Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.

Nsg4055 illness & disease management (discussion, just one page)

According to research, chronic pain is the most detrimental for patients with chronic illnesses. Chronic pain affects a patient’s physical and emotional health, social life, and daily activities. The constant presence of pain can lead to depression, anxiety, sleep disturbances, decreased physical activity, and decreased ability to perform activities of daily living (Li, Wang, & Shi, 2019). In addition, chronic pain can also lead to social isolation, as patients may feel like they cannot participate in social activities due to their pain (Nikolajsen, Jensen, & Schrøder, 2017).

When comparing the impact of chronic pain on a twelve-year-old versus a seventy-five-year-old, there are some differences. A twelve-year old may experience chronic pain that limits their ability to play sports with friends or participate in other physical activities. Chronic pain can also impact their academic performance and attendance at school. On the other hand, for a seventy-five-year-old, chronic pain may affect their ability to perform activities of daily living, such as bathing, dressing, or cooking. They may feel isolated and may not be able to join in with their friends.

The chronically ill patient’s illness trajectory influences the plan of care by providing information on the expected progression of the disease and the patient’s needs at different stages of the disease. For example, if a patient’s illness trajectory indicates that they will have frequent exacerbations, the plan of care should include strategies for managing these exacerbations, such as having medications readily available or having a plan in place for when to seek medical attention. In addition, the patient’s illness trajectory can also help identify potential complications of the disease, which can be addressed through preventative measures.

Healthy People 2030 goals aim to improve the country’s health and address specific health issues like mental illness, substance abuse, or chronic disease. These goals can be integrated into the day to-day nursing practice by educating patients about healthy lifestyle choices and healthy habits that help avoid chronic diseases such as smoking cessation, regular exercise, healthy eating, and healthy weight. As a nurse, I am able to help patients with mental illness by providing counseling and support groups. This is how I contribute to the national health.


Li, L., Wang, Y., & Shi, S. (2019). Chronic pain: The risk factors, the mechanisms and the treatments. 15 Molecular Pain. 1744806919870529.

Nikolajsen, L., Jensen, T. S., & Schrøder, H. D.

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