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Multimorbidity, also known as multiple long-term conditions (MLTC), means living with two or more chronic illnesses. [1] For example, a person could have diabetes , heart disease and depression at the same time.
Chronic care management encompasses the oversight and education activities conducted by health care provider to help patients with long term illness and health conditions such as diabetes, hypertension, lupus, multiple sclerosis, and stopping of breathing during asleep learn to understand their condition and live successfully with it.
Chronic care refers to medical care which addresses pre-existing or long-term illness, as opposed to acute care which is concerned with short term or severe illness of brief duration. Chronic medical conditions include asthma, diabetes, emphysema, chronic bronchitis, congestive heart disease, cirrhosis of the liver, hypertension and depression.
Because many patients with diabetes have two or more comorbidities, they often require multiple medications. The prevalence of medication nonadherence is high among patients with chronic conditions, such as diabetes, and nonadherence is associated with public health issues and higher health care costs.
Lung restriction in diabetes could result from chronic low-grade tissue inflammation, microangiopathy, and/or accumulation of advanced glycation end products. [46] In fact the presence restrictive lung defect in association with diabetes has been shown even in presence of obstructive lung diseases like asthma and COPD in diabetic patients. [47]
A chronic condition, on the other hand, usually affects multiple areas of the body, is not fully responsive to treatment, and persists for an extended period of time. [2] Chronic conditions may have periods of remission or relapse where the disease temporarily goes away, or subsequently reappears. Periods of remission and relapse are commonly ...
More than 60% of asthmatic patients complained of concurrent arthritis, 20% complained of cardiac problems and 16% had type 2 diabetes. [54] In patients with chronic kidney disease (renal insufficiency) the frequency of coronary heart disease is 22% higher and new coronary events 3.4 times higher compared to patients without kidney function ...
Minimally disruptive medicine is an approach to patient care in chronic illness proposed by Carl R May, Victor Montori, and Frances Mair. [1] In a 2009 article in the British Medical Journal they argued that the burden of illness (the pathophysiological and psychosocial impact of disease on the sufferer) has its counterpart in the burden of treatment (the workload delegated to the patient by ...
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