Term
| What are some possible reactions of a teenager to a diabetes diagnosis |
|
Definition
Worried about reactions of friends (Damaged goods)
Refuse School
Refuse Treatment
Being Cheated out of good health
|
|
|
Term
| Problematic perceptions of a diabetes diagnosis |
|
Definition
Compare to Worst outcome of Relative
Assume recover to full health
Assume minimal impact on life,
Assume MD's monitor is sufficient and neglect self-care
Few except diabetes will shorten their life
Don't recognizes the seriousness
|
|
|
Term
| The physical and mental effects of Hyper and Hypoglycemia |
|
Definition
Hyper: Depressed Affect, Fatigue->Memory loss
Hypo: Dizzy, fatigue, hunger, sweating-> delerium |
|
|
Term
| What are the major categories of concerns that diabetic patients are faced with? |
|
Definition
Emotional Burden
Physician-Patient Relationship
Regimen Distress
Illness Distress |
|
|
Term
| What was the main finding of the dawn study? |
|
Definition
| Emotional well being of a patient was a key role in patients ability to contribute effectively to self-management |
|
|
Term
| What are some Adverse behavioral complications of diabetes |
|
Definition
Suicide attempts
Factitious hypoglycemia
Manchausen Syndrome by proxy |
|
|
Term
| Evidence of the psychosocial impact on diabetes |
|
Definition
Stress induces glucose Spikes
Adverse life events leads to higher A1C
Social Support resists these impacts
Adaptation to diabetes enables life success |
|
|
Term
| Problems seen in ramadan with diabetics |
|
Definition
hyperglycemia prior to fast
Hypoglycemia during fast |
|
|
Term
| Conclusions from the evidence about the managing the care of diabetics |
|
Definition
Patient-Centered Approach
Patient empowerment
More active role of patient
Self-management approach
Diabetic Registry
Electronic record
Appointment Reminders
Non-MD providers
Health Literacy
Focus on outcomes |
|
|
Term
| What is the daily burden of diabetes |
|
Definition
Monitor Glucose, Weight
Insulin Injections
Carry around glucose products
Foot Hygeine
Exercise
Finding/Maintaining a good physician relationship |
|
|
Term
| Diabetic patients free of psychiatric disorders are less likely to have what complication of diabetes? |
|
Definition
|
|
Term
| Why is SSRI treatment for depressed diabetic patients better than other antidepressant meds? |
|
Definition
| Less likely to cause weight gain |
|
|
Term
| Why do schizophrenic patients have a high incidence of diabetes |
|
Definition
Controling the disease usually leads to weight gain
Newer Anti-psychoatics are associated with the development of the metabolic syndrome |
|
|
Term
| In what populations does education seem to limit the prevailence of diabetes? |
|
Definition
Whites, Hispanics, Women
African Americans, however, did not show this relationship |
|
|
Term
| What psychosocial characteristics of diabetes patients typically precede the onset of their diabetes? |
|
Definition
Loss of a parent
Stressful Life Events
Less formal education |
|
|
Term
| Impaired health literacy increases the risk of what diabetic complications? |
|
Definition
Retinopathy
End-stage Renal disease
Lower Limb Amputation |
|
|
Term
| What diabetic patients seem to do better and what diabetic patients seem to do worse? |
|
Definition
Better: More patient talking,
Feeling of being heard,
Focus on Patient's Preferences and patient's socioeconomic level
Worse: Low Socioeconomic
Low Health Literacy |
|
|
