adaptation to chronic illness

social determinants of health

economic stability

education access and quality

health care access and quality

neighborhood and built environment

social and community context

burden of chronic disease on individuals

symptoms, function, participation, treatment, QOL

burden of chronic disease on family

caregiving, roles, finances, emotional impact

burden of chronic disease of healthcare system

utilization, complex care, multimorbidity

burden of chronic disease of population

disability, healthcare expenditures, health inequities

disease

pathology, alteration in body structure or function

illness

person’s lived experience and interpretation of health condition

disability

interaction among health condition, function, activities, participation, and context

environmental factors

physical/built environment

transportation

social support

attitude/stigmas

healthcare access

financial resources

work/school environment

policies/insurance

community resources

personal factors

values and priorities

culture and beliefs

roles and identity

comorbidities

health literacy

coping style

self efficacy

expectations

resources

past experiences

what may be affecting rehab

medical, personal, psychosocial, and environmental/social factors

potential triggers

new diagnosis, relapse/progression, new disability, hospitalization, change in role, assistive device, aging, caregiver change

coping

efforts to manage demands perceived as stressful or challenging

appraisal focused coping

changing how situation is interpreted

problem focused coping

changing the situation

emotion focused coping

managing the emotional response

chronic illnesses may change what in family systems

roles, responsibilities, communication, finances, caregiving, independence, family plans

family resilience may be supported by

shared understanding, accurate info, flexible roles, communication, problem solving, social resources, meaningful family life

how to facilitate family resilience

develop shared narrative of diagnosis, facilitate positive communication, map resources, develop care plan, create and support physical activity and dietary plans, community education

potential impacts of chronic illness on children

school participation, peer relationships, recreation, identity and body image, increasing autonomy, medical routines

considerations in chronically ill older adults

multimorbidity, polypharmacy, mobility, social isolation, caregiving roles, finances, transportation, aging in place, independence

primary prevention

avoid disease development, focus on health promotion

secondary prevention

prevent disease progression and emergence of symptoms, focus on early detection

tertiary prevention

decrease negative impact and complications, focus on restoring function