Medical and Psychosocial Aspects of Chronic Illness and Disability Third Edition Donna Falvo, RN, PhD, CRC Adjunct Professor Rehabilitation Psychology and Counseling Allied Health Sciences, School of Medicine The University of North Carolina at Chapel Hill World Headquarters Jones and Bartlett Publishers 40 Tall Pine Drive Sudbury, MA 01776 978-443-5000
[email protected] www.jbpub.com Jones and Bartlett Publishers Canada 2406 Nikanna Road Mississauga, ON L5C 2W6 CANADA Jones and Bartlett Publishers International Barb House, Barb Mews London W6 7PA UK Copyright © 2005 by Jones and Bartlett Publishers, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner. Library of Congress Cataloging-in-Publication Data Falvo, Donna R. Medical and psychosocial aspects of chronic illness and disability / Donna Falvo.—3rd ed. p. ; cm. Includes bibliographical references and index. ISBN 0-7637-3166-8 (casebound) 1. Chronic diseases. 2. Chronically ill—Rehabilitation. 3. Chronic diseases—Social aspects. 4. Chronic diseases—Psychological aspects. [DNLM: 1. Chronic Disease. 2. Disabled Persons—psychology. 3. Disabled Persons—rehabilitation. 4. Social Adjustment. WT 500 F197m 2005] I. Title. RC108.F35 2005 616'.044–dc22 2004017494 Production Credits Acquisitions Editor: Kevin Sullivan Production Director: Amy Rose Associate Production Editor: Tracey Chapman Associate Editor: Amy Sibley Associate Marketing Manager: Emily Ekle Cover Design: Anne Spencer Manufacturing Buyer: Amy Bacus Composition: Bill Noss Graphic Design Printing and Binding: Malloy, Inc. Cover Printing: Malloy, Inc. Printed in the United States of America 09 08 07 06 05 10 9 8 7 6 5 4 3 2 1 Dedication This book is dedicated to the memory of Dr. Alan Woolf, A man of science, presence, integrity, strength, and honor This page intentionally left blank About the Author Donna Falvo, R.N., Ph.D., CRC is Adjunct Professor at the University of North Carolina at Chapel Hill School of Medicine, Division of Rehabilitation Psychology and Counseling. She is a Registered Nurse, Licensed Psychologist, and Certifed Rehabilitation Counselor. She has over 30 years serving as teacher, clinician, and researcher. A former Professor and Coordinator of Rehabilitation Counseling, Rehabilitation Institute, Southern Illinois University, she was named a Mary Switzer Scholar in 1986, and elected to Sigma XI National Scientific Research Society in 1995. She was elected President of the American Rehabilitation Counseling Association in 1998 and currently serves on the Editorial Board of the Rehabilitation Counseling Bulletin. She is the author of over 40 articles and book chapters and, in addition to authoring the two previous editions of Medical and Psychosocial Aspects of Chronic Illness and Disability, she is author of the book Effective Patient Education: A Guide to Increased Compliance, also in its third edition. v This page intentionally left blank CHAPTER 1 Acknowledgments Special thanks to the following people who generously volunteered their time to read, review, critique, and discuss various sections of the book. Their dedication and commitment to individuals with chronic illness and disability is greatly appreciated by the author as well as by the individuals they serve. Eileen Burker, PhD,