Pamala D. Larsen - Lubkins Chronic Illness: Impact and Intervention

ELEVENTH EDITION

PAMALA D. LARSEN, PHD, MS, RN

Professor Emerita
Fay W. Whitney School of Nursing
University of Wyoming
Laramie, WY
and
Editor-in-Chief, Rehabilitation Nursing

JONES & BARTLETT
LEARNING

World Headquarters

Jones & Bartlett Learning

25 Mall Road

Burlington, MA 01803

978-443-5000

www.jblearning.com

Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jblearning.com.

Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via the above contact information or send an email to .

Copyright 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner.

The content, statements, views, and opinions herein are the sole expression of the respective authors and not that of Jones & Bartlett Learning, LLC. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement or recommendation by Jones & Bartlett Learning, LLC and such reference shall not be used for advertising or product endorsement purposes. All trademarks displayed are the trademarks of the parties noted herein. Lubkins Chronic Illness: Impact and Intervention, Eleventh Edition is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the trademarks or service marks referenced in this product.

There may be images in this book that feature models; these models do not necessarily endorse, represent, or participate in the activities represented in the images. Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies throughout this product may be real or fictitious but are used for instructional purposes only.

The authors, editor, and publisher have made every effort to provide accurate information. However, they are not responsible for errors, omissions, or for any outcomes related to the use of the contents of this book and take no responsibility for the use of the products and procedures described. Treatments and side effects described in this book may not be applicable to all people; likewise, some people may require a dose or experience a side effect that is not described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA) for use only in a research study or clinical trial. Research, clinical practice, and government regulations often change the accepted standard in this field. When consideration is being given to use of any drug in the clinical setting, the health care provider or reader is responsible for determining FDA status of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and contraindications, and determining the appropriate usage for the product. This is especially important in the case of drugs that are new or seldom used.

Production Credits

Vice President, Product Management: Marisa R. Urbano

Vice President, Product Operations: Christine Emerton

Director of Product Management: Matthew Kane

Product Manager: Tina Chen

Manager, Content Strategy: Carolyn Pershouse

Project Manager: Kristen Rogers

Senior Project Specialist: Dan Stone

Digital Project Specialist: Rachel DiMaggio

Senior Marketing Manager: Jennifer Scherzay

Product Fulfillment Manager: Wendy Kilborn

Composition: S4Carlisle Publishing Services

Cover Design: Kristin E. Parker

Text Design: Kristin E. Parker

Content Services Manager: Colleen Lamy

Senior Media Development Editor: Troy Liston

Rights & Permissions Manager: John Rusk

Rights Specialist: Maria Leon Maimone

Cover Image (Title Page, Part Opener, Chapter Opener): MamiGibbs/Moment/Getty Images

Printing and Binding: McNaughton & Gunn

Library of Congress Cataloging-in-Publication Data

Names: Larsen, Pamala D., 1947- editor.

Title: Lubkins chronic illness : impact and intervention / [edited by] Pamala D. Larsen.

Other titles: Chronic illness

Description: Eleventh edition. | Burlington, Massachusetts : Jones & Bartlett Learning, [2023] | Includes bibliographical references and index.

Identifiers: LCCN 2021014846 | ISBN 9781284230666 (paperback)

Subjects: MESH: Chronic Disease--psychology | Chronic Disease--nursing | Professional-Patient Relations | Professional-Family Relations | Therapeutics | Population Health | BISAC: MEDICAL / Nursing / Gerontology

Classification: LCC RC108 | NLM WT 500 | DDC 616/.044--dc23

LC record available at https://lccn.loc.gov/2021014846

6048

Printed in the United States of America

25 24 23 22 21 10 9 8 7 6 5 4 3 2 1

In honor of individuals and their families with chronic illness.

MamiGibbs/Moment/Getty Images.

MamiGibbs/Moment/Getty Images.

MamiGibbs/Moment/Getty Images.

The psychosocial effects of chronic illness on individuals and their families are established concepts; however, there is always new science to be added to what we know. This text, the Eleventh Edition , is no exception. Although this new edition still contains many well-researched concepts such as the illness experience and social isolation (both of which have been redefined during the COVID-19 pandemic), adherence, family caregiving, and client and family education, there are new chapters in this edition, as well as new authors taking a different slant on the concepts. New chapters for the Eleventh Edition include those on coping, social support, primary care, community care, and post-acute care.

Past editions of this text have always included a chapter on psychosocial adjustment. This overall umbrella topic has stood the test of time. Coping, however, is seen as the major factor in adjustment and as such has replaced the previous psychosocial adjustment chapter. Another new chapter, Community Care, looks at the system interventions of home health care, health promotion, and community health. Although some information about Social Support was previously included in the social isolation chapter, it was long overdue for its own chapter. The Primary Care chapter grew from the previous editions chapter on the advanced practice nurses (APN) role in chronic illness. Primary care is the setting of care for many clients with chronic illness, whether being cared for by an APN or an RN. The Post-Acute Care chapter combines previous concepts from rehabilitation and long-term care and adds new concepts as care options continue to increase for those with chronic illness. Other chapters in this edition, including those on powerlessness and spirituality, demonstrate different approaches to the subject from new authors.