Готові списки джерел за темами / Multiple chronic illnesses

Добірка наукової літератури з теми "Multiple chronic illnesses"

Автор: Grafiati
Опубліковано: 10 грудня 2022
Оновлено: 28 січня 2023

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Статті в журналах з теми "Multiple chronic illnesses"

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Lindsay, Sally. "Prioritizing Illness: Lessons in Self-Managing Multiple Chronic Diseases." Canadian Journal of Sociology 34, no. 4 (May 29, 2009): 983–1002. http://dx.doi.org/10.29173/cjs1776.

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Chronic disease management strategies are largely based on single disease models, yet patients often need to manage multiple conditions. This study uses the concepts of ‘chronic illness trajectory’ and ‘biographical disruption’ to examine how patients self-manage multiple chronic conditions and especially how they prioritize which condition(s) will receive the greatest attention. Fifty-three people with multiple chronic illnesses participated in one of 6 focus groups. The results suggest that people who were disrupted tended to be younger than 60, lived on their own, cared for other family members, or other barriers. Many participants anticipated subsequent illnesses given their age and prior experience with illness. In order to cope with their multiple illnesses most felt it was necessary to prioritize their ‘main’ illness. Their reasons for prioritizing a particular illness included: (1) the unpredictable nature of the disease; (2) the condition could not be controlled by tablets; and (3) the condition tended to set off the rest of their health problems. Social context played a key role in shaping patients’ biography and chronic illness trajectory.
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Davies, Sue. "Telehomecare for patients with multiple chronic illnesses." Primary Health Care 18, no. 7 (September 14, 2008): 31. http://dx.doi.org/10.7748/phc.18.7.31.s20.

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3

Heid, Allison R., Andrew R. Gerber, David S. Kim, Stefan Gillen, Seran Schug, and Rachel Pruchno. "Timing of onset and self-management of multiple chronic conditions: A qualitative examination taking a lifespan perspective." Chronic Illness 16, no. 3 (September 4, 2018): 173–89. http://dx.doi.org/10.1177/1742395318792066.

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Objectives Over two-thirds of older individuals live with multiple chronic conditions, yet chronic diseases are often studied in silos. Taking a lifespan approach to understanding the development of multiple chronic conditions in the older population helps to further elucidate opportunities for targeted interventions that address the complexities of multiple chronic conditions. Methods Semi-structured interviews were conducted with 38 older adults (age 64+) diagnosed with at least two chronic health conditions. Content analysis was used to build understanding of how older adults discuss the timing of diagnoses and subsequent self-management of multiple chronic conditions. Results Findings highlight the complex process by which illnesses unfold in the context of individuals’ lives and the subsequent engagement and/or disengagement in self-management behaviors. Two primary themes were evident regarding timing of illnesses: illnesses were experienced within the context of social life events and/or health events, and illnesses were not predominantly seen as connected to one another by patients. Self-management behaviors were described in response to onset of each illness. Discussion Findings provide insight into how older adults understand their experience of multiple chronic conditions and change in self-management behaviors over time. In order for practitioners to ignite behavioral changes, a person’s history and life experiences must be considered.
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Divo, Miguel J., Carlos H. Martinez, and David M. Mannino. "Ageing and the epidemiology of multimorbidity." European Respiratory Journal 44, no. 4 (August 19, 2014): 1055–68. http://dx.doi.org/10.1183/09031936.00059814.

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The world’s population is ageing and an important part of this demographic shift is the development of chronic illness. In short, a person who does not die of acute illnesses, such as infections, and survives with chronic illnesses is more likely to develop additional chronic illnesses. Chronic respiratory diseases are an important component of these diseases associated with ageing. This article reviews the relationship between ageing and chronic respiratory disease, and also how certain chronic diseases cluster with others, either on the basis of underlying risk factors, complication of the primary disease or other factors, such as an increased state of inflammation. While death is inevitable, disabling chronic illnesses are not. Better understanding of how individuals can age healthily without the development of multiple chronic illnesses should lead to an improved global quality of life.
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Heid, Allison R., Rachel Pruchno, and Maureen Wilson-Genderson. "Illness Representations of Multiple Chronic Conditions and Self-Management Behaviors in Older Adults: A Pilot Study." International Journal of Aging and Human Development 87, no. 1 (May 8, 2018): 90–106. http://dx.doi.org/10.1177/0091415018771327.

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This article explores the intraindividual variability in illness representations of people with multiple chronic conditions and examines how representations of hypertension and arthritis are associated with self-management. Intraclass correlations determined the proportion of within-person variability in illness representations including Timeline, Consequences, Personal Control, and Timeline—Cyclical for 25 adults aged 64 and older. Within-person consistency across illnesses was present for Timeline and Timeline—Cyclical, but variability across illnesses in Personal Control and Consequences. Correlations revealed associations of diet, exercise, and sleep with illness representations of people with arthritis and hypertension. Representations of hypertension (Personal Control, Timeline–Cyclical, and Consequences) were associated with adherence to a reduced fat diet, walking, and total sleep time. Representations of arthritis were not associated with health behaviors. Findings demonstrate that clinical practice must consider the illness representations patients have about each of their chronic illnesses to begin to sustain positive self-management behaviors.
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Newacheck, Paul W., and Jeffrey J. Stoddard. "Prevalence and impact of multiple childhood chronic illnesses." Journal of Pediatrics 124, no. 1 (January 1994): 40–48. http://dx.doi.org/10.1016/s0022-3476(94)70252-7.

