Illness and illness behavior, impact on patient& family

ILLNESS AND ILLNESS BEHAVIOUR

INTRODUCTION

Illness : An illness is the response ,the person has

to disease .

It is an abnormal process in which the persons

level of functioning is changed compared with a

previous level.

Persons physical ,emotional, intellectual , social,

developmental or spiritual functioning is

diminished.

Illness is highly subjective ; only the individual

person can say he or she is ill.

ILLNESS BEHAVIOR

A coping mechanism , involves ways

individual describes ,monitor ,interpret their

symptoms ,take remedial actions , and the use of

health care system.

DETERMINANTS OF ILLNESS BEHAVIOR

Recognisability of illness symptoms.

The extent the person perceives symptoms as serious.

Information, knowledge and cultural assumption.

Disruption in family work and social activity.

Frequency of appearance.

Toleration level.

Physical proximity of treatment resources

STAGES OF ILLNESS BEHAVIOUR

Edward suchman (1972) identified stages of illness

behavior.

SYMPTOMS EXPERIENCE

Awareness of physical changes.

Pain, rashes and lump etc

ASSUMPTION OF SICK ROLE

Accept sick role and seek confirmation

Self treatment

Excuses

Emotional responses

Illness persist seek professional help

MEDICAL CARE CONTACT

Seek professional advice

Accept or deny diagnosis

Follow the treatment plan

DEPENDENT CLIENT ROLE

Dependent for professional help.

Accept their dependence on the primary care

provider.

RECOVERY AND REHABILITATION

Relinquish the dependent role

Resume former roles and responsibilities.

Acute illness (short term) – recovery fast

Chronic illness (Long term) s– recovery difficult

IMPACT OF ILLNESS ON

PATIENT AND FAMILY

IMPACT ON THE CLIENT

EXPERIENCE BEHAVIORAL AND

EMOTIONAL CHANGES

CHANGES IN SELF CONCEPT

Loss of self esteem

Loss of self concept

Diet Activity

Exercise Rest and sleep

CHANGES IN LIFE STYLE

IMPACT ON THE FAMILY

FACTORS :-

Member of the family who is ill.

Seriousness and length of illness

Cultural and social customs the family follows

Role changes.

Task reassigned and increased demands on time.

Stress.

Financial problems.

Loneliness.

Change in social customs.

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