Chronic Illness and Quality of life

Question 1

Disease

Answer 1

condition practitioner views from pathophysiological model

Question 2

Illness

Answer 2

human experience of symptoms and suffering
How disease is perceived, lived with and responded to by individual and family.
Is a unique experience.

Question 3

Goals

Answer 3

1. Advocate for the patient with a chronic illness through knowledge and continual education
2. Provide individualized information and care that enhances patients QOL

Question 4

Most Disabling Chronic Conditions:

Answer 4

Arthritis
Hypertension
Hearing impairment
Heart disease
Cataracts
Stroke
Cancer 
Obesity
Diabetes

Question 5

Multidimensional Impact of Chronic Illness(Quality of Life): Physiological

Answer 5

Altered body function (Ostomy)
Multisystem effect of insulin deficiency
Prevent medical crisis and learn how to deal with them if they occur

Question 6

Multidimensional Impact of Chronic Illness(Quality of Life): Physical

Answer 6

Symptom management
Loss of limbs or paralysis
Sexual

Question 7

Multidimensional Impact of Chronic Illness(Quality of Life):Occupational

Answer 7

May need to decrease, suspend or end work (retire early)

Caregiver may need to terminate employment to care for loved one

Question 8

Multidimensional Impact of Chronic Illness(Quality of Life): Financial

Answer 8

Finding money for healthcare and living
Causes of financial burdens and drains to financial resources
–Insurance rates
–Out-of-pocket expenses for items not covered
–Transportation

Question 9

Multidimensional Impact of Chronic Illness(Quality of Life): Psychosocial –

Answer 9

required adjustment to changes associated with the disease
-Stigma
Physical deformity, character blemishes, prejudice
-Isolation – challenge to prevent
-Uncertainty: Regarding exacerbations & remission; lifespan- confront own morality
-Family relationships
Role changes (role reversal)
Issues r/t altered sexuality
Caregiver stress
Ineffective family coping
Anticipatory grieving

Question 10

Four factors that influence adjustment to chronic illness:

Answer 10

1. Knowledge of illness and therapies
2. Coping resources
3. Problem-solving skills
4. Personal mastery as well as motivation

Question 11

What is Quality of Life?

Answer 11

Physical well being
Functional well being
Emotional well being
Social well being
Spirituality
Financial stability

Question 12

Quality of Life description:

Answer 12

Feeling of overall life satisfaction

Appraisal is subjective and includes all domains of life