WEEK 1 LIVING WITH CHRONIC ILLNESS

Question 1

What is the difference between Disease and Illness?

Answer 1

• Disease: the pathophysiology of a condition
• Illness: the human experience of a disease

Question 2

What is Acute Disease?

Answer 2

Acute:
* Sudden onset, with symptoms relating to the disease process
* Relatively short time
* Ends with either recovery or death

Question 3

What is Chronic Disease?

Answer 3

Chronic
* Can occur suddently or develop over a long period of time
* Never completely cured
* Focus on managing illness and disease process, restoring and maintaining funciton
* Long term wellbeing in context of disease process

Question 4

What are contributing factors for chronic illness?

Answer 4

• SDoH
• Lifestyle or behavioural factors
• Genetics and physiology

Question 5

What is the impact of chonic illness?

Answer 5

*

Question 6

What is Chronicity?

Question 7

What is the impact of chronic illness to the person?

Question 8

Chronic illness perceptions

Question 9

Chronic illness perceptions and culture

Question 10

Chronic illness and experience and self

Answer 10

• Can result in 4 difference concepts
  1. Loss of self
  2. Moral Work
  3. Devalued Self
  4. Chronic Sorrow

Question 11

What is Loss of Self?

Answer 11

• Overtime, clients feel their self-image disappers

Question 12

What is Moral Work?

Answer 12

• Patients feeling the obligatino to manage symptoms alongside their daily life

Question 13

What is Devalued Self?

Answer 13

• Reassessment and new understanding of self, feeling revalued by the world

Question 14

What is Chronic Sorrow?

Answer 14

• May be a natrual response to chronic illness

Question 15

What does chronic disease management consist of?

Answer 15

• Managing or preventing chronic conditions
• Intervention or interventions, potential for multiple treatment modalities
• Systematic and collaborative approach to care
• Involving the person
• Reducing negative impacts
• Monitoring function

Question 16

What are the outcomes of chronic disease management?

Answer 16

• We need to support clients and understand lived experience of the illness
• Nursing is both an art and a science
• Best client outcome is the healthcare professional supporting and assisting through the illness experience

Question 17

Compare Acute model vs. Chronic model: Onset

Answer 17

• Acute: Sudden onset, shorter course of illness
• Chronic: Gradual onset, permanent cours of illness

Question 18

Compare Acute model vs. Chronic model: Cure

Answer 18

• Acute: Cure usual
• Chronic: Cure rare

Question 19

Compare Acute model vs. Chronic model: Patient involvement

Answer 19

• Acute: Passive patient
• Chronic: Patient active, caregiver active

Question 20

Compare Acute model vs. Chronic model: Health care team

Answer 20

• Acute: Physician dominant
• Chronic: Team care, patient included

Question 21

Compare Acute model vs. Chronic model: Care emphasis

Answer 21

• Acute: Secondary care emphasis
• Chronic: Primary care emphasis

Question 22

Compare Acute model vs. Chronic model: Focus

Answer 22

• Acute: Response focused and symptom driven
• Chronic: Proactive, planned intervention

Question 23

Compare Acute model vs. Chronic model: Collaboration

Answer 23

• Acute: Hospiral, specialists, general practice setting
• Chronic: Collaboraiton across settings

Question 24

Compare Acute model vs. Chronic model: Health Model

Answer 24

• Acute: Diagnostic and biomedical focus
• Chronic: Populaiton health and support for self-management