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Scruggs, Brenda. "Chronic Health Care." Home Health Care Management & Practice 22, no. 1 (December 2009): 43–48. http://dx.doi.org/10.1177/1084822309340299.

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The traditional acute health care model works well for acute injuries and illnesses but is unlikely to achieve good outcomes in managing chronic health care conditions. Positive outcomes in chronic illness management requires multiple referrals from the primary care provider for a multidisciplinary team, relinquished control by the health care providers as they coach the patient into the active role of self-care life skills and daily management of their health, and active learning, participation, and accountability of the patient.
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Wolock, Elizabeth R., Alexander H. Queen, Gabriela M. Rodríguez, and John R. Weisz. "Chronic Illness and Internalizing Symptomatology in a Transdiagnostic Clinical Sample of Youth." Journal of Pediatric Psychology 45, no. 6 (May 9, 2020): 633–42. http://dx.doi.org/10.1093/jpepsy/jsaa028.

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Abstract Objective In research with community samples, children with chronic physical illnesses have shown elevated anxiety and depressive symptoms, compared to healthy peers. Less is known about whether physical illnesses are associated with elevated internalizing symptoms even among children referred for mental health treatment—a pattern that would indicate distinctive treatment needs among physically ill children receiving mental health care. We investigated the relationship between chronic physical illness and internalizing symptomatology among children enrolling in outpatient mental health treatment. Method A total of 262 treatment-seeking children ages 7–15 and their caregivers completed a demographic questionnaire, Child Behavior Checklist, and Youth Self-Report during a pre-treatment assessment. Physical illnesses were identified through caregiver report. Results There was no overall association between the presence/absence of chronic physical illness and parent- or child-reported symptoms. However, number of chronic physical illnesses was related to parent- and child-reported affective symptoms. Children with two or more chronic physical illnesses had more severe depressive symptoms than those with fewer physical illnesses. Conclusion Having multiple chronic illnesses may elevate children’s risk of depression symptomatology, even in comparison to other children seeking mental health care. This suggests a need to identify factors that may exacerbate depression symptoms in physically ill children who are initiating therapy and to determine whether different or more intensive services may be helpful for this group. The findings suggest the potential utility of screening for depression in youth with chronic physical illnesses, as well as addressing mental and physical health concerns during treatment.
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Khalil, Hanan, Tatyana A. Shamliyan, and Maria Middleton. "Interventions for Community-Dwelling Patients with Multiple Chronic Illnesses." American Journal of Medicine 130, no. 2 (February 2017): 148–52. http://dx.doi.org/10.1016/j.amjmed.2016.10.015.

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Jowsey, Tanisha, Laurann Yen, Robert Wells, and Stephen Leeder. "National Health and Hospital Reform Commission final report and patient-centred suggestions for reform." Australian Journal of Primary Health 17, no. 2 (2011): 162. http://dx.doi.org/10.1071/py10033.

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The final report of the National Health and Hospital Reform Commission (NHHRC) called for a strengthened consumer voice and empowerment. This has salience for the development of health policy concerning chronic illnesses. This paper compares the recommendations for chronic illness care made in the NHHRC final report with suggestions made by people with chronic illness and family carers of people with chronic illness in a recent Australian study. Sixty-six participants were interviewed in a qualitative research project of the Serious and Continuing Illness Policy and Practice Study (SCIPPS). Participants were people with type II diabetes mellitus, chronic obstructive pulmonary disease or chronic heart failure. Family carers were also interviewed. Content analysis was undertaken and participants’ recommendations for improving care were compared with those proposed in the NHHRC final report. Many suggestions from the participants of the SCIPPS qualitative research project appeared in the NHHRC final report, including the need to improve care coordination, health literacy and the experience of Indigenous Australians. The research project also identified important issues of family carers, immigrants and people with multiple illnesses, which were not addressed in the NHHRC final report. More specific attention is needed in health reform to improve the experience of family carers, Indigenous peoples, immigrants to Australia and people with multiple illnesses. To align more closely with their needs, health reform must be explicitly informed by the voices of people with chronic illness and their family carers. The NHHRC recommendations must be supplemented with proposals that address the needs of these people for support and the problems associated with poor care coordination.
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Дисертації з теми "Multiple chronic illnesses"

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Porter, Tom. "A sociological study of social resources and the patient experience of multiple chronic illnesses." Thesis, Keele University, 2015. http://eprints.keele.ac.uk/2326/.

