Chapter 27 Chronic Illness Delmar Learning Copyright 2003

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Chapter 27 Chronic Illness Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning

Chapter 27 Chronic Illness Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company

Chronic Illness • “Insider’s perspective” • Focus living with and in spite of illness

Chronic Illness • “Insider’s perspective” • Focus living with and in spite of illness • May view self as “healthy” Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Morbidity • Four leading causes of chronic health problems § § Arthritis Chronic sinusitis

Morbidity • Four leading causes of chronic health problems § § Arthritis Chronic sinusitis Deformities and orthopedic impairments Hypertension Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Mortality • Leading causes of death • Mortality variations among races Chapter 27 Copyright

Mortality • Leading causes of death • Mortality variations among races Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Caring, Empowering Perspective • • Valuing the client’s lived experience Focus on caring, not

Caring, Empowering Perspective • • Valuing the client’s lived experience Focus on caring, not curing Empowering individuals with chronic illness Experts in own care Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Relationships Built on • Respect • Trust • Partnership Chapter 27 Copyright © 2003

Relationships Built on • Respect • Trust • Partnership Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Impact of Chronic Illness • Physical aspects • Psychosocial aspects • Spiritual aspects §

Impact of Chronic Illness • Physical aspects • Psychosocial aspects • Spiritual aspects § Uncertainty, powerlessness, biographical disruption • Economic aspects Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Challenges of Living with a Chronic Illness • • • Preventing and managing exacerbations

Challenges of Living with a Chronic Illness • • • Preventing and managing exacerbations Symptom management Preventing social isolation Shaping course of the illness Normalizing Ensuring adequate funding Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Living with a Chronic Illness • • • Coping Normalizing Managing the illness Role

Living with a Chronic Illness • • • Coping Normalizing Managing the illness Role of the family Family caregivers Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Approach Coping Strategies • • • Information seeking Obtaining strength from spirituality Diversion techniques

Approach Coping Strategies • • • Information seeking Obtaining strength from spirituality Diversion techniques Maintaining control Expressing feelings, emotions, concerns Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Approach Coping Strategies • Using relaxation and positive-thinking techniques • Maintain realistic expectations for

Approach Coping Strategies • Using relaxation and positive-thinking techniques • Maintain realistic expectations for independence and dependence • Maintain social activities • Using humor • Energy conservation Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Normalizing • Hide symptoms • Engage in pre-illness activities • Maintain social relationships Chapter

Normalizing • Hide symptoms • Engage in pre-illness activities • Maintain social relationships Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Visible Illness Invisible Illness • Decision to disclose or not disclose • Risk of

Visible Illness Invisible Illness • Decision to disclose or not disclose • Risk of stigmatization • Risk of discrimination Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Managing the Treatment • Challenges to adhering to treatment plan § § § Time

Managing the Treatment • Challenges to adhering to treatment plan § § § Time Energy Money • Client’s right to participate or decline treatment Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Role of the Family • Types of Roles § § § Rescuing agent Protective

Role of the Family • Types of Roles § § § Rescuing agent Protective agent Assisting agent Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Family Caregivers • Positive rewards • Role strain • Caregiver burden Chapter 27 Copyright

Family Caregivers • Positive rewards • Role strain • Caregiver burden Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Promotion and Disease Prevention: The Nurse’s Role • Levels of Prevention § §

Health Promotion and Disease Prevention: The Nurse’s Role • Levels of Prevention § § § Primary Secondary Tertiary Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Primary Prevention • • Risk factor modification Immunizations Health education Counseling Chapter 27 Copyright

Primary Prevention • • Risk factor modification Immunizations Health education Counseling Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Secondary Prevention • Early detection of disease • Health screening Chapter 27 Copyright ©

Secondary Prevention • Early detection of disease • Health screening Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Tertiary Prevention • Rehabilitation and restoration • Client education • Disease management Chapter 27

Tertiary Prevention • Rehabilitation and restoration • Client education • Disease management Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health-Promoting Family Nursing Assessment • • Listening to the family Participatory dialogue Pattern recognition

Health-Promoting Family Nursing Assessment • • Listening to the family Participatory dialogue Pattern recognition Envisioning action and positive change Chapter 27 Copyright © 2003 Delmar Learning, a Thomson Learning company

ILLNESS AND ILLNESS BEHAVIOUR INTRODUCTION Illness An illnessILLNESS AND ILLNESS BEHAVIOUR INTRODUCTION Illness An illness
Chapter 32 Poverty Delmar Learning Copyright 2003 DelmarChapter 32 Poverty Delmar Learning Copyright 2003 Delmar
Chapter 14 Epidemiology Delmar Learning Copyright 2003 DelmarChapter 14 Epidemiology Delmar Learning Copyright 2003 Delmar
CHRONIC ILLNESS AND AGING CHRONIC ILLNESS A longlastingCHRONIC ILLNESS AND AGING CHRONIC ILLNESS A longlasting
Mental Illness Mental Illness Also called emotional illnessMental Illness Mental Illness Also called emotional illness
Mental Illness What is mental illness Mental illnessMental Illness What is mental illness Mental illness
Chapter 24 Chronic Diseases Copyright 2005 Delmar LearningChapter 24 Chronic Diseases Copyright 2005 Delmar Learning
Chronic Illness Social Issues Illness Behavior Roles StigmaChronic Illness Social Issues Illness Behavior Roles Stigma
Chapter 28 Developmental Disorders Delmar Learning Copyright 2003Chapter 28 Developmental Disorders Delmar Learning Copyright 2003
Chapter 9 Environmental Perspectives Delmar Learning Copyright 2003Chapter 9 Environmental Perspectives Delmar Learning Copyright 2003
Chapter 17 Quality Management Delmar Learning Copyright 2003Chapter 17 Quality Management Delmar Learning Copyright 2003
Chapter 31 Substance Abuse Delmar Learning Copyright 2003Chapter 31 Substance Abuse Delmar Learning Copyright 2003
Chapter 17 Quality Management Delmar Learning Copyright 2003Chapter 17 Quality Management Delmar Learning Copyright 2003
Chapter 29 Mental Health and Illness Delmar LearningChapter 29 Mental Health and Illness Delmar Learning
Chapter 29 Mental Health and Illness Delmar LearningChapter 29 Mental Health and Illness Delmar Learning
Improving Chronic Illness Care Chronic Care Model FamilyImproving Chronic Illness Care Chronic Care Model Family
Improving Chronic Illness Care Chronic Care Model FamilyImproving Chronic Illness Care Chronic Care Model Family
Redesigning Chronic Illness Care The Chronic Care ModelRedesigning Chronic Illness Care The Chronic Care Model
CHRONIC DIARRHEA Chronic Diarrhea o Chronic diarrhea definedCHRONIC DIARRHEA Chronic Diarrhea o Chronic diarrhea defined
Chronic leukemias Chronic leukemias n Chronic myelogenous granulocyticChronic leukemias Chronic leukemias n Chronic myelogenous granulocytic