Ch 29: Chronic Conditions Flashcards
what is a chronic disease
a condition that with affect all aspects of life for the rest of their life
**what should be our focus with treating these conditions
control of symptoms, promote well-being, and improvement of qulaity of life
**goals for chronic conditions
Healing
Live in harmony with disease
Maintain/improve self-care capacity
Manage the disease effectively
Boost body’s healing abilities
Prevent complications
Delay deterioration and decline
Achieve the highest possible quality of life
Die with comfort and dignity
Progress is measured differently
assessment of chronic conditions
keen assessment of client and family
dont assume family will always be there
immediate review of care needs
chronic disease can affect every aspect of life
set SMART short and long term goals
how to select of physician for maximizing benefits
Specialists should be knowledgeable
Consider the type of insurance
Should have good chemistry b/w client and provider
Encourage a positive client-provider relationship
Prepare for provider visit (have questions available and ready)
increasing knowledge to maximize benefits of chronic care
To gain better understanding of disease, empower the client
Be mindful of the type of knowledge and source
When they are informed, better able to make decisions
use of a chronic care coach
Person who helps older adult navigate through life transitions
Provides support, encouragement, reinforcement, inspiration, hope, assistance, and feedback
Can be anybody
Reinforce care plan; assist with resources; observes changes and immediately reports
roles of a chronic care coach
Contact: schedule visits and direct F2F contact
Observe: be attentive to needs
Affirm: reinforce care plan and actions
Clarify: ask questions; validate observations
Help: offer assistance; locate resources
Inspire: encourage adherence to plan of care; positive reinforcement
Nurture: provide education, info, and support
Guide: Set realistic goals; prioritize; help with making decisions
Gains perspectives from others
More willing to ask questions and get valuable info
locating a support group
what benefit comes from making smart lifestyle choices
maximize health and quality of life
why do we use complementary and alternative medicine
Health promotion and illness management
Can replace or be combined with conventional treatments
Discuss with provider
defense mechanisms and implications
reactiosn that could disrupt care
clients ego strength is threatened and they need extra support
help the client work through the trigger
psychosocial factors of chronic care
may feel overwhelmed, powerless, less competent, less attractive, ashamed, and identify themselves as their diagnosis
identify support groups; provide encouragement and support
impacts of ongoing care on the family of a chronic condition client
the ENTIRE family is the client
the care/needs of a client can significantly affect the family
sacrifices and compromises are common, but shouldn’t overrule
nurses can: help family realistically evaluate caregiving responsibilities and identify if other options should be considered
Usually done as a last resort
Can affect family physically, emotionally, and financially
need for institutionalized care
