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p. 252-270
Not just the physical side of condition – how does condition influence person and person influence the process of condition?
Psychological and social aspects influence patient’s management of disease as well as process of disease
Patient with coronary heart disease
Patient often angry with person giving diagnosis
Manner in which information given important
Clearly state diagnosis and immediate treatment plan
Detail can follow later when patient is calm
If diagnosis is a child’s, very stressful and emotional for parents
More difficult to explain diagnosis to children. They often repeat information but don’t understand fully.
Children should be included in consultations
Parents help with giving information
IdentityTime-lineConsequencesControlCausePatient tries to make sense of symptoms,
influence behaviourBeliefs about illness determines reaction to
diagnosis
Doctor-patient / physio-patient relationship important
Guide parents on how to include child in relationship
Challenges - living with symptomscontinious use of medicationsbehavioural changeschanges socially and in work emotional distressdecisions about treatment
Improve quality of life while managing challenges
Adherence
Improving self-management
Behavioural changes in childhood
Managing healthy siblings
Social and peer relationships
Employment
Role changes
Stress and coping
Anxiety
Procedure-related distress
Depression
Cognitive functioning
Transitional care
Denial
Anger
Bargaining
Depression
Acceptance
Physical
Behavioural
Cognitive
Emotional
Pryor, J.A. and Prasad, S.A. 2009. Physiotherapy for respiratory and cardiac problems. Adult and paediatrics. Edinburgh: Churchill Livingstone
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