G&d(Ost528)-Chronic Illness In Childhood And Adolescence-Dr. Williams(Scribe23)

Front 1

What is the most common chronic illness in childhood and adolescence?

Back 1

Obesity

Front 2

Why is it imp. for physicians to know that obesity is the most common illness in childhood and adolescence?

Back 2

-It may be easy to treat.
-It must be treated throughout life.
-Obesity puts patients at risk for other diseases.

Front 3

What is the underlying pathophysiology of asthma?

Back 3

Eosinophilic Inflammation

Front 4

The burden of guilt is most likely to be shared unequally between the parents of a child born with what?

Back 4

Neurofibromatosis.

Front 5

Guilt is transmitted with what?

Back 5

Genetically along with disease.

Front 6

What type of disease is neurofibromatosis?

Back 6

Autosomal Dominant

Front 7

A 4 year child who has just been diagnosed with Type I Diabetes Mellitus is most likely to view her illness as what?

Back 7

Punishment

Front 8

The physician most effective at promoting patient adherence to therapy stresses what?

Back 8

Barriers to change

Front 9

Chronic illness what type of personality disorder?

Back 9

Multiple identity

Front 10

The burden of chronic illness reflects on what issue instead of disease-specific impacts?

Back 10

Psychosocial issues common to all chronic illnesses

Front 11

"Any physical or psychological state affecting one or more organ system which lasts at least 12 months and produces limitations in age-appropriate daily activities." What does the following define?

Back 11

Chronic Illness and disability

Front 12

What is a process that affects physical and physiologic processes?

Back 12

Disease

Front 13

What is the reaction, or psychological response to disease?

Back 13

Illness

Front 14

What is the social impact of the disease (if you can't perform normal social roles)

Back 14

Disability

Front 15

What is the socioeconomic milieu of family, insurance and money refere to?

Back 15

Predicament

Front 16

Why do male CF patients outlive female CF patients?

Back 16

B/c childbirth greatly weakens CF patients...remember, females with CF are fertile while males are not.

Front 17

As D.O.'s what model should be used in treating these patients?

Back 17

Biopsychosocial model

Front 18

The underlying primary pathophysiologic basis of conditions is important to derive treatment, but that is only what?

Back 18

Part of the picture

Front 19

At diagnosis, what must a patient do?

Back 19

A patient must mourn the life they thought they would have.

Front 20

Only _____percent of burden of chronic illness is unique to the specific condition, while ***_____percent of burden is shared in common across al chronic illnesses.

Back 20

15%, 85%

Front 21

What stage: shock, disbelief, denial, guilt, anger?

Back 21

Diagnosis

Front 22

What stage: sense of contagion and isolation, confusion over limit-setting?

Back 22

Remission

Front 23

What stage: revisit feelings and issues at time of original diagnosis (go through diagnosis states again)

Back 23

Relapse

Front 24

What stage: a sudden, unexpected death brings intensified shock, remorse, and anger; an expected death may bring grief, but a sense of relief also b/c a pt. isn't suffering?

Back 24

Death

Front 25

What are treatment goals of chronic illness or diability?

Back 25

1.Limit biological impairment
2.Encourage normal growth and development
3.Maximize attainment of potential in all areas
4.Prevent or diminish behavioral or social consequences

Front 26

What is the common theme in treatment of chronic illness and disability?

Back 26

Confine the disability

Front 27

What does effective intervention, using a biopsychosocial approach, seekk to do?

Back 27

Putting the patient and family back in control.

Front 28

When conversing about a child's chronic illness...who should be included in the conversation?

Back 28

Both parents

Front 29

What is chronic illness interrelated with?

Back 29

Development

Front 30

What concept do all of the following indicate?
1.A young child will think of it as punishment
2.Older children think of it as a burden to be borne
3.Adolescents think of it as something undeserved, to be denied and defied.

Back 30

***Meaning/Understanding of Illness varies with age***

Front 31

What is the formula for likelihood of adherence to therapy?

Back 31

(severity X susceptibility X efficacy of intervention)/costs

Front 32

Rather than on stressing or selling the benefits of treatment, what should a physician focus on when promoting adherence to therapy?

Back 32

Focus on overcoming barriers (costs)