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The number of people living with multiple chronic illnesses (multimorbidity) is increasing and this trend is set to continue. In recent years, there has been a significant increase in epidemiological and clinically informed research into this patient population. However, the extant literature offers relatively little insight into how lay individuals make sense of multimorbidity. Social resources, or the physical and emotional sustenance provided by others, are recognised increasingly as a means towards affecting health outcomes. Social resources are apparent as a nascent theme at the levels of health and social care policy, service organisation, and increasingly, at the level of primary care delivery. However, the apparent enthusiasm for social resources is not universal, and critics have questioned both the socio-political motives behind this trend as well as its underlying social theory. This study employs in-depth qualitative interviews and applies an interpretive approach to analysis. 15 participants living with (at least) osteoarthritis and cardiovascular disease took part in up to two interviews. In addition, a small number of participants’ spouses (four) were recruited into the study. Findings illustrate the ways in which lay individuals make sense of multimorbidity. This thesis draws attention to certain biomedical assumptions made by clinically informed literature. These assumptions are discussed with regard to the concept of illness prioritisation and the relevance of multimorbidity (in conceptual terms) to lay experience. Findings also illustrate the complexity of social resource exchange during illness. A novel conceptual model is developed to elucidate participants’ accounts of supportive practices. Further, findings highlight the role of morality in shaping the experience of support. These observations are synthesised under the theoretical banner of gift-exchange theory, and implications are identified for the application of social resources in policy and service delivery.
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2

Squillace, Mary. "Fine Motor Skills and the Occupations of Young Adults with Multiple Sclerosis." Diss., NSUWorks, 2018. https://nsuworks.nova.edu/hpd_ot_student_dissertations/62.

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Objective: Multiple sclerosis (MS) is one of the most common neurological diseases affecting adults of working age, and those of younger ages of onset have been increasingly recognized. Twenty-seven percent of people with MS (PwMS) are age 30 years old or younger. The burden of MS for young adults puts them at risk for poorer outcomes regarding their education, family planning, vocation, and social skills as they transition to adulthood. Fine motor (FM) skill impairment might impede performance within the daily occupations of young adults who are transitioning into adulthood. Few studies focus on the occupations and occupational performance of younger adults with MS. Method: Forty participants with MS between the ages of 18 to 30 were recruited to participate in a study. Two standardized measures were used to identify possible FM dexterity deficits and one standardized self-report was used to measure the perceived satisfaction and performance of occupations for this population. A semi-structured interview was conducted with a subgroup of 18 participants to understand the lived experiences of young adults with MS (YAwMS) and their FM performance during their occupations. Results: With quantitative and qualitative analysis, a relationship was suggested between FM scores and both perceived performance and satisfaction scores of an adapted performance measure. Conclusion: Young adults with MS perceive difficulties with occupations that are influenced by their FM status. It is recommended that occupational therapy professionals consider the motor skill needed to perform and complete occupations that specifically require FM skills.
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Earll, Mary Louise. "Coping with chronic neurological illness : an analysis using self-regulation theory." Thesis, University College London (University of London), 1994. http://discovery.ucl.ac.uk/1317876/.

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Self-regulation theory was used to examine how people cope with the diagnosis and management of chronic neurological illness. Three studies are reported, all of which examined the three main elements of self-regulation theory as outlined by Leventhal et al (1984), people's representations of their condition, the actions they took to manage and their evaluation of those efforts, and the outcome as assessed by their feelings about themselves, their emotional wellbeing and severity of disability. A longitudinal study examined 20 people at three stages, before coming into hospital for tests and investigations for multiple sclerosis, 6 weeks and 6 months later. This study provided some support for representations as being important in guiding coping. However, both representations and people's own evaluations of their coping efforts were more predictive of outcome. The second, cross-sectional study compared people being investigated for three differing chronic diseases; the previous 20 people being investigated for multiple sclerosis, 11 and 22 people being investigated for motor neurone disease and liver disease respectively. Results showed that how people represented their condition, and not the diagnosis, was related to outcome. The third study was pseudo-longitudinal and examined people at different times since the diagnosis of multiple sclerosis. People at six months (n=20 from first study), 2 years (n=19), and over 7 years (n=25) from diagnosis were included. This study again highlighted the relationship between representations and outcome; perceiving more symptoms and adverse consequences being associated with poorer outcomes of all types. Coping was also associated with outcome, in particular, more social supports and greater satisfaction with that support being associated with higher Self Esteem, better emotional wellbeing and less severe disability. It is concluded that self-regulation theory is a useful framework within which to understand how people cope with chronic neurological illness, in chronic illnesses with no cure or effective palliative treatments people's representation of their condition and evaluation of their coping efforts predicted outcome. The low level of psychological distress found in all studies suggests that while no particular coping actions are associated with better outcomes, it may be that taking some kind of action, rather than taking no action, in a situation where there is nothing the medical profession can do is sufficiently motivating to minimise depression.
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Phillips, Mark W. "Spiritual dimensions coping with chronic illness such as multiple sclerosis /." Theological Research Exchange Network (TREN), 2000. http://www.tren.com.

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Henriksson, Freddie. "Economic aspects of chronic diseases : multiple sclerosis and diabetes mellitus /." Stockholm, 2001. http://diss.kib.ki.se/2001/91-628-5023-7/.

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Reed, Jonathan. "The development of a theory of psychological adjustment to multiple sclerosis based on accounts of subjective experience." Thesis, Open University, 1997. http://oro.open.ac.uk/57711/.

