Pathophysiology, the study of the functional changes in the body caused by disease or injury, is a
critical component of healthcare education, especially for nursing. It bridges the gap between
basic sciences and clinical practice by explaining how normal physiological processes are
disrupted, enabling nurses to assess, diagnose, and manage illnesses effectively.
Key Concepts of Pathophysiology
Pathophysiology focuses on understanding the mechanisms by which diseases alter normal body
functions. Key principles include:
• Homeostasis and Imbalance: The body strives to maintain internal stability, but diseases
disrupt this equilibrium, leading to symptoms and complications.
• Etiology: Refers to the cause of disease, which can be genetic, infectious, environmental,
or lifestyle-related.
• Pathogenesis: Describes the development and progression of a disease, including cellular
and molecular changes.
• Clinical Manifestations: Encompass signs (observable changes) and symptoms (patient-
reported experiences) of diseases.
• Compensatory Mechanisms: The body's attempts to restore normal function, such as
increased heart rate in response to blood loss.
Cellular Injury and Adaptation
Diseases often begin at the cellular level. Cells respond to stressors in various ways:
• Adaptation: Cells adjust to stress through hypertrophy (increase in size), atrophy
(decrease in size), hyperplasia (increase in number), or metaplasia (change in type).