dentify chronic illness and its relationship to rehabilitation.
Choose from one:
COPD, CHF, Stroke, Hip fracture
Create interventions that support an older adults adaptation to the chronic illness or disability.
Describe the nurses role in assisting older adults in managing chronic conditions.
From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Let’s focus on Chronic Obstructive Pulmonary Disease (COPD) as the chronic illness and its relationship to rehabilitation in older adults.

COPD and its Relationship to Rehabilitation:

COPD is a progressive lung disease that makes breathing difficult. It damages the airways and air sacs in the lungs, leading to airflow limitation that interferes with normal breathing. This damage is often caused by smoking, but other factors like exposure to air pollution or genetic conditions can also contribute. COPD is a significant health concern for older adults, impacting their quality of life, functional abilities, and overall well-being.

The relationship between COPD and rehabilitation is crucial. Because COPD is a chronic and progressive condition, there’s no cure. However, pulmonary rehabilitation programs can significantly improve the quality of life for individuals with COPD. These programs focus on:

  • Exercise training: Strengthening muscles used for breathing and improving overall exercise tolerance.
  • Education: Learning about COPD, how to manage symptoms, and how to avoid triggers.
  • Breathing techniques: Learning strategies to control shortness of breath and improve lung function.
  • Nutritional counseling: Optimizing diet to support lung health and overall well-being.
  • Psychological support: Addressing anxiety, depression, and other emotional challenges associated with living with a chronic illness.

Rehabilitation helps individuals with COPD manage their symptoms, improve their functional capacity, reduce exacerbations, and enhance their overall sense of control and well-being.

Interventions to Support Adaptation to COPD in Older Adults:

  • Individualized Exercise Program: A tailored exercise plan, including both aerobic and strength training, can help improve lung function and exercise tolerance. The program should be designed in consultation with a physical therapist or respiratory specialist, taking into account the individual’s specific needs and limitations. For example, a program might start with short walks and gradually increase the duration and intensity as the individual’s fitness improves.
  • Breathing Techniques and Airway Clearance: Teaching techniques like pursed-lip breathing and diaphragmatic breathing can help individuals control shortness of breath and improve lung function. Techniques to clear mucus from the airways, such as coughing or using a nebulizer, can also be beneficial.
  • Education and Self-Management Strategies: Providing comprehensive education about COPD, its causes, and how to manage symptoms is essential. This includes teaching individuals how to recognize triggers, how to use medications correctly, and how to manage exacerbations. Developing a personalized action plan can empower individuals to take control of their condition.

Let’s focus on Chronic Obstructive Pulmonary Disease (COPD) as the chronic illness and its relationship to rehabilitation in older adults.

COPD and its Relationship to Rehabilitation:

COPD is a progressive lung disease that makes breathing difficult. It damages the airways and air sacs in the lungs, leading to airflow limitation that interferes with normal breathing. This damage is often caused by smoking, but other factors like exposure to air pollution or genetic conditions can also contribute. COPD is a significant health concern for older adults, impacting their quality of life, functional abilities, and overall well-being.

The relationship between COPD and rehabilitation is crucial. Because COPD is a chronic and progressive condition, there’s no cure. However, pulmonary rehabilitation programs can significantly improve the quality of life for individuals with COPD. These programs focus on:

  • Exercise training: Strengthening muscles used for breathing and improving overall exercise tolerance.
  • Education: Learning about COPD, how to manage symptoms, and how to avoid triggers.
  • Breathing techniques: Learning strategies to control shortness of breath and improve lung function.
  • Nutritional counseling: Optimizing diet to support lung health and overall well-being.
  • Psychological support: Addressing anxiety, depression, and other emotional challenges associated with living with a chronic illness.

Rehabilitation helps individuals with COPD manage their symptoms, improve their functional capacity, reduce exacerbations, and enhance their overall sense of control and well-being.

Interventions to Support Adaptation to COPD in Older Adults:

  • Individualized Exercise Program: A tailored exercise plan, including both aerobic and strength training, can help improve lung function and exercise tolerance. The program should be designed in consultation with a physical therapist or respiratory specialist, taking into account the individual’s specific needs and limitations. For example, a program might start with short walks and gradually increase the duration and intensity as the individual’s fitness improves.
  • Breathing Techniques and Airway Clearance: Teaching techniques like pursed-lip breathing and diaphragmatic breathing can help individuals control shortness of breath and improve lung function. Techniques to clear mucus from the airways, such as coughing or using a nebulizer, can also be beneficial.
  • Education and Self-Management Strategies: Providing comprehensive education about COPD, its causes, and how to manage symptoms is essential. This includes teaching individuals how to recognize triggers, how to use medications correctly, and how to manage exacerbations. Developing a personalized action plan can empower individuals to take control of their condition.
  • Social and Emotional Support: COPD can have a significant impact on an individual’s emotional well-being. Providing access to support groups, counseling, or other mental health services can help individuals cope with the challenges of living with a chronic illness. Connecting them with others who understand their experiences can reduce feelings of isolation and improve their quality of life.

Nurse’s Role in Managing Chronic Conditions in Older Adults:

Nurses play a vital role in assisting older adults in managing chronic conditions like COPD:

  • Assessment: Conducting comprehensive assessments to identify the individual’s needs and develop a personalized care plan.
  • Education: Providing education about the condition, treatment options, and self-management strategies.
  • Medication Management: Ensuring that medications are taken correctly and monitoring for side effects.
  • Coordination of Care: Collaborating with other healthcare providers to ensure coordinated and comprehensive care.
  • Advocacy: Advocating for the individual’s needs and ensuring that they have access to necessary resources.
  • Support: Providing emotional support and helping individuals cope with the challenges of living with a chronic illness.

Opportunities for Change in the Healthcare System:

Several changes could improve care for older adults with chronic illnesses and disabilities:

  • Increased access to home healthcare and telehealth: This would allow older adults to receive care in the comfort of their own homes, reducing the need for frequent trips to the doctor’s office. Telehealth can also be used to monitor patients remotely and provide timely interventions.
  • Improved coordination of care: Often, older adults with chronic illnesses see multiple specialists, which can lead to fragmented care. Improved coordination of care, through care managers or other mechanisms, can ensure that all healthcare providers are working together to meet the individual’s needs.
  • Greater emphasis on preventive care: Preventing chronic illnesses in the first place is the best way to improve the health of older adults. Greater emphasis on preventive care, such as regular screenings and health education, can help reduce the burden of chronic disease.
  • More affordable healthcare: Many older adults struggle to afford the cost of healthcare, including medications, doctor’s visits, and rehabilitation services. Making healthcare more affordable would improve access to care and help individuals manage their chronic conditions more effectively.
  • Focus on person-centered care: Care should be tailored to the individual’s specific needs and preferences. This means involving older adults in decision-making about their care and respecting their autonomy.

By addressing these opportunities for change, the healthcare system can better meet the needs of older adults with chronic illnesses and disabilities and improve their quality of life.

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