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- 2017-05-05 发布于湖北
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LindaS.GottfredsonSchoolofEducationUniversityof
Linda S. Gottfredson
School of Education
University of Delaware, USA
International Society for the Study of Individual Differences, Giessen, Germany, July 22-27, 2007; ; Past Job Analyses of Occupations; Goals: Prevent cumulating, hidden damage to organ systems (high sugar); Avoid life-threatening emergencies (very low sugar); Integrate adherence into life style
Tasks: Learn about the disease its control; Monitor signs symptoms closely during the day; Keep blood sugar within healthy limits at all times; Schedule life and work activities to achieve that; Communicate needs to family friends so they support rather than impede efforts; Get regular check-ups; Control co-morbidities (blood pressure, etc.)
Cognitive hurdles (patient): Use independent judgment to coordinate three interacting factors that affect blood sugar (diet, exercise, meds); Understand abstract concepts (carbohydrate, etc.); Plan ahead for unforeseen circumstances that jeopardize control (late meals, etc.); Conceptualize unseen bodily damage caused by sloppy control; Recognize subtle signs react quickly before sugar veers far out of control; Estimate lag times in losing regaining control
Cognitive impairments caused by disease (when sugar low): Confusion, poor judgment, slurred speech (temporary)
; Goals: Slow the inevitable physical decline; Retain functional capabilities for maximum time; Create safe work home environments; Maintain personal ties interests
Tasks: Inform self about course of PD, symptoms (rigidity, tremors, etc.), amelioration (medication, exercises, etc.). Monitor changes in symptoms reactions to meds; Modify physical environments to prevent accidents; Seek adhere to treatment (diet, timing of medications, exercises); Update evaluations by specialists; Plan for long-term care, powers-of-attorney, etc.
Cognitive hurdles (patient caregivers): Conceptualize how once-safe environs become hazardous with PD; Grasp peculiar changes in perception of light, space, a
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