stages of illness

8/7/2019 Stages of Illness

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STAGES OF ILLNESS

If a disease is not treated when it appears, it will develop with time according to the

seven stages of illness. The duration of each stage varies from person to persondepending on their constitution and condition. Sometimes these stages overlap.

1. Fatigue

This is caused by a chaotic and ungrateful life. No harmony and no gratitude and

much animal and junk foods. A passing flu or general fatigue fall under this

category.

Examples of this stage of illness

Passing colds, fatigue, lethargy.

2. Pain and suffering

This is caused by low judgment on many levels. Violating the order of the universe

has begun to have consequences. The patient has begun to feel that all is not well

with the world. The daily routine begins to get disrupted by pain and suffering.


Constipation, diarrhea, hepatitis, migraines, polio, psoriasis, syphilis & gonorrhea,

typhoid & brucellosis, insomnia, HIV AIDS.

3. Chronic conditions

The disease has ascended into a more serious level. The pain and suffering are now

permanent and have begun to slowly change daily routine.


Anemia, heart and artery disease, arthritis, chlamydia & candida, Irritable bowel

syndrome, eczema, gallstones, hepatitis, herpes, high blood pressure, kidney

stones, lyme disease, malaria & cholera, migraines, ovarian cysts, psoriasis,

syphilis & gonorrhea, hyper-thyroid & hypo-thyroid, tonsillitis, tuberculosis, pepticulcers, varicose veins,vitiligo, asthma, gout, uric acid, acne, HIV AIDS, diabetes

type II, lupus.

4. Neurological diseases

As toxic build up increases it begins to seep into the nervous system. Nervousness

and decreased concentration appear. Clarity of vision begins to deteriorate.




Behcets disease, inflammatory bowel disease, epilepsy, advancedhepatitis,advanced lyme disease, multiple sclerosis, post-polio syndrome,

syphilis & gonorrhea, HIV AIDS, lupus.

5 . Functional and structural changes in the organs

As toxic build up continues, it begins to cause gradual but permanent damage and

deformations in the vital organs in the body. This is always associated with much

pain and suffering.


Fibroids, gangrene, advanced hepatitis, liver cirrhosis, advanced lyme disease and

its neurological complications, advanced multiple sclerosis, thyroid nodules & goiter,

tuberculosis, ulcerative colitis &crohn's disease, gout, HIV AIDS-related illnesses,cancer, diabetes type I, lupus, osteoporosis.

6. Psychological disease

As serious illness begins to affect the vital organs, psychological disturbances begin

to overwhelm the patient. Each organ is associated with a form of emotion. The

liver is associated with anger and dark thoughts, the kidneys with fear and

exclusiveness. Most psychological disorders are a consequence of getting to this

stage of physiological disease.


Advanced multiple sclerosis, Alzheimer's disease, depression & major depression.

7 . Spiritual disease

This is the last stage as the patient begins to realize that there is something terribly

wrong, and that possibly the end is near.


All diseases lead to this stage if not treated properly and naturally in time.



GORDON'S FUNCTIONAL HEALTH

PATTERNS

Health Perception and Management

The following questions pertain to those asked by the nurse to provide an overview

of the individuals health status and health practices that are used to reach the

current level of health or wellness. -History (subjective data) -Client¶s general

health? -Any colds in past year? If appropriate: any absences from work/school? -

Most important things you do to keep healthy? -Use cigarettes, alcohol, drugs, -

Perform self exams, i.e. Breast/testicular self-examination? -Accidents at home,

work, school, driving? -In past, has it been easy to find ways to carry out doctor¶s

or nurse¶s suggestions? -(If appropriate) What do you think caused current illness?

What actions have you taken since symptoms started?? Have your actions helped? -

(If appropriate) What things are most important to your health? How can we be

most helpful? done exercise every what?

Nutritional metabolic

This pattern describes nutrient intake relative to metabolic need. -History

(subjective data) -Typical Daily Food intake? (Describe) Use of supplements,

vitamins, types of snacks? -Typical Daily Fluid intake (Describe) -Weight loss/gain?

