Lesson 1 and 2 Flashcards
Leading causes of death from cancer
lung, stomach, colon and rectum, liver, breast
Impact of Diabetes
- Affects >25.8 million Americans
- 7.0 million do not know they have
the disease - 7th leading cause of death
Impact of Coronary Artery Disease
- Affects about 17 million adults
- Leading cause of death
Phase of Chronic Illness:
* Active illness with severe and unrelieved symptoms or complications.
* Hospitalization may be required for management
Acute
the drivers of the current health status of our country
o Only a third of all provinces meets the bed-to population ratio
o Not all hospitals have X-Ray and Ultrasound Machines, and have complete basic emergency equipment.
o the increase in the cost of medical care is still at par with the overall increase in good and services.
o PhilHealth coverage stands at 75%* and varies across regions. However, there
is no clear pattern of benefit utilization and coverage.
o On average, PhilHealth support value is at 41.4%.*
Prevention of Chronic Illness
Primary prevention
Secondary
Tertiary
Impact of Chronic Obstructive Pulmonary Disease
- Affects many older adults
- 3rd leading cause of death
Liver cancer will decrease because
immunization against the hepatitis B virus
Example of Time consuming
Dressing changes done four times daily
diseases that are prolonged, do not resolve spontaneously, and are rarely cured completely.
Chronic Illness
Philippines is faring well in improving health
outcomes. However, regional disparities are still evident.
Cancer and heart disease are more related to the *** age group
70-75
refers to activities that limit disease progression, such as rehabilitation.
Tertiary prevention
people over 75 become more prone to what
impairments of hearing, vision, mobility
and mental function
Areas of Global Health Situation
Population
Life expectancy
Age structure of deaths
Health of adults
Health of older people
Lung and colorectal cancer increase due to
smoking and unhealthy diet respectively
Leading causes of death from circulatory diseases
coronary heart disease, cerebrovascular disease
Stomach cancer declines due to
improved food conservation, dietary changes
and declining related infection.
Seven Tasks of People with Chronic Illness
❖ Preventing and managing crisis
❖ Carrying out prescribed treatment regimen
Affects about 17 million adults
* Leading cause of death
Coronary Artery Disease
Most common reason older adults
are hospitalized
Heart Failure
Phases of Chronic Illness Trajectory
Onset
Stable
Acute
Comeback Crisis
Unstable
Downward
Dying
Example of Painful or uncomfortable
Injecting heparin daily in the abdomen
Affects about 7 million adults, 15%-
30% disabled
* 4th leading cause of death
Stroke
Impact of Arthritis
- Affects 1 in 5 people
- One of most common chronic
illnesses
Example of Unsightly appearance
Tracheostomy
Global population now
5.8 billion
circulatory disease deaths occur in people over age of
65
Example of Slow rate of effectiveness
Lowering blood cholesterol level with
medication or diet
Example of Difficult
Managing a home hemodialysis unit
Phase of Chronic Illness:
* Unable to keep symptoms or disease course under control.
* Life becomes disrupted while patient works to regain stability.
* Hospitalization not required.
Unstable
Characteristic of Treatment Regimens
Difficult
Time consuming
Painful or uncomfortable
Unsightly appearance
Slow rate of effectiveness
Cervical cancer is expected to decrease because
due to screening
Leading causes of death from infectious diseases
acute lower respiratory infections, tuberculosis, diarrhoea, HIV/AIDS, malaria
Impact of Alzheimer’s disease
- Patient has to relinquish everyday life interests and activities, let go, and die peacefully.
- Immediate weeks, days, hours
preceding death.
Apply the Nursing Process Using the Phases of the Chronic Illness System
Step 1: Identifying Specific Problems and the Trajectory Phase
Step 2: Establishing and Prioritizing Goals
Step 3: Defining the Plan of Action to Achieve Desired Outcomes
Step 4: Implementing the Plan and Interventions
Step 5: Following Up and Evaluating Outcomes
preventions like proper diet, proper exercise, and immunizations
primary prevention
Chronic Illness Characteristics
✓ Permanent impairments or deviations from normal
✓ Irreversible pathologic changes
✓ Residual disability
✓ Special rehabilitation required
✓ Need for long-term medical and/or nursing management
Impact of Obesity
- Affects >35% of adults
- Major contributor to other health
problems
Impact of Cancer
2nd leading cause of death
Phase of Chronic Illness:
* Illness course and symptoms controlled by treatment regimen.
* Person maintains everyday activities
Stable
leading cause of death and disability in people
over 65 years
circulatory disease
Phase of Chronic Illness:
* Patient has to relinquish everyday life interests and activities,
let go, and die peacefully.
* Immediate weeks, days, hours preceding death.
Dying
What to carry out in treatment regimen
❖ Controlling Symptoms
❖ Reordering time
❖ Adjusting to changes in course of disease
❖ Preventing social isolation
❖ Attempting to normalize interactions with others
By 2025, the global pop will be
8 billion
5 most prevalent cause of death in order
infectious and parasitic diseases, circulatory diseases, cancer, respiratory diseases, and perinatal conditions
Phase of Chronic Illness:
Signs and symptoms are present.
* Disease diagnosed.
Onset
- Affects >25.8 million Americans
- 7.0 million do not know they have
the disease - 7th leading cause of death
Diabetes
- Affects 1 in 5 people
- One of most common chronic illnesses
Arthritis
prevention: actions aimed at early detection of disease that can lead to interventions to prevent disease progression
secondary prevention
Impact of Heart Failure
- Most common reason older adults
are hospitalized
Impact of Stroke
- Affects about 7 million adults, 15%-
30% disabled - 4th leading cause of death
remain as one of the leading causes of death worldwide
cancer
risk of developing dementia rises steeply with age in people over ** years. Women are more likely to suffer than men because of their greater longevity.
60
Noncommunicable diseases become more prevalent due to
western lifestyles: smoking, high-fat diet, obesity and lack of exercise.
The global pop increase by *** a year
80 million
2nd leading cause of death
Cancer
- Heat disease and stroke decline
- cancer, AIDS, diabetes rise
due to
dietary and other lifestyle factors.
- Affects many older adults
- 3rd leading cause of death
Chronic Obstructive Pulmonary Disease
chronic illness that Patient has to relinquish everyday life interests and activities, let go, and die peacefully.
Immediate weeks, days, hours preceding death
Alzheimer’s disease
Phase of Chronic Illness:
* Gradual and progressive deterioration in physical or mental status.
* Accompanied by increasing disability and symptoms.
* Continuous alterations in everyday life activities.
Downward
Affects >35% of adults
* Major contributor to other health
problems
Obesity
Phase of Chronic Illness:
* Gradual return to an acceptable way of life.
* Life-threatening situation occurs.
* Emergency services are necessary.
Comeback Crisis
Gender with longer lifespan
female
