![]() A follow-up question such as “Can you repeat that back to me in your own words so I know that it's clear?” helps to assess the patient's response to the information just received and keeps the patient involved in the conversation. Jones, what is your understanding of why you have high blood pressure?” or “What effect do you think diet has on your blood pressure?” The physician then responds by providing focused information relevant to the patient's issues regarding his or her health. The first step allows the physician to assess the patient's understanding of his or her condition and its treatment. This strategy provides a structure for the physician to tailor information to the patient's needs by 1) asking the patient what he or she already knows or wants to know about his or her illness, 2) telling the patient what he or she needs to know and 3) asking or ascertaining whether the patient understands the information or has additional questions. While physicians may be concerned that they don't have time for agenda setting, researchers estimate that the process adds just 1.9 minutes to the length of a visit, on average. Setting the agenda together conveys interest in the patient's priorities and invites the patient to take an active role in the discussion. This helps to ensure that the issues most important to each are addressed and allows the physician to redirect the discussion back to these topics if necessary. Jones, what would you like to discuss today?” The patient and the physician then decide together which issues take priority. Agenda setting can start by asking, “Mrs. Setting an agenda allows important topics to be laid out at the beginning of the visit. Likewise, the patient may be concerned with certain questions but may not feel comfortable asking the physician. The physician may have a clear idea of what should be discussed but often does not share this information with the patient. Common chronic diseases include arthritis, asthma, cancer, COPD. The term chronic is often applied when the course of the disease lasts for more than three months. The critical step of setting an agenda for the visit is frequently overlooked. According to Wikipedia a chronic condition is, a human health condition or disease that is persistent or otherwise long-lasting in its effects or a disease that comes with time. A key focus of the Australian health system, therefore, is the prevention and better management of chronic disease to improve health outcomes.1. ![]() In addition to the personal and community costs, chronic diseases result in a significant economic burden because of the combined effects of health-care costs and lost productivity from illness and death. oral diseases (such as tooth decay and gum disease).Ĭhanges to our lifestyles and reduction in other diseases in the last hundred years have meant that chronic diseases are increasingly common and now cause most of the burden of ill health.arthritis, osteoporosis and other musculoskeletal conditions.respiratory diseases (including asthma and chronic obstructive pulmonary disease).cancers (such as lung and colorectal cancer).cardiovascular conditions (such as coronary heart disease and stroke).associated functional impairment or disability.Ĭhronic diseases can range from mild to more significant conditions and include:.a prolonged course of illness, perhaps leading to other health complications.a long development period, for which there may be no symptoms.complex causality, with multiple factors leading to their onset. ![]() Common features of chronic diseases include: Diseases can be acute (coming on sharply, often brief, intense and/or severe) or chronic (long-lasting with persistent effects ranging from mild to severe) or, in some cases, both. A disease is defined as a physical or mental disturbance involving symptoms (such as pain or feeling unwell), dysfunction or tissue damage that may lead to ill health.
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