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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