Ch 11. PP Management of chronic illness

Emotional responses in order (3)
-Denial
-Anxiety
-Depression
Denial
a defense mechanism by which people avoid the implications of illness
-may interfere with treatment or self management during rehabilitative stage
Anxiety
-increase attention to symptoms
-can interfere symptoms and treatment
Depression
-can be a sign of physical decline
– lower QOL, can be long term, longer hospital stays
Emotional Response Process (4)
1-Diagnosis
2- State of crisis
3- Coping response
4- Integration into life/ Rehabilitative phase
self concept
-An integrated set of beliefs about one’s personal qualities and attributes
-how would you describe yourself?
Self-Esteem
A global evaluation of one’s qualities and attributes.
The evaluation of the self-concept (Do I feel good or bad about my personal attributes and qualities?)
Aspects of self concept (4)
-Physical self
-Achieving self
-Social self
– Private Self
Avoidant coping
E.g., avoiding learning more about your illness
Increased psychological distress
Risk factor for adverse responses to illness
Active coping
E.g., exercising and eating healthy to decrease high blood pressure
Lower distress
What are some positive responses to illness? (more like survivor thoughts)
-having the joy of survival
-renewed meaning in daily activities
Coping skills can improve
– anxiety levels
-knowledge about the disease
– increases patients feelings of purpose and meaning in life
ACT meaning
acceptance and commitment therapy
Mindfulness based stress reduction (MBSR)
improves adjustment to medical illness
-Exercise can improve quality of life (program that incorporates mindfulness to assist people with pain and a range of conditions and life issues that were initially difficult to treat in a hospital setting)
Support groups
Discuss issues of mutual concern that arise as a consequence of illness (low cost, convenient treatment option)