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This study explores the process of psychological adjustment to multiple sclerosis. Fourteen participants who were given a definite diagnosis of multiple sclerosis between five and forty years prior to the study and who experienced the relapse-remitting form of the disease were interviewed face to face using a semi structured interview schedule. Grounded theory was used to analyse the interviews and to build a theoretical account of the process of psychological adjustment to multiple sclerosis. The results suggest a model of adjustment in which some individuals with multiple sclerosis move from a stance of denial to a position of acknowledgement in response to the progress of the disease. Reaching acknowledgement allows individuals to adopt an active coping stance which can protect against negative psychological consequences. This adjustment process takes place against an overall process in which individuals experience multiple sclerosis as a progression through a series of different disease phases. Findings suggest that individuals also have to adjust within the social context. Role adjustment and communication were found to be central issues in the family adjustment process. Communication was also central to adjustment in the wider social context. Participants' service use suggests that they also undertake an adjustment from reliance on medical approaches to seeking out self help and alternative approaches. It is argued that this service use process reflects the individual adjustment process. The findings are critically evaluated and compared to existing models of adaptation to chronic illness. The clinical and service implications are discussed. A critical discussion of the methodology is presented and implications for further research are explored.
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Powell, Deborah Lynn. "An exploration of space, time and chronic illness : multiple perspectives on stroke." Thesis, Lancaster University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368049.

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Isaksson, Ann-Kristin. "Chronic sorrow and quality of life in patients with multiple sclerosis." Doctoral thesis, Örebro : Örebro universitetsbibliotek, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-846.

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Vickers, Margaret H. (Margaret Heather) 1962, of Western Sydney Nepean University, and Faculty of Commerce. "Life and work with 'invisible' chronic illness (ICI) :authentic stories of a passage through trauma - a Heideggerian, Hermeneutical, phenomenological, multiple-case, exploratory analysis." THESIS_FC_XXX_Vickers_M.xml, 1997. http://handle.uws.edu.au:8081/1959.7/826.

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This study is research into Invisible Chronic Illness (ICI): illness that cannot be seen by another, but that can have a major, sometimes catastrophic, effect on the lives of people concerned, especially their working lives. Each chapter deals, in some detail,with certain aspects of chronic illnesses that cannot be readily seen. The research is argued to be a vital excavation - a recognition of authentic and previously unheard voices and a methodology of primary value in researching the incommensurable, the difficult, the nasty in organisational life
Doctor of Philosophy (PhD)
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Canellopoulou, Mary. "An investigation into the roles of frontal-lobe dysfunction, mood states and individual imaging abilities in the efficacy of imagery-based mnemonics in patients suffering from multiple sclerosis." Thesis, Brunel University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.389988.

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Книги з теми "Multiple chronic illnesses"

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Explaining 'unexplained illnesses': Disease Paradigm for Chronic Fatigue Syndrome, Multiple Chemical Sensitivity, Fibromyalgia, Post-Traumatic Stress Disorder, Gulf War Syndrome and Others. Binghamton, NY: Harrington Park Press, 2007.

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2

Invisible illnesses: Multiple chemical sensitivities, fibromyalgia, allergic/inflammatory arthritis, chronic fatigue, chemically induced immune system disorders, leaky gut/irritable bowel/colon disorders, prescription drug withdrawal syndrome. Topanga, Calif: Freedom Press, 2002.

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3

Multiple voices and stories: Narratives of health and illness. New Delhi: Orient Blackswan, 2013.

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4

MacFarlane, Ellen Burstein. Legwork: An inspiring journey through a chronic illness. New York, NY: Charles Scribner's Sons, 1994.

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5

1936-, Bennett Hal Zina, ed. You are not your illness: Seven principles for meeting the challenge. New York: Simon & Schuster, 1995.

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6

M, Cohen Richard. Blindsided: Lifting a life above illness : a reluctant memoir. New York: HarperCollins, 2004.

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7

Walker, Martin. Skewed: Psychiatric hegemony and manufacture of mental illness in multiple chemical sensitivity, Gulf War syndrome, myalgic encephalomyelitis and chronic fatigue syndrome. London: Slingshot, 2003.

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8

Taylor, Renée R. A Clinician's Guide to Controversial Illnesses: Chronic Fatigue Syndrome, Fibromyalgia, and Multiple Chemical Sensitivities. Professional Resource Press, 2001.

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Tartasky, Donna Sue. THE RELATIONSHIPS AMONG COPING, HARDINESS AND OUTCOMES OF MULTIPLE CHRONIC ILLNESSES IN THE ELDERLY (ILLNESS OUTCOMES). 1990.

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10

Pall, Martin. Explaining Unexplained Illnesses: Disease Paradigm for Chronic Fatigue Syndrome, Multiple Chemical Sensitivity, Fibromyalgia, Post-Traumatic Stress Disorder, Gulf War Syndrome and Others. Taylor & Francis Group, 2013.

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Частини книг з теми "Multiple chronic illnesses"

1

McNulty, Kristy. "Coping with Multiple Sclerosis: Considerations and Interventions." In Coping with Chronic Illness and Disability, 289–311. Boston, MA: Springer US, 2007. http://dx.doi.org/10.1007/978-0-387-48670-3_14.

