Chronic illness - AnswersThe irreversible presence, accumulation or latency of disease states or
impairments that involve the total human environment for supportive care and self care, maintenance
of function and prevention of further disability
What contributes to chronicity? - Answers- degree of disability and altered lifestyle
- a persons perceptions and beliefs about the disease
Disease - AnswersThe pathophysiology of a condition
Illness - Answers- The human experience of a disease
- Lived experiences of the individual and their family
- Resulting impact on a persons life
Chronic disease management - Answers- Managing or prevent chronic conditions
- Intervention or interventions
- Systematic and collaborative approach to care
- Involves the person
- Reducing negative impacts
- Monitoring function
Contributing factors - Answers- Key detriments of health
- Lifestyle
Lifestyle - AnswersIncludes choices made by individuals and recognizes influence of social, economic and
environmental factors
Canadian facts - Answers- 44% of Canadians over the age of 20 are living with at least 1 condition
- 33% of Canadian adults have two or more chronic illnesses
- 3/4 of deaths in Ontario each year result from chronic illness
Economic considerations - Answers- Direct health care costs are around 10.5 billion a year in Ontario
- There is a large economic burden of chronic disease risk factors (smoking, alcohol, physical inactivity
and unhealthy eating)
,Impact of chronic illness - Answers- Older adults
- High-need (5% of patients), High- patients (50% of health care spending)
- Health care consumer
- Influence of health behaviour
Influence of illness perceptions - Answers- the response of clients and families to illness
- the coping strategies they draw on
- how they generally response towards their illness
How are perceptions created? - Answers- developed overtime
- molded by their everyday social interactions
- past experiences and culture
Culture - Answers- More than ones race or ethnicity, cultural 'norms'
- a set of explicit and implicit guidelines that individuals use to view the world and tell them what
behaviour are appropriate
- e.g. culture of poverty, culture of cancer survivors and culture of chronic illness
Loss of self - Answersovertime patients with a chronic illness feel their self-image disappears
Moral work - Answerspatients feeling the obligation to manage symptoms alongside their daily life
Devalued self - Answersreassessment and a new understanding of self, feeling revalued by the world
Chronic sorrow - Answers- may be a natural response to chronic illness
- prolonged period of sadness
Interventions - Answers- patients do not need their illness fixed or cured
- patients need professionals to listen and understand illness experience
- evidence informed frameworks and models need to be developed
Best patient outcomes - Answers- Illness behaviour is not deviant
- We need to support patients
- We need to understand lives experiences of the illness
, - Best patient outcome is the healthcare professional supporting and assisting through the illness
experience
THRIVE model - Answers- Therapeutic intervention
- Habit and routine
- Relational-social factors
- Individual differences
- Values and beliefs
- Emotional factors
Chronic heart failure - AnswersInability of heart to meet the hemodynamic metabolic demands of the
body
Prevalence of CHF - Answers750,000 people live with it, this is expected to increase
Goals of CHF treatment - AnswersPrevent progression, reduce exacerbations, recognize early signs of
decompensation, control symptoms, assist patient with co managing disease, and improve quality of life
Risk factors - Answers- Age
- Gender
- Hypertension
- Physical inactivity
- Obesity
- Frailty
Illness experiences - Answers- Lived experience of the individual and family
- Includes perceptions and beliefs about the condition
- Response to illness
- Health/illness behaviours associated with the experience
Where dies stigma come from? - Answers-Health as a functional perquisite- "sick role"
- Today the sick tole is not longer accepted