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45 Cards in this Set
- Front
- Back
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What amounts of death happen from chronic disease?
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more than half of the 58 billion deaths are from CVD, diabetes, CA, obesity, and respiratory disease
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What is the ABCX family stress theory?
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A- Stressors and hardships B - family capabililities - resistance resources C- Family definition - focus on stressor - family tension stress and distress X - Family crisis demand for change
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What is the Loss Theory?
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look this up
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How many Americans suffer from chronic diseases?
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100 million, 40 mil limited by them
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How many don't receive appropriate care for chonic disease?
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1/2 or more - 1 trillion $ spent each year
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How many avoidable deaths are there each year from lack of care from chronic disease?
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57,000
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What is the Chronic Care Model?
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Parnters, Team, Action-Plan, Organized, meanfingful visits, Electronic Database, Group visits, Non-physician providers, all centered on promoting SELF MANAGEMENT
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What is GA rate of diabetes?
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11.2%, 9.1% in usa
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What is GA rate of physical activity?
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45.7% vs 50.9% USA
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What is GA Rate of smoking?
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19.5% vs. 18.3% USA
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What is GA Death rate from heart disease?
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203/100,000 vs. 190.9/100,000 USA
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What is percentage of adults who are obese in GA?
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62.1% vs. 60.8 in USA
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What is prevelance of Asthma in GA?
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8.5% vs 8.5% in USA
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What is prevelance of Stroke deaths in GA?
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49.7% vs. 42.2% in USA
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What is prevelance of death from diabetes in GA?
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19.5% vs. 22.5% in USA
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According to 2003 Mililkin instutue of Chronic disease index the top 3 chronic medical conditions are?
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Pulmonary dx, hypertention, mental illness
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According to data presented by Dr. Wagner waht percentage of those with chronic diseas are not receiving appropriate care?
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50% or more
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What is primary goal of Chronic care model?
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improve outcomes for patients
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The single most critical component in any chronic treatment program is?
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interventions that target self-management
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Chronic problesm have unique care issues? those issues are?
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Emotional drain on patient, family and provider
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When telling a patient they ahve a hronic illness consider the following
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They may be overwhelmed by the diagnosis and unable to take in all the info, you may need to scheudle another visit soon to cover all info
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In the Health Belief Model an example of a cue to action are all of the following
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Advertisement or public service announcments, follow-up phone calls, reminder letters
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The transtheoretical Model has been used extensively for smoking cessation. a patient who tells you that hey are thinking of a change in the next 2 months is in what stage?
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Contemplation
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In chronic illness it is often best to
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strengthen team care so nothing gets missed
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If you were using Motivational Interviewing techniques with COPD pt who states they are not interested in stopping smoking your best response would be
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Tell them when they are ready to discuss smoking cesste you will be ready
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What is the basis for motivational interviewing?
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It's all about the relationship - advice does not work well, listen to patient, have a patient centered platform, ask pt what they are willing to do for their health - is pt ready for change?, do they feel change is important?, are they confident to make a change?
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Motivational interviewing is
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patient driven - ask open questions, reflective listening empowers patients to make a change, less frustrating for providers
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What is phase I of motivational learnign?
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Identifying and strenghtens a persons inner motivation for change
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What is phase II of motivational learning?
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moving toward action - making the transsion, delvelop an end game and manage resistance
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What to ask with motivational learning?
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How do you see your health, what is important for your health? do not bring in resistance if not ready to change then move on leave door open for them to come back
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What are stages of Transtherotical model?
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precontemplation, contemplation, preparation, action, maintenance
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What is precontemplation?
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not thinking of changing in forseeable future - next 6 months
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What is contemplation?
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intending to change in next 6 months - thinkiing about changing, how to take steps
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What is action
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actually making change is the stage in which people have made specific overt modifications in their life-styles within the past six months.
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What is maintenance?
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thinking about how not to slip back into old habits - prevent relapse
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TTM models does not work well with what problem?
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weight loss or obesity
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What is Health Belief Model?
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a psychological model that attempts to explain and predict health behaviors. This is done by focusing on the attitudes and beliefs of individuals The HBM is based on the understanding that a person will take a health-related action (i.e., use condoms) if that person: feels that a negative health condition (i.e., HIV) can be avoided has a positive expectation that by taking a recommended action, he/she will avoid a negative health condition (i.e., using condoms will be effective at preventing HIV), and believes that he/she can successfully take a recommended health action (i.e., he/she can use condoms comfortably and with confidence).
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25% of americans have how many chronic conditions
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4 or more - 120 million have one or more chronic conditions, atributing to 70-80% of health care costs
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What is the best way to manage Chronic conditions?
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patient self management - using motivational interviewing
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Heatlh Belief Model consists of
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1) person must believe that there is a perceived threat (percieved susceptibility) 2) person believes that threat can be severe (perceived severity) religious may accept 3) perceived benefits from heatlh changes - does this fit into cultural health beliefs 4) perceived barriers - 5) cues for action - public service announcments, poster, call, letter 6) self effacacy - do I believe I can do it?
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Health Belief Model - Percieved benefits
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read a lot in paper or hear on news what health care system says is best - always changing, do they trust in governement or official sources
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Health Belief Model - perceived barriers
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economics, psychological, going against traditions or against edersly, language barriers
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Health Belief Model cue to action
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credibility of sources, preferred ways of getting info, interaction, brochures, pictures, literacy, perferred language, materials & training approaches respectful to values
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Health belief model - Self Efficacy
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How confident am I that my family & I can amke this change, racism, distruct, learned helplessness
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What are feelings of one with long term disesases?
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1) create order 2) need for fellowshipping and belonging 3) value working & taking care of oneself, 4) everday situations taught something new 5) find a personal haven 6) worry about disease and how it woudl affect everyday life
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