
What is the best way to deal with an Action chronic illness patient?
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14.
What are potential members of the interdisciplinary health care team?
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15.
How many people live in nursing homes?
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16.
What is the Instrumental Activities of Daily Living?
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17.
Why is chronic disease increasing in prevalence?
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18.
What are the Activities of Daily Living (ADL)?
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19.
What is the best way to deal with a Relapse chronic illness patient?
A.
1) Validate state, 2) Clarify decision is theirs, 3) LIST pros & cons of change
B.
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
C.
A measure of functional status evaluating complex functions of community: Telephone, Transportation, Shopping, Cooking, Housework, Laundry, Managing Meds, Managing $
D.
5% 65 year olds, 6% 75-84 year olds, 22% >85 years old. family/friends usually give >80% needs.
E.
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
F.
Katz et al. 1963, a measure of functional status evaluating basic activities: Bathe, Dress, Toilet, Transfer from Bed, Continence, Feeding (lose in that order)
G.
Social Worker, Pharmacist, Physical/Occupational Therapist, Psychologist, Chaplain, Nurse, PA, Physician
H.
1) Reward sustained behavior, 2) focus on Long-term benefits
I.
1) Social Support system, 2) Plans for obstacles, 3) Acknowledge planning success, 4) Acnowledge need for change, 5) Manage stress
J.
80% prevented x diet, no smoking, healthier eating
K.
One which requires ongoing treatment and management typically greater than one year and often is lifelong and not curable.
L.
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
M.
1) Pre-contemplation, 2) Contemplation, 3) Preparation, 4) Action, 5) Maintenance/Relapse Prevention, 6) Relapse
N.
1) Validate state, 2) Clarify decision is theirs, 3) Encourage contemplation of future change benefits
O.
1) Identify obstacles, 2) patient Informs others of change, 3) Review benefits, 4) Plan of action
P.
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)
Q.
ability to maintain independence & respond to daily urgencies
R.
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
S.
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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20.
1 risk factor for chronic disease in a patient?

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