HLTHAGE 3N03 Lecture Notes - Lecture 14: Comorbidity, Insomnia, Medication Therapy Management
14 Nov 2018
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Document Summary
Comorbidity: any distinct additional entity that has existed or may occur during the clinical course of a patient who has the index disease under study. Involves of 2 diseases/conditions (or more) at once, always an index disease (one the clinician is focused on - the treatment: e. g. depression (index condition) and the person is feeling pain. Statistical association of two distinct diseases in the same individual at a rate higher than expected by chance: hyper-comorbidity. Involves broadening it out (not physical or emotional illnesses), more of the social determinants of health. Involve two diseases, on top of that would be a clinically social determinant (e. g. , ses) Types: concurrent comorbidity: diseases/conditions are occurring at the same time, causal comorbidity: one illness/condition caused another illness/condition, e. g. a lot of illnesses are the cause of insomnia, disease-specific complicating comorbidity: second illness/condition complicates that index condition. If you add on a second disease/condition, it will have a high chance of aggravating the index condition.
