Chronic Illness Background
What does allopathic medicine mean?
balance of the body
what are the 3 symptoms of chronic illness?
fatigue, dyspnea, pain
how much do we hate this class?
to much to articulate
autosomal recessive disorder found on chromosome 7.
involves thick, sticky mucus that plugs ducts and organs.
salty tasting skin, sweat test, and newborn screening
cystic fibrosis
immune system attacks the protective sheath that covers nerve fibers and causes communication problems between brain and rest of body.
suicide is 7.5x more likely
multiple sclerosis
when did sanitation become relevant?
during the civil war
what is the best assessment to determine how an individual has adapted to the problems caused by a disease?
functional assessment
what are three things happiness improves?
sleep, immune function, and lifestyle choices
women are 2x more likely. affects those 65+
atrophy of the cortex that contributes to the degeneration of the brain
increased help with ADLs as disease progresses
dementia
degeneration of the basal ganglia of the brain and deficiency of dopamine
progressive disease of the nervous system marked by tremor, muscular rigidity and slow, imprecise movement
often treated with levodopa
Parkinson's
what are the factors of health disparity?
socio-economic status, environment, access to healthcare
what are some key ideas of Dortheas Orem's self-care deficit theory
people should be self-resilient, and responsible for their care. patient wants to be independent and nursing is an active process
what are things you should not do with someone who has a CI?
give them advice/ tell them what to do
judge them
ignore them/ let your attention waver over time
put a positive spin on everything
auto immune disease
weakness of skeletal muscle groups
crisis caused by too many triggers or not complying to meds
myasthenia gravis
body initiates inflammatory response after an agent enters the airway
airway narrows, tightening of the smooth muscle
treated with bronchodilators and corticosteroids
COPD
what is primary prevention
screening and education and interventions to avoid the development of the chronic illness
what is wholly compensatory?
patient is unable to engage in self-care that is self-directed and dependent on others. Ex: new born or post anesthesia pt.
how many children live with a chronic illness?
9-13 million
increased pain response to non-painful stimuli
female are 10x more likely to be affected
no cure, pain management the best way to help
fibromyalgia
why was there a nursing shortage during WWII
women moved to fill workforce left open from men drafted to service
what is secondary prevention?
tertiary prevention?
secondary is to minimize the progression
tertiary is management of existing symptoms
what is the difference between healthy denial and unhealthy denial?
unhealthy denial is ignoring the diagnosis
when were nurse training programs established?
1873
rare neurological disease
neurodegenerative disorder of the nerve cells in the brain and spinal cords. affects the neurons
voluntary movement affected.
neurons stop sending messages to muscles and eventually cause muscles to weaken
amyotrophic lateral sclerosis
what is the idea of badura's self-efficacy theory?
basically, if you believe you can - you will succeed