Difference between revisions of "Psychosocial Factors"

Revision as of 08:11, 2 July 2014

Patients have social and behavioral factors that may have not only contributed to the clinical condition, they may have caused it. These social and behavioral factors may need to be addressed for the clinical treatments to be effective. The social and behavioral factors include being willingness to change, depressed, stress as someone else's care giver, physical activity, nutrition and patient activation.(See: Improving Clinical Outcomes By Addressing Social And Basic Needs)

The Psychosocial Factors are a component of the Patient Recovery Factors.

Patient (About)

This is about how to understand and relate to the patient. Patient (About) are elements of the social and behavioral factors in patient recovery.

About

Narrative/Story
Photos
Language Speaking and literacy

Family & Friends

Marital Status
Family Members - Their regular interaction, role in care or monitoring, where they live in proximate
Friends - Their regular interaction, role in care or monitoring, where they live in proximate
Photos
Support received from family and friends

Support

Support received from family and friends
Support provided to family and friends

Career

Education Level
Job History

Passions/Goals

Sports Teams, Television, reading, social media
Physical Activities - Walking, shopping, etc.

Stress Factors

Recent Stressful Events
Ongoing Stressful Challenges
Potential Stressful Events

Perspectives

politics
lifestyle,
culture

Spirituality

Religion
Religious beliefs
Yoga, etc.

Jail Involved

History of jail or prison time

Patient Lifestyle

Patient lifestyle factors are elements of the social and behavioral factors in patient recovery.

Activities (Physical)

Sports Participation (Golf)
Sporting Events (enjoy race track, kids sporting events, etc.)
Home maintenance

Activities (Social)

Family Activities (dinners, youth sports)
Social Activities (Social Organizations, frequent bars, etc.)

Activities (Sedentary)

Television (Watch Baseball, Drama series, News - Favorite programs)
Read, knit,etc.
Hobbies

Volunteering

Youth Coaching
Social Service

Care Giver Roles

Kids, parents, friends

Home and Travel

Snowbird (summers in the North, winters in the South)
Travel

Patient Behavior

Patient behavior factors are elements of the social and behavioral factors in patient recovery.

Physical Activity

Exercise and Activity Levels
Transportation (Always walks, always drive, always buses or subways)
Work (how active)

Nutrition

Diet and Nutrition
Nutrition (Fast Food, Take Out, Home cooked meals)

Social Interactions

Engagement with others
Engagement with Caregivers, others
Organized Communities - like PatientsLikeMe
Socially Isolated

Adverse Behaviors

Adverse Behaviors (use of alcohol, drugs, gambling, unprotected sex, smoking)

Sentiment

Upbeat, depressed

Patient Preferences

Patient preferences factors are elements of the social and behavioral factors in patient recovery.

Authorizations

Privacy and HIPAA
Advanced Beneficiary Notice
Recovery Team Access to Electronic Medical Records

Change Acceptance and Determination

Acceptance to change to Behavior, Lifestyle, address Problem (Stress), Patient Activation, Patient Technology Adoption
Determination to make change happen
University of Rhode Island Change Assessment Scale (URICA)(URICA)

Living Will

Advanced Patient Directives

Treatment Preferences

Home Based
Recovery Team
Technology Use
Palliative Care and End of Life preferences

Patient Activation

Patient activation factors are elements of the social and behavioral factors in patient recovery.

Activation Level

Patient Activation Measures - understands conditions, understands treatment, understand how to care for conditions, understands how to manage symptoms
Activation History

Condition Management Aptitude

Diabetic monitoring glucose and injecting insulin
Self-care

Education

Diagnosis
Prognosis
Treatments
Understand Options and onboard with the treatment plan

Treatment Adherence

Medication Adherence
Nutrition
Therapy, Physician Visits
Recommended Activity levels

Intervention Activation

Know when to ask for help
Comfortable asking for help
Know who to ask for help

Patient Technology Adoption

This could be for the patient or a patient authorized care giver. Patient technology adoption factors are elements of the social and behavioral factors in patient recovery.

Device Aptitude

Use of remote monitoring devices (Blood Pressure cuff)
Use of remote diagnostic devices (ecg app)
Use of tablet, computer or smartphone

Technology Aptitude

Internet and Online Usage
Education Videos
Patient Portal Usage
Ability to use Secure Texting, Video Conferencing, email

Online Personal Health Record

Online Electronic Health Record
Access Authorization (Recovery Team access)
Patient Input History (Patient answer questions or inputs data into Personal Health Record)

Available Technology

Broadband Internet
Wifi Router
Computer
Smartphone or Tablet
Remote Monitoring Devices (Blood pressure cuff, blood glucose monitoring)
Remote Diagnostic Devices (ECG app)