EOL AH

Persistent medical issue requiring management more than three months non-curable needs ongoing lifestyle adaptation

Chronic condition

One and four adults are managing which three multiple comorbidities

High blood pressure high cholesterol type two diabetes

Primary nursing goal of illness trajectories

Proactively apply targeted management strategies to shape and guide the trajectory, maintaining stability and maximizing functional autonomy

Balancing complex, hands-on clinical interventions with ongoing daily living support and symptom monitoring

Direct and supportive care

Driving patient, education, disease, self management, counseling, and delivering difficult diagnostic news

Skill communication

Simultaneously, addressing physiological, emotional, social, cultural and spiritual dimensions,

offering yourself

Holistic care approach

What is acute/chronic management Focus

On disease, care and clinical stability

symptom relief and optimization of quality of life reconcile medical biases by prioritizing comfort in individual goals

can be alongside treatment

Palliative support

Institutional and clinical bias way toward aggressive, curative measures, even when futile

Provider biases

Professional, anxiety and lack of training regarding acknowledging and discussing death

Clinical discomfort

Postponing critical palliative conversations until the crisis occurs reducing patient autonomy

Delayed discussions

Optimize quality of life and relief symptom burden can be any state of illness driven by interdisciplinary patient goals in clinical needs

Palliative care

Comfort care near end of life

prognosis is less than equal to six months shift away from cure governed by Medicare hospice

Hospice care

Global prevalence of chronic conditions is rising due to

Aging population

widespread lifestyle risk factors

Primary major driver for secondary chronic health conditions, worldwide critical focal point for trajectory management and preventative counseling

Obesity

Period of grief and morning after death of significant loss of loved one

Bereavement

Internal emotional physical response to the loss, including sadness, anger, guilt

Grief

Outward behavioral expression or cultural, rituals associated with loss

Mourning