NURS 3524 Study Guide - Midterm Guide: Inflammatory Bowel Disease, Chronic Condition, Sickle-Cell Disease
7 Jan 2019
School
Department
Course
Professor
Document Summary
Chronic illness interferes with daily functioning for more than 3 months in a year. Causes hospitalization for more than 1 month in a year. The impact of chronic illness of the child. Coping mechanisms: normalization, parenteral behavior (child rearing, hopeful and realistic future goals, encourage independence. Seeking second opinions: minimizing symptoms, refusing to believe results, delaying consent to treatment, optimism despite diagnosis, keeping diagnosis a secret, apathy/ disinterest. Adjustment: guilt, anger, overprotection, rejection/rigidity, overcompensation, movement towards acceptance. Reintegration and acknowledgment: realistic expectations, becoming an expert, getting on with life. Characterized by broncho-constriction, airway inflammation and hyper-responsive airway. Diagnostic evaluation: assessment of symptoms, medical history, pulmonary function tests (pfts, allergy tests, asthma varies in severity which influences treatment. Goal of asthma therapy: control chronic and night-time symptoms, maintain normal activity levels, prevent acute episodes of asthma, avoid adverse effects of asthma medications. Inherited hematologic disorder that leads to chronic hemolytic anemia and baso-occlusive episode.
