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19 Cards in this Set
- Front
- Back
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family systems 4 characterizations
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1. external and internal boundaries
2. an internal hierarchy 3. self regulation through feedback 4. change with time, specifically family life cycle changes |
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four step intervention
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1. brin gthe pain into the room
2. reframe 3. empathically witness 4. refer |
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5 mcc of death
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1. heart disease
2. all cancers 3. stroke 4. chronic lower respiraotry dz 5. unintentional injuries |
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Backward selection (predictor of primary interest wtf)
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Remove variables with p-value ≥ 0.2
Keep variables if removing them changes coefficient by more than 10% to 15% |
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loose inclusion criterion
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P < 0.2
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R^2 = 0 (coefficient of determintaion/pearsons correlation coefficient between observed and presdicted data)
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poor predictive value
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R^2 = 1 (coefficient of determintaion/pearsons correlation coefficient between observed and presdicted data)
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good predictive value
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why might R^2 not be good for choosing the best model
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model estimates and predictions come from the same data set
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compensatory alliance
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doctor determines entitlements ot the pt in their sick role in the context of the family; the physician and pt develop an alliance that compensates for the dysfunction and defecit at home
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most common cause of disability in the US
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arthritis
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percentage of health care spending on ppl w chronic dz
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75%
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health care expenditure per person
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7k
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number of americans w chronic dz
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1/2
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deaths in america due to chronic dz
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7/10
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leading cause of cancer death in men and women
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lung cancer
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four modifiable risk factors that are responsible for much chronic disease
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lack of physical ativity
poor nutrition tobacco use excessive alcohol consumption |
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percent of people who smoke
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1/5
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cost of chronic dz price tag
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CV dz/stroke: 313.8 billion
caner: 89 billion Smoking: 96 billion DM: 116 billion Arthritis: 80.8 billion Obesity: 61 billion |
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when to use the four step family assesment and intervention
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when serious family dysfunction is interfering with medical management
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