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Pieri, Mara. "Multiple Estrangements in the Twilight Zone: Chronic Illness and Queerness in Southern Europe." In The SAGE Handbook of Global Sexualities, 386–403. 1 Oliver's Yard, 55 City Road London EC1Y 1SP: SAGE Publications Ltd, 2020. http://dx.doi.org/10.4135/9781529714364.n18.

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Stanners, Melinda, and Christopher Barto. "Depression in the Context of Chronic and Multiple Chronic Illnesses." In Essential Notes in Psychiatry. InTech, 2012. http://dx.doi.org/10.5772/38470.

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"Managing Multiple Chronic Illnesses: Narratives of Puerto Rican Latinos Living in the U.S." In Chronicity Enquiries: Making Sense of Chronic Illness, 67–75. BRILL, 2013. http://dx.doi.org/10.1163/9781848881501_008.

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Waldrop, Deborah, Mercedes Bern-Klug, John G. Cagle, and Daniel S. Gardner. "Palliative Social Work with Older Adults and Their Families." In The Oxford Textbook of Palliative Social Work, edited by Terry Altilio, Shirley Otis-Green, and John G. Cagle, 203–20. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197537855.003.0019.

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The older population (65+) grew from 3 million to 52 million in 2018. Yet, as older adults live longer, they do so with more chronic conditions; 60% live with one, and 42% have two or more. The last two decades of life often involve an increasing burden of chronic illness, dependency, frailty, and cognitive decline, which call for an integrated approach that draws together geriatric and palliative care. Using a biopsychosocial-spiritual framework, this chapter describes the lived experience of older adults who live with serious illnesses and their caregivers. The multiple diverse factors that influence an older adult’s journey are illuminated, including race, ethnicity, gender, culture, and social support systems. The systemic challenges which create healthcare disparities and influence older adults’ access to care are presented. The implications for social work practice in geriatric palliative care, including comprehensive assessment, family-centered practice, and interprofessional collaboration, are highlighted.
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Bragin, Valentin, and Ilya Bragin. "An Innovative Framework for Integrative Rehabilitation in Dementia." In Alzheimer's Disease [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.101863.

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Alzheimer’s disease (AD) is a progressive neurodegenerative disorder with multiple pathophysiological mechanisms affecting every organ and system in the body. Cerebral hypoperfusion, hypoxia, mitochondrial failure, abnormal protein deposition, multiple neurotransmitters and synaptic failures, white matter lesions, and inflammation, along with sensory-motor system dysfunctions, hypodynamia, sarcopenia, muscle spasticity, muscle hypoxia, digestive problems, weight loss, and immune system alterations. Rehabilitation of AD patients is an emerging concept aimed at achieving optimum levels of physical and psychological functioning in the presence of aging, neurodegenerative processes, and progression of chronic medical illnesses. We hypothesize that the simultaneous implementation of multiple rehabilitation modalities can delay the progression of mild into moderate dementia. This chapter highlights recent research related to a novel treatment model aimed at modifying the natural course of AD and delaying cognitive decline for medically ill community-dwelling patients with dementia. For practical implementation of rehabilitation in AD, the standardized treatment protocols are warranted.
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Asghar-Ali, Ali, and Richa Lavingia. "Life is not worth living." In Geriatric Psychiatry, edited by Marc E. Agronin and Ipsit V. Vahia, 185–94. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197521670.003.0019.

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Older adults are at high risk of attempting and completing suicide, particularly those with psychiatric illnesses, multiple medical comorbidities, previous suicide attempts, functional impairment, recent psychosocial stressors, and social isolation. Older White men have one of the highest risks of attempting and completing suicide. The most common method of suicide among older adults is the use of firearms, followed by poisoning. When assessing suicidality, clinicians should identify risk and protective factors; ask about suicidal ideation, past attempts, suicide plans, and intent to complete suicide; determine the patient’s suicide risk level and appropriate intervention; and document the rationale for this determination. Underlying mood disorders, substance use and chronic pain are particularly important risk factors to identify in later life. Suicide safety planning should involve a systematic, collaborative approach.
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Bishara, Delia. "Psychopharmacology." In Oxford Textbook of Old Age Psychiatry, 207–16. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198807292.003.0013.

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The use of pharmacological agents in older adults is one of the most complex aspects of patient care. Clinicians must display expert knowledge on and careful consideration of the various factors involved. Older people exhibit an unexpected or exaggerated response to drug therapy when compared to their younger counterparts of the same body weight and gender. Often this response is explained through pharmacokinetic or pharmacodynamic changes. Understanding the common physiological changes seen in ageing is helpful in anticipating the changes expected in pharmacokinetic parameters. The pharmacodynamic variations seen in older patients may also increase or decrease sensitivity to a drug independently of the pharmacokinetic changes. In addition, age is known to be associated with increased prevalence of multiple chronic illnesses frequently requiring the use of complex therapeutic regimens, thus increasing the risk for adverse drug reactions and drug interactions in older people.
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Janus, Magdalena, and Ayesha Siddiqua. "Challenges for Children with Special Health Needs at the Time of Transition to School." In Advances in Early Childhood and K-12 Education, 165–97. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9452-1.ch009.

