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19 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Adherence

measuring
-Chung and Naya
-- track cap and pill count
-- 71% adherence, 89% with count
- sherman et al(00)
--call pharmacies and doc records
--90% accurate, 61% refil rate, docs NOT detect non adherence
-Cluss and epstein (85)
-- self report, thereputic outcome, health worker, pill count, biochemical, mechanical
trackcap
pharmacies
methods
Adherence

improving
-Ley (76)leaflets
--easy/med/hard leaflets made
-Mckenny (73)fear of reprimand
-Nessman (80)
--hypertension group session 38 ->58% inc but 56/500 took part.
-Kaplan
-- tailor info to clients
leaflets
telling off
groups
information appropriate?
Patient practitioner

Interpersonal
- NVC Mckinsty and wang
--- traditional appeareance induces more confidence, particularly in elderly.
- Macguire and rutter structuring interviews
-- content
---details, emo/soc/phy/other
---family history
---patient view
---predispositions
---psychological screening

-- process
---greet and show seat
--- put at ease
--- interview
-----open qs
-----encourage response
-----active listen
-----check understanding and patient qs
communication without sound?
stuck in a RUT?
Pain

Types and theories
- types
--episodic,neuralgia, causalgia, phantom
-melzack and wall(60s) gate control
-- close/open gate via factors ( sarafino 94)
-TENS
-Accupuncture
-Hypnosis
- Heat and cold
sort
gates
electric
pins
pendent
heat
Patient practitioner

Diagnosis and style
- Byrne and long(76)
--old prefer doc led, young opposite
--observations and interview
-Wallston
-- primacy effect
-Marteau
--if diagnosis presented positively ( 10% survival)med students more likely to recommend.
-Taylor theory of adjustment
--cardiac patients
--1 ) why happen, 2) how manage/prevent, 3) life after
long burn
sausages
mart
adjustment
patient practitioner

use and mis-use
-zola(73) , social triggers
-- percived lifestyle interference, escape/resolve crisis, social sanction
- Safer et al(79)delays
--appraisal ( symptom interpretation), illness( seeing illness to getting help), utilisation ( seekig to taking help)
-Munchausen syndrome
footballer?
is it SAFE to delay?
really ill?
Pain

Measuring
-Sarafino (94) interviews
--history, emotion state, lifestyle, impact on, social context, triggers, coping mechanisms
-mcgil pain qs
-Paediatric pain questionnaire ( varni and thompson (86)
-chapman ( 85)
-- EMG for headache/msucle tension
- Jeans (83) pain description
-- 5 yrs 5 adj, 13 took 26
-- under 10 phys soluton, over 10 psy solution.
quiz
Mcgil
PPQ
Headaches
trousers?
adherence

why adhere
- conrad( 85)
--epileptics, reminder of illness
-kent and dalgleesh (96)
--kids prescribed antibiotics, day 3 41% being given, 6 29% were.
-Francis et al (69) gp satisfaction
-Mckinlay (75) understanding
-Ley( 73/85) memory
-HBM
-Homedes(91)
--characteristics( age/SE/LOC)
-- Short/long term, clinical setting, pp relationship, disease features
remeber epileptics?
parents
happy?
understand?
remember?
factors?
Pain

Managing
-Brannon and feist ( 97)
-- only effective on childbirth, headache, cancer and back pain
-Relaxation
- biofeedback
-CBT- pain beliefs
- group sessions
all types?
chill
body?
mind
not alone
Health Promotion-

Methods
-stages
-- primary( genetic counseling- tortura et al 00)/ secondary ( BSE Shepard et al 90)/tertiary.
-Yale model
--SMart Message To Spread
- prochaska stages of change
- Fear appeals Janis and Feschbach
types
SMart Message To Spread
change?
scared?
Health Promotion

school/workplace/community
-Farquar 3 communities
-Johnsen and Johnson live for life
-targetting( walters et al)
-- targetting at risk children for behaviours
- venereal disease storyline
-- lashley and watson
tri
baby company
aim, fire
storytime?
Health and safety

definition/causes/factors
- attribution
--situation/personal judgment affect view
-Human error ( reason)
--system vs human approach
-Mistakes ( riggio)
--Errors of com/om isson
-cognitive overload ( barbar)
why?
human or robot
more or less
go mad cos too much?
Health and safety

personality/alcohol/sleep
-Alcohol ( simpson et al)
--25%/500 accidents alcohol related
--95% self inflicted
-Sleep ( maycock)
--29% drivers close to sleep at wheel
-personality- extra/intravet
drunk?
tired?
personalty
Health and safety

reducing
-stress innoculation ( kurtz)
-- workplace programmer, cost offset
-token economy ( fox et al)
- cowpe chip pan fire
-law ( pitt) cycle helmets
injection STRESSful
payment
media
legally obliged
Stress

causes and sources
-GAS ( Seyles
--based on cannon fight or flight
-Lazerus cognitive appraisal
got GAS?
all in the mind...
Stress

measuring
- holmes and rahe
--Life events scale
-Gullian et al
--driving diary over 5 days
--age, time, exp affected it
-douglas et al
--heartrate firefighters and diary
-- inc when many callouts
-daily hassles scale
stressful life?
drive you mad?
burning stress
day to day
Stress

managing
-Lazerus, see causes
-stress inoculation (meichenbaum)
- control ( langer and rodin)
-- less deaths, Self report higher too
-biofeedback ( stayver and adler)
--headache and muscle tension
-- muscle relaxation
All in the mind?
injections stressful?
old and out of control
Relax only a headache
sustance use and abuse

theories
Bandura social learning theory ( bobo)
bauman(82)- attribution theory
comings (98)gene in 42% alcoholics
reasoned action
taylor (06)- self esteem and abuse
from others?
viewpoint
genetic
logical
confident?
sustance use and abuse

treating
evans(78) resist social pressue
Danaher(77)- aversion therapy smokers
Gomel(93) workplace ban
Pechman(98) fear arousal if family focussed
others affect?
put you off
not whilst working
family fear?