Mental Health Aspects of Chronic Diseases
By Candy Finley RN, IgCN Clinical Nurse Educator-West Coast - October 28, 2024

Chronic diseases are long-lasting conditions that often require ongoing medical attention and management. They impact not only the physical health of patients but also their mental health. As nurses, we frequently encounter patients with chronic conditions, and it is vital to understand the intricate relationship between chronic diseases and mental health.

The Connection Between Chronic Diseases and Mental Health

Chronic diseases can lead to significant emotional distress. Patients may experience feelings of anxiety, depression, or frustration as they navigate the difficulty of their conditions. The burden of managing a chronic illness can lead to a decreased quality of life, affecting not only the individual but also their families. Mental health issues can exacerbate chronic diseases. Stress, anxiety, and depression can interfere with a patient’s ability to adhere to treatment plans, manage symptoms, and maintain a healthy lifestyle. This creates a menacing situation where poor mental health can worsen physical health, and vice versa.

The Role of Nurses in Chronic Disease Management

As frontline healthcare providers, nurses play a pivotal role in managing chronic diseases and addressing the mental health of patients. Here are some ways nurses can make a difference:

1. Holistic Assessment: Nurses should conduct comprehensive assessments that include physical, emotional, and social aspects of health. Understanding a patient's mental state can improve care plans and interventions.
2. Patient Education: Educating patients about their chronic conditions and the importance of mental health is essential. Providing information on how to manage symptoms, recognize signs of mental distress, and seek help can empower patients.
3. Building Relationships: Developing trusting relationships with patients allows for open communication. Patients are more likely to share their mental health struggles if they feel comfortable with their healthcare provider.
4. Interdisciplinary Collaboration: Nurses should collaborate with other healthcare professionals, including mental health specialists, to provide a comprehensive approach to patient care. This team approach can enhance treatment plans and outcomes.
5. Advocacy and Support: Nurses can advocate for resources and support systems for patients dealing with chronic diseases and mental health issues. This includes connecting them with counseling services, support groups, and community resources.

Strategies for Nurses to Support Mental Health in Chronic Disease Patients

1. Mindfulness and Stress Reduction Techniques:
   Incorporating mindfulness practices, such as meditation and breathing exercises, into patient education can help reduce stress and improve mental well-being.
2. Regular Follow-ups:
   Routine follow-up appointments can help monitor both physical and mental health. This provides an opportunity for nurses to check in on patients' emotional states and adjust care plans as needed.
3. Encouraging Social Connections:
   Social support is vital for individuals with chronic diseases. Encouraging patients to engage with family, friends, or support groups can provide emotional relief and a sense of belonging.
4. Promoting Healthy Lifestyle Choices:
   Educating patients on the benefits of a healthy diet, regular exercise, and adequate sleep can improve both physical and mental health. Nurses can guide patients in setting realistic goals and developing healthy habits.

Nufactor Mental Health Screening

Nufactor understands the importance of good mental health and includes information on it in the New Patient Packet, which is sent to new patients at start of care. The nurse could direct the patient to this section and explain its importance. Information includes taking a mental health screening as being one of the quickest and easiest ways to determine whether patients are experiencing symptoms of a mental health condition. Mental Health America is a leading nonprofit dedicated to addressing the needs of those living with mental illness and offers confidential online screening tools to help: www.screening.mentalhealthamerica.net/screening-tools.

Understanding the exchange between chronic diseases and mental health is essential for effective nursing practice. By recognizing the emotional challenges faced by patients and providing holistic, compassionate care, nurses can significantly impact their patients' overall well-being. Through education, advocacy, and a collaborative approach, we can help break the cycle of chronic illness and mental health struggles, ultimately leading to healthier, happier lives for those we serve.

References

• American Psychological Association (APA) (2018). "Chronic illness and mental health." Retrieved from [APA](https://www.apa.org)
• World Health Organization (WHO)(2021). "Mental health and chronic physical conditions." Retrieved from [WHO](https://www.who.int)
• Katon, W. J. (2003). "Clinical and health services research: The role of depression in chronic medical illness." Journal of Clinical Psychiatry, 64(Suppl 3), 5-7.
• Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B.(2007). "Depression, chronic diseases, and decrements in health: Results from the World Health Surveys." The Lancet, 370(9590), 851-858. doi:10.1016/S0140-6736(07)61415-9
• Barlow, J. H., Wright, C., Sheasby, J., Turner, A., & Hainsworth, J. (2002). "Self-management approaches for people with chronic conditions: A review." Patient Education and Counseling*, 48(2), 177-187. doi:10.1016/S0738-3991(02)00032-0