The Person as Patient: Psychosocial Perspectives for the Health Care Professional

By Elsa Ramsden | Go to book overview

9
Long-Term Care: Living with
Chronic Illness

Cheryl Cott

Introduction

Functionalism and the Sick Role Theory

Interactionism and Chronic Illness

Comparison and Reconciliation: Functionalism and Interactionism


Introduction

Chronic disease is the irreversible presence, accumulation, or latency of disease states or impairments that involve the total human physical and social environment for supportive care, maintenance of function, and prevention of further disability (Strauss et al., 1984). Epidemiological information indicates that chronic diseases are and will continue to be of major concern to the health care system, particularly in view of the aging of the Canadian population. The prevalence of disability is considerable according to recent data. The Canadian Health and Disability Survey indicates that 12.8 percent or 2,448,000 individuals reported some level of disability, defined as some limitation to one's major activity. Despite evidence of the extent of chronic illness within the population, few health professionals demonstrate either an interest in working in this area or an understanding of the social psychological processes involved in the experience of chronic illness.

By definition, chronic illness is a long-term event in a person's life (Bury, 1991) and involves ongoing, long-term care. However, most health professionals are educated using an acute care model and subsequently have difficulty when

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The Person as Patient: Psychosocial Perspectives for the Health Care Professional
Table of contents

Table of contents

  • The Person as Patient - Psychosocial Perspectives for the Health Care Professional *
  • Contents *
  • Contributors *
  • Preface ix
  • Dedication xii
  • 1 - Of Systems and Theories i
  • 2 - A System of Ecology 10
  • 3 - Development through Life: Fundamental Patterns 24
  • 4 - Normal Growth and Development in the Infant and Young Child 43
  • 5 - The Adolescent Years 67
  • 6 - The Adult Years 99
  • 7 - Normal Aging 123
  • 8 - Aging with Illness 148
  • 9 - Long-Term Care: Living with Chronic Illness 169
  • 10 - Self-Efficacy 186
  • 11 - The Relationship between Health Practitioner and Patient 197
  • 12 - Bioethics 212
  • 13 - The Process of Making Judgments 230
  • 14 - Communication in the Therapeutic Context 244
  • Glossary of Terms 263
  • Index 269
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