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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.
1 mar 2024 · Most patients with progressive illness follow characteristic trajectories of decline, previously identified as rapid, intermittent, or a gradual decline from a low baseline. Multimorbidity is increasingly common and follows a distinct fourth trajectory. An understanding of the dynamic multidimensional trajectories of patients with progressive ...
15 lip 2021 · Four unique illness trajectories were identified with different patient work goals and needs: living with stable chronic conditions involves patients seeking to make patient work as routinized and invisible as possible; dealing with cycles of acute or crisis episodes included heavily multimorbid patients who sought support with therapy adherence...
They describe how chronic illness is experienced by the person in and through their descriptions of distinct phases of illness. They identify nine phases: pre-trajectory, trajectory onset, stable, unstable, acute, crisis, comeback, downward, and dying.
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 kwi 2018 · Considering patients' attributes and their chronic ACSCs illness course (‘who’ and ‘why’ dimensions), this model reflects their patterns of health care use across care providers (‘which’), care units (‘where’), and treatments (‘what’), at specific periods of time (‘when’). Conclusions.
The resulting framework, called the Illness Trajectory Theory, distinguishes between three interconnected and reciprocally-interactive types of work entailed by chronic illness: biographical work, everyday life work, and illness-related work.
