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Management of chronic diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Two types of responses to initial shock of  chronic illness* ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],*Lacroix A., Therapeutic Education  2003 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Doctor’s role of patient’s health belief model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Empathy is the key to success ,[object Object],[object Object],[object Object],[object Object],[object Object]
Th. Arrivaali  (the knowlegeble) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Age:  55-60 years Diagnosed since at least 8 -9 yrs. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Th. Bhayanthavar  (the Scared) Recently diagnosed ,[object Object],[object Object],[object Object],Age: 40-45 years Region: Northern & Western  India but a rare case in the south  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Th. Parkalaam  (the casual) Living with the disease for long ,[object Object],[object Object],Age:  40 +years Region: Northern & Western  India but a rare case in the south  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Th. Kurukku vazhi  (the myopic) ,[object Object],[object Object],Age: 5 0 - 60 years Region: Spread across regions, fewer in south Diagnosed since at least 8 -9 yrs. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Th. Yavum Arivom  ( I Know it all) Recently diagnosed ,[object Object],[object Object],Age: 40 - 45  years Region: Not very region specific, but none found in South ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient segments Positive attitude to treatment Scared Negative attitude to treatment Knowledgeable Low levels of awareness Myopic I Know it all Casual High levels of awareness

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Diabetes Denial

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  • 10. Patient segments Positive attitude to treatment Scared Negative attitude to treatment Knowledgeable Low levels of awareness Myopic I Know it all Casual High levels of awareness