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With the arrival of symptoms and diagnosis, the ‘chronic illness trajectory’ model follows sequential phases: 1) stable and unstable, managed with usual care; 2) acute and critical, requiring hospitalizations and intensive treatments; 3) post-acute ‘comeback’ or ‘downward’, depending on the disease control; and 4) dying phase. 21
15 lip 2021 · The Chronic Illness Trajectory Model , also created by Corbin and Strauss, describes how the course of illness changes over time. Patients may shift between different illness phases repeatedly over their lifetime, as their conditions fluctuate (Figure 1 ).
McCorkle & Pasacreta, 2001- explains eight phases of chronic illness trajectory . Initial or pretrajectory phase - occurs before any signs and symptoms are present. Trajectory onset phase- occurs with the first onset of signs and symptoms and includes the diagnostic period.
Four illness trajectories are: (1) for cancer: a short decline; (2) for heart failure: an episodic decline; (3) for dementia: a prolonged decline; and (4) for acute brain injury: patients who survive the acute stage enter a chronic stage of recovery.
1 mar 2024 · An understanding of the dynamic multidimensional trajectories of patients with progressive illnesses helps clinicians consider individual holistic needs and have meaningful conversations with patients and families about advance care planning.
Understanding change in health and illness over time is central to creating and evaluating interventions for individuals, families, and populations. The term health trajectory is a succinct and useful way to describe change in health status over time.
1 kwi 2018 · To synthesize concepts and approaches related to the analysis of patterns or processes of care and patient's outcomes into a comprehensive model of care trajectories, focusing on hospital readmissions for patients with chronic ambulatory care sensitive conditions (ACSCs). Study design. Narrative literature review. Methods.