About the Book

Lubkin’s Chronic Illness, Ninth Edition is an essential text for nursing students who seek to understand the various aspects of chronic illness affecting both patients and families. This is the only text of its kind that addresses not only the physical aspects, but also the important psychosocial issues that affect individuals and families living with chronic disease. The author lends a personal perspective to this edition by sharing her own experiences through her husband’s terminal illness. These firsthand experiences and responses are chronicled throughout the text.

The Ninth Edition takes an application-to-practice-based approach by covering the impact, interventions, and outcomes associated with chronic illness. This edition has been revised to include updated and expanded content on the illness experience, health policy, and the advanced practice nurse in chronic illness. Each chapter employs a theoretical approach to the concept followed by the impact or issues of the concept, nursing interventions, and potential outcomes. Two new chapters focusing on Loss and Spirituality have also been included.

NEW TO THE NINTH EDITION:
• Expanded personal and real-life comments from the perspective of the caregiver
• New case studies
• Reorganized into two sections: “Impact of the Disease to the Individual and Family” and “Impact of the System”
• Coverage of technology and systems that impact individuals with chronic health issues
• Content on motivational interviewing
• Updated approach to the chapter covering Sexuality

About the Author

Pamala D. Larsen, PhD, CRRN-FNGNA, Associate Dean and Professor, Fay W. Whitney School of Nursing, University of Wyoming, Laramie, Wyoming Dr. Larsen has been a certified rehabilitation nurse and a nursing educator and administrator for nearly 25 years in a university setting, currently serving as Associate Dean and Professor at the Fay W. Whitney School of Nursing at the University of Wyoming. Her passion in chronic illness began as a staff nurse in a neurological unit in the late 1970’s. During her masters degree program in the early 1980’s, her plan of study focused on oncology and Hospice. She has past federal training grants in rehabilitation and geriatric rehabilitation, and her publications focus on the clinical issues of chronic illness and the older adult. Dr. Larsen is a Fellow in the National Gerontological Nursing Association (NGNA). She currently is serving NGNA as Vice-President as well as being Chair of the Rehabilitation Nursing Foundation of the Association of Rehabilitation Nurses.

Table of Contents:
Preface • Contributors PART I: Impact of the Disease to the Individual and Family Chapter 1: Chronicity (Pamala D. Larsen) • Introduction • Impact of Chronic Illness • Interventions • Summary • References Chapter 2: The Illness Experience (Pamala D. Larsen) • Introduction • Impact of Chronic Illness on the Patient and Family • Interventions • Outcomes • References Chapter 3: Psychosocial Adjustment (Pamala D. Larsen) • Introduction • Impact • Interventions • Outcomes • References Chapter 4: Loss (Pamala D. Larsen) • Introduction • Self • Time • Work • Touch • Death • Chronic Sorrow • Responses to Loss • Outcomes • References Chapter 5: Spirituality (Rebecca Carron) • Introduction • Issues • Nursing Spiritual Interventions • Outcomes • References Chapter 6: Social Isolation (Nicholas R. Nicholson, Jr.) • Introduction • Consequences of Social Isolation • Interventions • Outcomes • References Chapter 7: Uncertainty (Faye l. Hummel) • Introduction • Impact • Interventions for Managing Uncertainty • Outcomes • References Chapter 8: Quality of Life (Cheryl Gies) • Introduction • QOL Guidelines, Interventions, and Outcomes in Chronic Illnes • Outcomes and Conclusions • References Chapter 9: Adherence (Jill Berg, Robynn Zender, Lorraine S. Evangelista, and Jacqueline M.Dunbar-Jacob) • Introduction • Adherence and Chronic Illness • Interventions to Enhance Behavior • Outcomes • References Chapter 10: Family Caregiving (Linda L. Pierce and Barbara J. Lutz) • Introduction • Problems and Issues • Interventions • Outcomes • Internet Resources • References Chapter 11: Intimacy (Pamala D. Larsen) • Introduction • Intimacy and Chronic Illness • Interventions • Outcomes • References Chapter 12: Powerlessness (Faye I. Hummel ) • Introduction • Problems and Issues Associated with Powerlessness • Interventions • Outcomes • References Chapter 13: Culture (Susan K. Rice) • Introduction • Impact • Interventions • Internet Resources • References Chapter 14: Self-Management (Raeann LeBlanc and Cynthia Jacelon) • Introduction • The Meaning of Self-Management • Nursing Interventions • Outcomes • Conclusion • Internet Resources • References PART II: Impact of the System Chapter 15: Client and Family Education (Elaine T Miller) • Introduction • Influences on Teaching and Learning • Educational Interventions for the Client and Family • Outcomes • References Chapter 16: Health Promotion (Alicia Huckstadt) • Introduction • Issues and Impact • Interventions • Outcomes • References Chapter 17: The Advanced Practice Registered Nurse in Chronic Illness Care (Ann Marie Hart) • Introduction • Primary Care • Contributions of APRNs in Chronic Illness Care • Improving APRN-Delivered Primary Care for Patients with Chronic Illnesses • Summary and Conclusions • References Chapter 18: Complementary and Alternative Therapies (Pamala D. Larsen) • Introduction • Impact • Issues • Interventions • Outcomes • References Chapter 19: Models of Care (Barbara J. Lutz and Pamala D. Larsen) • Introduction • Impact • Interventions • Outcomes • Internet Resources • References Chapter 20: Home Health Care (Cynthia S. Jacelon) • Introduction • Theoretical Frameworks for Management of Chronic Illness in Home Care • Home Healthcare Agencies • Interventions for Home Care • Outcomes and Quality Management • Internet Resources • References Chapter 21: Long-Term Care (Kristen L. Mauk) • Introduction • Problems and Issues in Long-Term Care • Interventions • Outcomes • Internet Resources • References Chapter 22: Palliative Care (Barbara M. Raudonis and Pamala D. Larsen) • Introduction • Problems and Barriers Related to Palliative Care • Interventions • Outcomes • Internet Resources • References Chapter 23: Health Policy (Anne Deutsch) • Introduction • Key Issues • Interventions: Engaging in Policy Discussions • Outcomes • Internet Resources • References Chapter 24: Rehabilitation (Kristen L. Mauk) • Introduction • Rehabilitation Issues and Challenges • Interventions • Outcome Measurement and Performance Improvement • Internet Resources • References • Index