MSTest1.docx - 1 Week 1 Chapter 9 Chronic Illness and...

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Week 1: Chapter 9: Chronic Illness and Disability 1) Chronic Conditions a) Affects every age, socioeconomic level, and culture b) Chronic illness- experience of living with a chronic disease or condition c) Medical/health problems that require long-term management (3 months or longer) or those without cures d) Most common cause of death in the US e) Cardiovascular disease, cancers, diabetes, and lung diseases most common f) Increasing rapidly in lower income countries g) Modifiable risk factors for chronic disease i) Lack of physical activity ii) Poor nutrition iii) Tobacco use iv) Excessive Alcohol h) Adjustment to chronic illness is affected by various factors: i) Suddenness, extent, durations of lifestyle changes ii) Uncertainty iii) Family and individual resources for dealing with stress iv) Availability of support v) Stages of individual/ family life cycle vi) Previous experience with illness and crisis vii) Underlying personality characteristics viii) Unresolved anger or grief from the past i) HIV/AIDS is now considered to be chronic because people can now live for a long time with it i) Cancer is usually seen as the same j) Chronic disease is America’s leading cause of premature death and disability 2) Definition of Chronic Diseases or Conditions a) = Medical diseases or conditions with associated symptoms or disabilities that require long-term management 3)Prevalence and Causes of Chronic Conditions a)Decrease in mortality from infectious diseasesb)Lifestyle factorsc)Longer life spans in generali)The longer you live the more likely you are to get these disorders d)Improved screening, diagnostic procedures 4) Chronic Conditions Affects a) Individual i) Adaptation of treatment/acceptance ii) Adherence to therapeutic regimens iii) Leads to other chronic conditions b) Family i) Day-to-day management c) Individual and Family i) Financial burden ii) Ethical issues iii) Living with uncertainty (1) Ex. MS how it will progress 5) Managing Chronic Conditions 1
a) Importance of prevention: i) Lifestyle changes/interventions ii) Promote health b) Once chronic disorder occurs: i) Managing symptoms ii) Avoiding complications /acute illness (1) Ex. eye complications in a person with diabetes iii) Avoiding acute illness (1) Ex. pneumonia in a person with chronic lung disease iv) Maintaining functional status v) Quality of life vi) Health-promoting behaviors c) The challenges of living with chronic conditions include the need to accomplish the following i) Alleviate and manage symptoms ii) Psychologically adjust and physically accommodate iii) Prevent and manage crisis and complications iv) Carry out regimens as prescribed v) Validate individual self-worth and family functioning vi) Manage threats to identity vii) Normalize personal and family life viii) Live with altered time, social isolation, and loneliness ix) Establish networks of support x) Return to a satisfactory way of life xi) Die with dignity and comfort 6) Phases of Chronic Conditions a) Pretrjectory i)

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