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In this chapter, the transition from pre-school to kindergarten for children who need assistance with developmental/physical disabilities or chronic illnesses (children with “special health needs”) will be discussed. Services available during this transition are often inadequate to facilitate a successful school entry among children with special health needs. Administrative challenges involving multiple services agencies and differences in philosophy of pre-school and kindergarten service providers reduce the continuity of services during transition. While there are numerous strategies in place to facilitate the transition process, parents have reported many barriers to a smooth transition. These include lack of communication with staff at school, lack of preparation of education professionals, late and inadequate levels of service provision. Several service recommendations have been proposed to address these barriers, whose effectiveness remains largely understudied. Additional studies are needed to examine the role of diverse strategies in achieving successful transition.
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M. Gandhi, Shruti, Eric S. Nylen, and Sabyasachi Sen. "The Role of Physical Activity on Insulin Resistance-Associated Endothelial Dysfunction." In Vascular Biology - Selection of Mechanisms and Clinical Applications. IntechOpen, 2020. http://dx.doi.org/10.5772/intechopen.89314.

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Enhanced physical activity and cardiorespiratory fitness significantly impact morbidity and mortality across the spectrum of noncommunicative chronic illnesses experienced by modern lifestyles. Physical activity itself prompts an intricate interplay of physiological responses across vital organ systems including microvascular adaptations to optimize nutrient, oxygen, and hormone delivery, some of which involves insulin-mediated regulation. Insulin has been known to act on the vasculature in multiple ways by its effects on endothelium and skeletal muscle blood flow. This is important to understand as it has implications for conditions associated with insulin resistance (IR) such as obesity, metabolic syndrome, prediabetes, diabetes, and polycystic ovarian syndrome among others. These conditions are associated with increased morbidity and mortality contributed by endothelial dysfunction via increased atherosclerosis, hypertension, and increased free fatty acid levels. In this chapter, we will discuss the effects of insulin on the vasculature, IR on the endothelium, and lastly, what impact physical activity may have on such processes.
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Тези доповідей конференцій з теми "Multiple chronic illnesses"

1

Huang, Fei-Hui. "The Needs of Smart Medication Reminder for Elderly s." In Applied Human Factors and Ergonomics Conference. AHFE International, 2021. http://dx.doi.org/10.54941/ahfe100523.

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The increasing burden of chronic illness is currently a significant challenge due to the aging of the global population. For most people who suffer from chronic illnesses, lifelong treatment is needed for their health management. This study is focused on the needs of elderly people with chronic conditions who require lifelong treatment for disease management in taking medications as prescribed. A face-to-face survey and a multiple case study were conducted to elicit the reasons why elderly s use pill box and to determine the effectiveness of the smart medication reminder system. The results indicated that 60% patients need a tool for assistance in taking their medication as prescribed. The experimental results showed that the smart medications reminder may effectively assist users in taking their medications as prescribed. The patients’ needs for the smart mediation reminder include reminder design, mobile medication reminder, ease of use, flexible design, and Modular Design. By using the smart medication reminder, the pressure of taking medications as prescribed may be relieved for the most elderly users. Furthermore, economic, social support, and elder care subsidies are the important factors for patient welfare.
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Arora, Neeraj K., Bradford W. Hesse, and Russell Glasgow. "Abstract CN01-02: Facilitating the patient-centeredness of care for individuals with multiple chronic illnesses: Why does it matter?" In Abstracts: Sixth AACR Conference: The Science of Cancer Health Disparities; December 6–9, 2013; Atlanta, GA. American Association for Cancer Research, 2014. http://dx.doi.org/10.1158/1538-7755.disp13-cn01-02.

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3

Hebert, Kendra, and Lisa Best. "FACTORS CONTRIBUTING TO WELL-BEING: COMPARING FUNCTIONAL SOMATIC SYMPTOM DISORDERS AND WELL-DEFINED AUTOIMMUNE DISORDERS." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact027.

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"Functional somatic symptom disorders (FSSDs) are defined by persistent and chronic bodily complaints without a pathological explanation. Mindfulness involves the focus on the present moment by noticing surroundings, thoughts, feelings, and events, being nonreactive, being non-judgemental, and self-accepting. Psychological flexibility (PF) involves a focus on the present and the prioritization of thoughts, emotions, and behaviours that align with individual values and goals (Francis et al., 2016). Although PF does not involve a mindfulness practice, the two constructs are related. Research indicates consistent reported positive associations between mindfulness, PF, psychological wellbeing, and medical symptoms. In this study, individuals with FSSDs (fibromyalgia, chronic fatigue syndrome) were compared to those with well-defined autoimmune illnesses (multiple sclerosis, rheumatoid arthritis; AD) to determine how psychosocial factors affect wellness. Participants (N = 609) were recruited from social media and online support groups and completed questionnaires to assess physical health (Chang et al., 2006), psychological wellness (Diener et al., 1985), anxiety (Spitzer et al., 2006), depression (Martin et al., 2006), psychological flexibility, (Francis et al., 2016) and mindfulness (Droutman et al., 2018]. Results indicated that having an FSSD and higher depression was associated with both lower physical and psychological wellness. Interestingly, different aspects of psychological flexibility predicted physical and psychological wellness. These results suggest that different aspects of PF are associated with better physical and psychological health. As PF is modifiable, individuals with chronic conditions could receive training that could ultimately improve their overall health."
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4

Gaibor, David, Mehdi Goulamaly, Nilu Jariwala, Mark Piontkowski, Mansour Zenouzi, Gergely Sirokman, and Ali Khabari. "Detection of Anomalous Sodium Chloride Concentrations in Perspiration Using Microsensors." In ASME 2014 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/imece2014-39526.

