An integrated model of multimorbidity and symptom science
Autor: | Catherine Cherwin, Barbara A. Rakel, Ann Marie McCarthy, Sue E. Gardner, Linda Liu Hand, Janet K. Williams, Stephanie Gilbertson-White, Keela Herr, Toni Tripp-Reimer |
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Rok vydání: | 2019 |
Předmět: |
media_common.quotation_subject
Disease Article 03 medical and health sciences 0302 clinical medicine Risk Factors Prevalence Medicine Multimorbidity Humans 030212 general & internal medicine General Nursing media_common Models Statistical 030504 nursing business.industry Clinical Practice Chronic Disease Conceptual model Etiology Nursing Care Multiple Chronic Conditions Symptom Assessment 0305 other medical science business Clinical psychology |
Zdroj: | Nurs Outlook |
ISSN: | 1528-3968 |
Popis: | Background Prevalence and complexity of persons with multiple chronic conditions (MCC), also known as multimorbidity, are shifting clinical practice from a single disease focus to one considering MCC and symptoms. Although symptoms are intricately bound to concepts inherent in MCC science, symptoms are largely ignored in multimorbidity research and literature. Purpose Introduce an Integrated Model of Multimorbidity and Symptom Science. Methods Critical integrative review and synthesis process. Findings The model comprises three primary domains: 1. Contributing/ Risk Factors; 2. Symptom/Disease/Treatment Interactions; and 3. Patient Outcomes. Discussion The model highlights the multilevel nature of contributing factors and the recursive interactions among multiple etiologies, conditions, symptoms, therapies, and outcomes. |
Databáze: | OpenAIRE |
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