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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
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.
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.
This article offers a revised version of the Corbin and Strauss Chronic Illness Trajectory Framework. The most notable changes include a greater emphasis on health promotion and illness prevention, streamlined language to make it more user friendly, and increased focus on the global influences on health care.
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.
11 maj 2009 · The chronic illness experience is variously described as - a trajectory, a gift, a career, a cause of chronic sorrow, suffering, uncertainty, loss, a dichotomy between acceptance and denial, and transformational.
