Chronic Illness/ grief

Question 1

9 phases of Chronic illness trajectory

Answer 1

1 pretrajectory phase: at risk
2-trajectory: initial symptoms- no dx
3- stable: diagnosis, symptoms are managed
4 unstable phase: symptoms reoccur, complications develop
5-acute phase: severe or unrelieved sx. Need for hospitalization.
6-crisis phase: critical or life threatening
7- comeback: recovery after acute phase
8 downward: sx worsen
9 dying phase:

Question 2

Kubler-Ross 5 grief stages

Answer 2

Denial
Anger
Bargaining
Depression
Acceptance

Question 3

What is diagnosis of death based on?

Answer 3

Legally based on brain death. Therefore death has occurred when patient has irreversible loss of all brain functions. No respiration or brain stem reflexes.

Question 4

Differences of the following:

Remission:
Stable:
Exacerbation:

Answer 4

Remission: symptoms subside

Stable: symptoms are controlled

Exacerbation: symptoms are worsening

Question 5

Contemporary view of sick role is:

Answer 5

patients partnering with healthcare provider in making healthcare decisions

Question 6

What are the overall goals of Healthy People 2020?

Answer 6

Increase life expectancy and quality of life

Eliminate health disparities