Chronic kidney disease and how it effects a person’s life

Overview
Part of the assigned readings in your textbook this week concerns models for health and illness. Kearney-Nunnery (2012) stresses that one’s view of health is influenced by “ones’ worldview and philosophical assumptions (p. 82). Essential VII of the BSN Essentials (American Association of Colleges of Nursing, 2008), Clinical Prevention and Population Health, focuses on strategies for health promotion, risk reduction, and disease prevention for individuals and groups as an essential component of professional nursing practice. Essential IX, Baccalaureate General Nursing Practice, purports that professional nursing care is provided with understanding and respect for diversity for individuals, families, groups, communities, and populations across the continuum of healthcare environments.

Directions:
You must have at least 2 peer-reviewed journal articles 

1.    Read the assumptions (numbers 1-7) for The Chronic Illness Trajectory Framework listed on page 72 of your textbook.

2.    Recall a client with a chronic illness for whom you have provided nursing care. Retrospectively apply these assumptions to the client’s experiences that you were able to observe. Be sure you attempt to address all the assumptions but state in the narrative of the assignment if you were unable to address them all and why.

3.    Document this assignment in APA format and include in-text citations as indicated. Include a cover page and a reference list in APA format. Your submission should not exceed two to three pages (2-3) pages excluding the title page and reference list. Remember this is scholarly writing and not a venue for your opinions. Support your assertions with evidence-based, peer-reviewed nursing journals as indicated.

4.    The title of your paper is unique to your topic. 
Chronic Illness Model 
Although the health belief model has been used in research and practice settings with clients who have chronic illnesses, Corbin and Strauss’s chronic illness model is specific to chronicity. Despite its focus on chronic illness, it is still a health promotion model. As Corbin and Strauss (1992a) have stated: The focus of care in chronicity is not on cure but first of all on the prevention of chronic conditions, then on finding ways to help the ill man-age and live with their illness should these occur. Interventions are aimed at fostering the prevention of, living with, and shaping the course of chronic illnesses, especially those requiring technologically complex management, while promoting and maintaining quality of life. (p. 20)

Chronic illness trajectory framework (Corbin & Strauss, 1992a) was developed as a substantive theory for application to individuals with a broad range of chronic conditions. Benner and Wrubel’s(1989) concept of health as coherence applies to this model. Corbin and Strauss (1992a) describe the development of the framework as based on 30 years of qualitative, grounded theory research. The original framework was developed with the following concepts: key problems, basic strategies, organizational or family arrangements, and consequences (Strauss &Glaser, 1975; Strauss et al., 1984). It evolved into nursing theory through its use and research base, but the developers maintain that it potentially applies to all healthcare disciplines. The framework was based on the following assumptions: 

1. The course of chronic conditions varies and changes over time.

2. The course of a chronic condition can be shaped and managed.

3. The technology involved is complex and can potentially create side effects. 

4. The illness and technology pose potential consequences for the individual’s physical well being, biographical fulfillment (identify over time), and performance of daily activities. 
5. Biographical needs and performance of daily activities can affect illness management choices and the course of the illness. 

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