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It is common knowledge that an early diagnosis of a disease improves the treatment provided to a patient. With the advent of nanotechnology, engineers and scientists are beginning to utilize these nanoscale capabilities in the hope of - early disease detection. Viral, bacterial infections and other chronic diseases seem to alter the concentrations of some compounds present in sweat [1,2]. This project attempts to detect some of these diseases by measuring the variation in salinity of sweat that differs from the commonly accepted level [2]. By creating a low-cost, reusable and portable microsensor, it can then apply the same principles to construct a nanosensor to yield even more accurate results. The electrical signals obtained by the sensor produce data that translates into diagnostic medical results for sweat-related illnesses such as cystic fibrosis [3]. For a deeper and thorough understanding of all aspects of the sensor, multiple concepts for measuring sweat using electrical signals were considered. Ultimately, the concept chosen to measure varying sweat concentrations was through a capacitor. Multiple capacitor designs were simulated to determine the best way of maximizing performance. After the sensors were constructed, they were tested using various concentrations of sodium chloride (NaCl), from 0.1 grams per liter to 5 grams per liter, dissolved in distilled water to mimic the effect of authentic human sweat [4]. The designed sensor is successfully able to determine the likelihood of a person having cystic fibrosis using a sweat sample as their sweat sodium chloride concentration will correspond to an electrical signal obtained throughout the testing process.
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"From poverty to depression to inflammation: a literature review." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/ovii9740.

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Background: Depression is the most commonly presented psychiatric disorder1 . People with low socioeconomic status are more likely to experience depression compared to those with higher socioeconomic status2 . Recent studies have revealed that people experiencing depression symptoms have a greater vulnerability to infections3 . Also, it has been shown in recent studies that there is a correlation between irregular cytokine levels and an uncontrolled inflammatory response4 . Objective: The present review addresses the relationship between the immune system response and depression. In addition to the relationship between depression and low socioeconomic status. Method: We searched PubMed for relevant studies describing the relationship between inflammatory response, depression, and low-income. Our literature survey was limited to peer-reviewed articles, written in English and published from 1990 until August 2022. Results: Different studies confirmed that psychological stress causes an alteration in the level of cytokines in multiple mechanisms4,5. Hypothalamus-pituitary-adrenal axis (HPA) is a significant immunoregulatory pathway that is activated in a variety of stress circumstances, including psychological stress6,7. Chronic psychological stress results in glucocorticoid resistance due to overactivity of the HPA axis. As a result, the inflammatory response is not appropriately managed4 . (Table1) explains the changes in the level of cytokines8 . Contrastingly, antidepressant treatment may restore normal cytokine production and decrease the risk of abnormal inflammatory response9 . Conclusion: More attention should be given to the low-middle income population and their limited access to psychiatric services as they have a higher chance of experiencing mental health disorders. Depression, which is one of the most common mental health illnesses, increases the incidence of infectious diseases. Moreover, it affects the inflammatory response. Due to the shortage of clinical trials on this subject, we recommend doing more studies to identify these clinical aspects.
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Aprilia, Nafi’ah, Didik Tamtomo, and Endang Sutisna Sulaeman. "An Evaluation of The Effectiveness of Chronic Illness Prevention Program: Multiple Logistic Regression Analysis." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph.02.12.

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Burns, K., R. Walo, D. Patel, Z. Whiteside, B. Malik, R. Thompson, K. Baez Rodriguez, et al. "Prediction of Progression to Critical Illness in Heart Failure Patients Hospitalized with COVID-19: Multiple Chronic Conditions Matter." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4294.

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8

Ramuzat, A., H. Richard, and M. L. Riethmuller. "Unsteady Flows Within a 2D Model of Multiple Lung Bifurcations." In ASME 1999 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 1999. http://dx.doi.org/10.1115/imece1999-0363.

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Abstract In our environment, chronic pulmonary illness due to pollution effects or asthmatic problems are increasing. To identify the contribution of pollution effect on the alterations in breath patterns, a better understanding of the human pulmonary system is needed. As a result, fields to be investigated are mostly flows in the lungs at high breathing frequency and aerosol deposition in lung bifurcations under unsteady conditions. The respiration pattern has to be better understood and investigated, to have the possibility to get the most appropriate palliative treatment. Most of the medical treatments are based on aerosol deposition in the bronchial tree. The lung is a complex network of 23 successive generations of bifurcation (Weibel, 1963). The airways, from the trachea to the alveolar zone, divide by dichotomy and become shorter and narrower as they penetrate deeper into the lung. As a result, in vivo investigations of pulmonary flows are not possible, and in vitro experiments in models have to be performed. Flows in the bifurcating airways of the lung are modeled to determine velocities and pressure fields. A complete description of steady flow in a single 3D bifurcation has been previously performed by experimental and numerical modeling. As a result of this study, it has been shown that the first bifurcation influences the flow in the second and in the third bifurcation when the length of the second bifurcation is not sufficiently long. To extend the investigations to a system of three generations, an experimental study of steady and unsteady flows has been carried out on a 2D multiple bifurcations model.
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9

Wang, Zhehao, Hussain Jobarah, and Zouhair Kaaki. "Response, Retune, Revive: The Duty of Producing Never Ceases in Pandemic." In SPE Annual Caspian Technical Conference. SPE, 2021. http://dx.doi.org/10.2118/207051-ms.

