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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? |