instructions as follows: ► PART 1: PPAP – Holistic Care of the Chronically Ill During the past weeks you have drawn insight to how the chronically ill population lives with, transitions in, and mitigate effects of chronic illness. After reflection over the past seven weeks PPAP assignments/discussion boards, field experience, weekly course readings, and reviews of the literature, characterize the impact of chronic illness on the individual (and family members). Please see the list of impacts below. Impacts on Chronically and Individuals (and Families) o Emotional o Financial o Family relationships o Educational o Work o Social o Leisure/relaxation o Stress Define the norms or lack of norms within family life of those caring for a loved one with chronic disease. Comment on the concepts from the Topic One readings: 1) the aging process and 2) the stigma of aging. Explain your understanding of the specialized needs of chronically ill clients. Suggest potential nursing interventions to improve the quality of life for the client, and thus the impact on the quality of family life. In an attempt to better understand the resilience of the chronically ill and address the issues they encounter, explain the coping mechanisms or strategies employed this population to overcome any barriers or obstacles to achieve a perceived acceptable quality of life. Explain the illness transition experience of the chronically ill in terms of the model of coping which was included in the presentation of Topic Two. Define the role of distress tolerance and the impact it has on the chronically ill populations’ self-care agency, and self-advocacy (Topic Three). Discuss the sense of power/powerlessness or power differentials in the chronically ill population from your review of the literature (Topic Four). Specifically, include the highly vulnerable chronically ill clients. Describe in detail a health promotion that you would recommend for the chronically ill population to reshape their response to chronic disease (Topic Six). Within the health promotion or in addition to it, please suggest Holistic Modalities and Expressions of Healing that would bring about a more holistic nursing care practice (Topic Eight). Address the significant disconnect exists between insurance eligibility and healthcare access, effective utilization of health resources (private pay and federally funded), and positive health outcomes and share the evidenced-based action plan to address this disconnect (Topic Five). In conclusion, assess the healthcare issues that stood out as significant for the chronically ill population which would require Federal or State intervention (Topic Seven). Identify health policy intervention(s) that would you suggest for implementation to address this/these issue(s).