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Abstract The COVID-19 pandemic has affected every facet of global society. It has become evident that the impacts of this pandemic will be far-reaching and long lasting. The abstract showcases how producing entities can stand up to pandemic by initiating manpower demographical study, working schedule adjustment, communication protocol and reinforcing online job training to proactively manage the workforce in a COVID-19 impacted working environment. Entities should take systematic approaches to handle the crisis. To help employees achieve well-being in work and personal life, management can motivate employees to join Emotional Wellbeing Roadshow, and launch multiple COVID-19 campaigns to improve awareness. To support workforce continuity, an analyst can perform a workforce demographical study. Administrative staff have the option to work remotely at home, especially for senior or those with chronic illness. Working schedules can be adjusted to minimize the travelling for employees from areas with high COVID-19 rates. It is highly recommended to vaccinate employees and eligible family members. For international entities with thousands of employees and contractors, the workforce is from multiple countries. The diversification of nationality, age, educational background and working experience can create challenges for workforce management. The optimal result for entities is to minimize the extent to which employee is negatively impacted by pandemic, while meeting the business target. Zero employee fatalities caused by COVID-19 and retaining key personnel are the ultimate goals of workforce management during pandemic. During lockdown, staff might continue their career development through e-learning. The workforce could also take online assessments to renew work licenses or maintain job accreditation. Gathering and face-to-face meetings are to be replaced by video conferences. If approval is obtained, employees and eligible family members should have the option to take the COVID-19 vaccination. Due to successful planning, labor cost can be within the budget, and might generate cost savings due to reduced travelling. Due to controlling spread of the virus largely benefited from workforce management, the entity can successfully pass the COVID-19 Compliance Audit conducted by business line, corporate or local government agency. Entity should proactively respond to COVID-19 pandemic by providing support to workforce using developed tools and resources. In addition, mental health is treated equally as important as physical well-being. Furthermore, work style is retuned to recognize that virtual meeting and working from home could be successful and productive. Therefore, the workforce is always fully revitalized and the duty of producing never ceases in pandemic.
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Wang, Zhehao, Hussain Jobarah, and Zouhair Kaaki. "Response, Retune, Revive: The Duty of Producing Never Ceases in Pandemic." In SPE Annual Caspian Technical Conference. SPE, 2021. http://dx.doi.org/10.2118/207051-ms.

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Abstract The COVID-19 pandemic has affected every facet of global society. It has become evident that the impacts of this pandemic will be far-reaching and long lasting. The abstract showcases how producing entities can stand up to pandemic by initiating manpower demographical study, working schedule adjustment, communication protocol and reinforcing online job training to proactively manage the workforce in a COVID-19 impacted working environment. Entities should take systematic approaches to handle the crisis. To help employees achieve well-being in work and personal life, management can motivate employees to join Emotional Wellbeing Roadshow, and launch multiple COVID-19 campaigns to improve awareness. To support workforce continuity, an analyst can perform a workforce demographical study. Administrative staff have the option to work remotely at home, especially for senior or those with chronic illness. Working schedules can be adjusted to minimize the travelling for employees from areas with high COVID-19 rates. It is highly recommended to vaccinate employees and eligible family members. For international entities with thousands of employees and contractors, the workforce is from multiple countries. The diversification of nationality, age, educational background and working experience can create challenges for workforce management. The optimal result for entities is to minimize the extent to which employee is negatively impacted by pandemic, while meeting the business target. Zero employee fatalities caused by COVID-19 and retaining key personnel are the ultimate goals of workforce management during pandemic. During lockdown, staff might continue their career development through e-learning. The workforce could also take online assessments to renew work licenses or maintain job accreditation. Gathering and face-to-face meetings are to be replaced by video conferences. If approval is obtained, employees and eligible family members should have the option to take the COVID-19 vaccination. Due to successful planning, labor cost can be within the budget, and might generate cost savings due to reduced travelling. Due to controlling spread of the virus largely benefited from workforce management, the entity can successfully pass the COVID-19 Compliance Audit conducted by business line, corporate or local government agency. Entity should proactively respond to COVID-19 pandemic by providing support to workforce using developed tools and resources. In addition, mental health is treated equally as important as physical well-being. Furthermore, work style is retuned to recognize that virtual meeting and working from home could be successful and productive. Therefore, the workforce is always fully revitalized and the duty of producing never ceases in pandemic.
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Звіти організацій з теми "Multiple chronic illnesses"

1

MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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