Multiple morbidities

Multiple morbidities or Multimorbidities means co-occurring diseases.[1] For example, a person could have diabetes and heart disease and high blood pressure. In the Medicare population, 65% of patients have two or more chronic illnesses.[2] Some of the difficulties experienced by patients include: poor coordination of medical care, managing multiple medications, increases in their time spent managing illness,[3] difficulty managing multiple illness management regimes,[4] and aggravation of one condition by symptoms or treatment of another.[5] Concerning the qualitative experience of people with multimorbid chronic illness, Jowsey et al (2009) write: "Co-morbidity increased the amount of time participants spent managing their health and increased patients' dependency on others. Patients with co-morbid conditions encountered problems with the coordination between services and with polypharmacy. Patients prioritised the management of one condition over another; consequently, some health issues could be neglected or compromised. The three most common challenges to patients and carers in managing chronic illness (either caused or made worse by co-morbidity), relate to acting on risk factors, recognising signs and symptoms of illness and managing medications."[6] These kinds of challenges for people living with multiple chronic conditions have direct implications for health services and the way they support patient self-management.[7]

Multimorbidity is common in people who are elderly,[8] malnourished, or poor.

See also

References

  1. ↑ Valderas JM, Starfield B, Sibbald B, Salisbury C, Roland M. Defining comorbidity: implications for understanding health and health services. Ann Fam Med. 2009 Jul-Aug;7(4):357-63.
  2. ↑ Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med. 2002 Nov 11;162(20):2269-76.
  3. ↑ Jowsey, T., McRae, I. S., Valderas, J. M., Dugdale, P., Phillips, R., Bunton, R., ... & Yen, L. (2013). Time’s up. Descriptive epidemiology of multi-morbidity and time spent on health related activity by older Australians: A time use survey. PLOS One, 8(4), e59379.
  4. ↑ Jowsey, T., Dennis, S., Yen, L., Mofizul Islam, M., Parkinson, A., & Dawda, P. (2016). Time to manage: patient strategies for coping with an absence of care coordination and continuity. Sociology of health & illness, 38(6), 854-873.
  5. ↑ Bayliss EA, Steiner JF, Fernald DH, Crane LA, Main DS. Descriptions of barriers to self-care by persons with comorbid chronic diseases. Ann Fam Med. 2003 May-Jun;1(1):15-21.
  6. ↑ Jowsey, T., Jeon, Y. H., Dugdale, P., Glasgow, N. J., Kljakovic, M., & Usherwood, T. (2009). Challenges for co-morbid chronic illness care and policy in Australia: a qualitative study. Australia and New Zealand health policy, 6(1), 22.
  7. ↑ Jowsey, T., Dennis, S., Yen, L., Mofizul Islam, M., Parkinson, A., & Dawda, P. (2016). Time to manage: patient strategies for coping with an absence of care coordination and continuity. Sociology of health & illness, 38(6), 854-873.
  8. ↑ Britt, H. C., Harrison, C. M., Miller, G. C., & Knox, S. A. (2008). Prevalence and patterns of multimorbidity in Australia. The Medical Journal of Australia, 189(2), 72-77.

This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.