Chronic Illness Flashcards
(38 cards)
Chronic illness is responsible for ___ percent of deaths in the US
70%
What are examples of chronic illnesses?
- Arthritis
- Cancer
- Diabetes
- Coronary Artery Disease
- Stroke
- Obesity
- Usually self-limiting
- Responds readily to treatment
- Complications are infrequent
- After illness, person returns to previous level of functioning
Acute Illness
- permanent impairments or deviations from normal
- nonreversible pathological changes
- residual disability
- special rehabilitation required
- need for long term medical and/or nursing care
Chronic Illness
Tasks of the chronically ill:
- preventing and managing crisis
- carrying out prescribed treatment regimen
- controlling symptoms
- reordering time
- adjusting to changes of course of disease
- preventing social isolation
- attempt to normalize interactions with others
What are the stages of the Trajectory Model?
- Onset
- Stable
- Acute
- Comeback
- Crisis
- Unstable
- Downward
- Dying
- Signs and Symptoms present
- Disease Diagnosed
Onset
- Illness controlled by regimen
- Person maintains everyday activities
Stable
- Active illness with severe and unrelieved symptoms
- Hospitalization required for management
Acute
Gradual return to an acceptable way of life (after hospitalization)
Comeback
- Life threatening situation occurs
- Emergency services are necessary
Crisis
- Unable to keep symptoms/disease under control
- Life becomes disrupted while one works to regain stability
- Hospitalization is NOT required
Unstable
- Gradual and progressive deterioration in physical/mental status
- Accompanied by increasing disability and symptoms
- Continuous alterations in everyday activities
Downward
- One has to relinquish everyday life interests
- Immediate days/weeks before death
Dying
What is the nurse’s role in shaping the illness trajectory?
- encourage “self-managment”
- consider developmental stage
- care planning
- patient and caregiver education
- implementing strategies for symptom management
- assessing patient outcomes
Are able to reach out and connect with others
- become intimate with someone
- work toward career
intimacy vs. isolation
look beyond self to embrace society and future generations
- begin family
- develop concern for those outside of family
generativity vs. stagnation
take stock of one’s past/ get sense of satisfaction from looking at the past
integrity vs. dispair
face new sense of self over failing body and need for care
despair vs. hope and faith
- Autonomous
- Multi-taskers
- prefer interactive and virtual environments
- technology focused
- interactive thinking
- short attention span
Millennials (1981-2000)
- Interaction with groups
- self-directed learning
- self-reliant
Generation X (1961-1980)
- Emphasis on self-knowledge
- Acquisition of knowledge from authoritative sources
Baby Boomers (1945-1960)
- Emphasis is on rote learning
- Memorization of knowledge
Veterans (Born before 1945)
When formulating a teaching plan, what is important to consider?
- Who
- Does
- What
- Where
- When
