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3MS LEC > MS LEC Monthlies Patient with long term illness > Flashcards

MS LEC Monthlies Patient with long term illness Flashcards

1
Q

Produces symptoms soon after the exposure to the cause

rapid onset, short duration

A

acute

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2
Q

Long term illness; condition involving structure as function which continues over an extended period of time

A

chronic

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3
Q

require long-term management; more than 3 months

A

chronic

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4
Q

a group or list of management, medical or otherwise, to help control and prevent complications

A

treatment regimens

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5
Q

Reasons for an Increase in Chronic Conditions

A
  1. decrease in mortality from infectious diseases
  2. longer life spans
  3. improved screening and diagnostic procedures
  4. prompt and aggressive management
  5. advancing age
  6. modern lifestyle factors
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6
Q

characteristics of chronic conditions

A
  1. involves more than managing medical problems
  2. involves different phases over the course
  3. requires strict adherence to treatment
  4. can lead to other chronic conditions
  5. affects the whole family
  6. major responsibility lies on the chronically ill patient and family
  7. management is a process of discovery
  8. a collaborative process
  9. expensive
  10. can raise difficult ethical issues
  11. means living with uncertainty
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7
Q

handout: characteristics of chronic illness

A
  1. insidious onset
  2. long course
  3. non-correctable changes that leads to progressive changes
  4. left over disabilities
  5. partial recovery, permanence
  6. remissions and exacerbations
  7. long period of care
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8
Q

the period during which the disease is controlled and symptoms are not obvious

A

remissions

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9
Q

the activation of the disease and the recurrence of pronounced symptoms; may lead to hospitalization

A

exacerbations

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10
Q

chronic illness incidence

A

45-65 years old

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11
Q

Elucidate

A
  1. acute illness may become chronic
  2. chronic illness may have an acute exacerbation
  3. an acutely ill person may have an underlying chronic condition
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12
Q

physical effects of chronic illness

A
  1. physical limitations
  2. invalidism
  3. deformities and contractures
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13
Q

psycho-social effects of chronic illness

A
  1. social
  2. financial
  3. emotional
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14
Q

implications for nursing

A
  1. holistic approach
  2. requires knowledge: social sciences, psychology
  3. client’s response may be different from expectations
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15
Q

Phases of Chronic Illness

A
  1. Pre-trajectory
  2. trajectory
  3. stable
  4. unstable
  5. acute
  6. crisis
  7. comeback
  8. downward
  9. dying
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16
Q

chronic phase: pre trajectory

A

at risk for developing chronic illness

17
Q

chronic phase: trajectory

A

onset of symptoms or disability

18
Q

chronic phase: stable

A

symptoms and disability are managed adequately

19
Q

chronic phase: unstable

A

period of exacerbations, complications, reactivation

20
Q

chronic phase: acute

A

sudden onset of severe or unrelieved symptoms; may require hospitalization

21
Q

chronic phase: crisis

A

critical or life-threatening; needs emergency treatment

22
Q

chronic phase: comeback

A

recovery after an acute period

23
Q

chronic phase: downward

A

worsening of a condition

24
Q

chronic phase: dying

A

gradual or rapid decline of trajectory despite efforts

25
Q

care by phase: applying the nursing process

A
  1. identifying the trajectory phase
  2. establishing goals
  3. establishing a plan to achieve desired outcomes
  4. identifying factors that facilitate or hinder attainment of goals
  5. implementing interventions
  6. evaluating the effectiveness
26
Q

other forms of long term care

A
  1. sub acute or transitional care
  2. assisted living facility
  3. adult day care
  4. home care
  5. hospice
27
Q

not well or strong, disabled by illness

A

invalid

28
Q

lack of physical and mental fitness

A

disability

29
Q

renders success more difficult

A

handicap

30
Q

condition which lessens or limits function below normal

A

impairment

31
Q

a partially disabled person

A

cripple

32
Q

factors influencing a patient’s need

A
  • medical diagnosis
  • age
  • support systems
  • prognosis
33
Q

areas to be considered in prevention and control

A
  • health promotion
  • specific prevention
  • early recognition
  • prompt and adequate treatment
  • rehabilitation

3MS LEC (6 decks)

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