Georgia Baptist College of Nursing
of
Mercer University
NUR 210 Nursing Concepts, Processes, and Skills
Unit III: Holism, Human Responses, and the Nursing Process
Chronicity: Human Response to Chronic Illness
Lesson Objectives: Upon completion of this lesson the student will:
1.
Define chronic illness.
2.
Discuss factors affecting the incidence of chronic illness.
3.
Discuss the impact of sociological factors on chronic illness.
4.
Identify major factors involved in adaptation to chronic illness.
5.
Identify nursing diagnoses related to chronic illness.
6.
Discuss nursing actions related to chronic illness.
7.
Identify outcomes related to chronic illness.
8.
Identify methods of evaluation related to chronic illness.
Content Outline:
1.
Definition of chronic illness
1.1. Acute vs. chronic
1.2. Conditions commonly considered "chronic"
1.3. Factors affecting the incidence of chronic illness
1.3.1 Age
1.3.2 Limitations
1.3.3 Technology
2.
Sociological Factors
2.1. Roles
2.2. Physical status
2.3. Social Resources
2.3.1. Acceptance vs. stigma
2.3.2. Americans with Disabilities Act 1990
3.
Adaptation
3.1. Independence or dependence
3.2. Care givers
3.3. Technology
3.4.
3.5.
Developmental level
Resources
4.
Nursing Diagnoses
4.1. Altered Health Maintenance
4.2. Powerlessness
4.3
Alteration in parenting
4.4
Ineffective coping
4.5
Impaired adjustment
4.6
Body image disturbance
4.7
Ineffective role performance
4.8
Chronic or situational low self-esteem
5.
Nursing Actions
5.1. Professional Ethics
5.2. Social Support
5.3. Assessments
6.
Outcomes:
Teaching/Learning Activities:
1.
2.
Seminar/group discussion
Presentation: panel discussion of lived experiences of individuals with
chronic illness. Groups assigned two weeks prior
Critical Thinking Focus:
Discuss the relationship of physiological fatigue, depression, and hope as may
occur for clients and caregivers dealing with chronic conditions.
Reading Requirements:
Burrell, L. 0., Gerlach, M. M., & Pless, B. (1997). Adult nursing acute and
community care (2nd ed.).(pp. 290-300). Norwalk, Ct: Appleton and
Lange.
Potter, P. A., & Perry, A. G. (2005). Fundamentals of nursing. (6th ed.),
(pp.100-103). St. Louis: Mosby Yearbook.
Suggested Readings:
Burks, K. J. (1999). A nursing practice model for chronic illness. Rehabilitation
Nursing, 24(5), 197-200.
Grey, M., & Sullivan-Bolyai, S. (1999). Key issues in chronic illness research:
Lessons from the study of children with diabetes. Journal of Pediatric
Nursing, 14 (6), 351-8.
Lubkin, I. M., & Larsen, P.D. (2002). Chronic illness (5th ed.). (pp. 3-23). Sudbury,
Massachusetts: Jones and Bartlett.
Mishel, M. H. (1999). Uncertainty in chronic illness. Annual Review of Nursing
Research, 17 (26), 90-94.
Chron.210
Rev.9/97JR ;Rev. 5/99;
5/00; GM, Rev. 8/04KH