Height loss/gain? -Appetite? Breastfeeding?Infant feeding? -Food or Easing:

Discomfort, Swallowing difficulties, diet restrictions, able to follow? -Healing ± anyproblems? -Skin problems: lesions? Dryness? -Dental problems? -Examination

(examples of objective data0 -Skin assessment, oral mucous membranes, teeth,

actual weight/height, temperature, -Abdominal Assessment

Elimination

Describes the function of the bowel, bladder and skin. Through this pattern the

nurse is able to determine regularity, quality, and quantity of stool and urine. -

History (subjective data) -Bowel elimination pattern (describe) Frequency,

character, discomfort, problem with bowel control, use of laxatives (i.e. type,

frequency), etc. -Urinary elimination pattern (describe) Frequency, problem withbladder control? (Describe) -Excess perspiration? Odour problems? -Body cavity

drainage, suction, etc.? -Examination (examples of objective data) -If indicated,

examine excretions or drainage for characteristics, colour, and consistency -

Abdominal assessment

Activity exercise



This pattern centers on activity level, exercise program, and lesire activities. -

History (subjective data) -Sufficient energy for desired and/or required activities? -

Exercise pattern? Type?regularity? -Spare time (leisure) activities? (Child-play

activities) -Perceived ability for Feeding, Grooming, Bathing, General mobility,

toileting, home maintenance, bed mobility, dressing and shopping. -Examination

(examples of objective data) -Demonstrate ability for above criteria -Gait?Posture?Absent body part? -Range of motion (ROM) joints? -Hand grip? Can pick up

pencil -Respirations? -Blood pressure -General appearance -Musculoskeletal,

cardiac and Respiratory Assessments

Sleep rest

-Assesses sleep and rest patterns. -History (subjective data) -Generally rested and

ready for activity after sleep? -Sleep onset problems? Aids?Dreams (Nightmares)

Early awakening -Rest-relaxation periods? -Examination (example of objective

data) -Observe sleep pattern and rest pattern

Cognitive-perceptual

Assesses the abiltity of the individual to understand and follow directions, retain

information, make decisions, and solve problems. Also asesses the five senses. -

History (Subjective data) -Hearing difficulty? Hearing Aid? -Vision? Wears glasses?

Last checked? When last changed? -Any change in memory? Concentration? -

Important decisions easy/difficult to make? -Easiest way for you to learn things?

Any difficulty? -Any discomfort? Pain? IF appropriate ± PQRST questions PQRST P ±

Palliative, Provocative Q- Quality or quantity R ± Region or radiation S- Severity or

scale T -timing (Morton, 1977) COLDSPA C- Character O- Onset L- Location D-Duration S ± Severity P- Pattern Associated factors (Weber, 2003)

-Examination (examples of objective data) -Orientation -Hears whispers? -Reads

newsprint? -Grasps ideas and questions (abstract, concrete) -Language spoken -

Vocabulary level -Attention span

Self perception/self concept

-History (subjective data) -How do you describe yourself? Most of the time, feel

³good´ (not so good) about self? -Changes in body or things you can do? Problems

for you?

-Changes in the way you feel about self or body (generally or since illness started)?

-Things frequently make you angry? Annoyed? Fearful?Anxious? Depressed? Not

able to control things? What helps? -Ever feel you lose hope?



-Examination (examples of objective data) -Eye contact. Attention span

(distraction?) -Voice and speech pattern. Body posture. -Client nervous (5) or

relaxed (1) (rate scale 1-5) -Client assertive (5) or passive (1) (rate scale `-5)

R ole relationship

-History (subjective data) -Live alone? Family?Family structure? -Any family

problems you have difficulty handling (nuclear/extended family)? -Family or others

depend on you for things? How well are you managing? -If appropriate ± How

families/others feel about your illness? Problems with children? -Belong to social

groups? Close friends? Feel lonely? (Frequency) -Things generally go well at work?

School? -If appropriate ± income sufficient for needs? -Feel part of (or isolated in)

your neighbourhood?

-Examination (examples of objective data) -Interaction with family members or

others if present

Sexuality reproductive

-History (subjective data) -If appropriate to age and situation ± Sexual relationships

satisfying? Changes?Problems? -IF appropriate ± Use of contraceptives? Problems?

-Female ± when did menstruation begin? Last menstrual period (LMP)? -Any

menstrual problems? Gravida/Para if appropriate)

-Examination (examples of objective data) -None unless a problem is identified or a

pelvic examination is warranted as port of full physical assessment (advanced

nursing skill)

Coping-stress tolerance

-History (subjective data) -Any big changes in your life in last year or two? Crisis? -

Who is most helpful in talking things over? Available to you now? -Tense or relaxed

most of the time> When tense, what helps? -Use any medications, drugs, alcohol to

relax? -When (if) there are big problems in your life, how do you handle them? -

Most of the time, is this (are these) ways successful?

-Examination -None

Value-Belief Pattern

-History (subjective data) -Generally get things you want from life? Important plans

for future? -Religion important to you? If appropriate - Does this help when

difficulties arise? -If appropriate ± will being here interfere with any religious

practices? -Examination -None

stages of illness

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