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Whereas it is agreed that those individuals with an optimistic disposition have better control of physical disease symptoms, and this phenomenon appears to result in the fact that they are generally more determined, actively solicit social support as well as attempt to look on the brighter side of the stressful situation they are going through, they become part of the treatment process and they invest in it. Quite the opposite, more pessimistic individuals are inclined to use denial and distancing, especially in faith and chronic illness, focusing more on negative emotions.
Consequently, we can conclude that the positive, realistic approach shields us against the disease at the moment when we know only that there is a chronic illness. But the negative attitude people maintain is they keep on complaining and do not enjoy the hardship and limitation the disease brings to their lives, and they are unable to adjust to the new way of living. It is optimists, who attempt to find good in everything, who actively approach problems, find ways in solving them and as such adjust to the change.
End-stage kidney disease and haemodialysis

That life has to offer them and who can express their feelings, the good and the bad that adapt the best. Further, employing active coping mechanisms, they are likely to inquire about the disease they have been diagnosed with and thus reduce uncertainty and ignorance about the disease — which, as we also know, is one of the greatest causes of anxiety. Anyway, every person passes through a sequence of stages, in accustoming to a phenomenon such as this: initially with the diagnosis, there are a variety of emotions and feelings and this can include.
Confusion, disappointment, injustice, why me and this is natural, for example, in the very beginning this is the case. When they start to know about the disease, they discover that the more they know the disease the less afraid they become. They even know what could happen, they began to take the lead in their disease and they even began to get in their therapy. The duration that each individual stays in one or another is changeable. In order to cope with this all better, it is most important to first and foremost, be aware of how you feel and be able to express them either to your physician, to your friends or your family.
Use of terms and positionality

Second, have every question that appears in their mind about it, clear up any confusion of every detail of the disease (symptoms, process, treatment, prognosis), and of course, adhere to treatment and make changes in the lifestyle that are harmful but strive to have a life as usual as possible (hobbies, studies, work, family and social life). They could be in their early stages of acceptance of the illness and might have grown depressive hence, it is always important to remind them that we are there to support then in whatever they need and in case of dire need, lead them to professional help.
It is necessary to listen and not to make the topic of the illness a taboo since it is a fact that on some occasions, the people surrounding the affected person do not want to talk about the issue so that the affected person does not undergo the pain and in the process they believe that they won t feel depressed. This is something that we are not giving them a chance to vent their feelings. Chronic disease creates uncertainty, physical stress and strain, dependency, changing of lifestyle and has implications on both the personal and social facets of the individual be it to the patients or the caregivers.
The religion/health interrelationship

Social support has the advantage of being the emotional support, which makes the patient feel affection, confidence, and security. In this manner, a person will tell them that they are not alone, ensure them that they have someone to turn to, and assist them in solving any problems that might occur, In case a rapid diagnosis and proper treatment is enough.
In an acute-health scenario, the same is not at all possible with the chronic patients, where diagnosis is a little bit frustrating and treatment grossly depends on their caliber and interests which places them in a learning scenario and, thus, new challenges to the control of care, In order to safeguard it, experts must diagnose the community's health and interdisciplinary and intersectoral nature of promotion and health education campaigns.
Conclusion

There is need to establish healthy lifestyles and environment; the unbreakable bond between care administration and training. The advice centers on the point that doctors must take a new model of care for follow-up in the long term, one that urges them to go beyond the physiological concept of the damaged organ and listen instead to the ill individual, looking after them throughout life without subjecting them to excessive disability or subtracting the constructive contribution patients must take on in the management of their own health status. Discussing the health condition of adults at the end of the millennium.
Population ageing process, accelerated industrialization and urbanization, fertility ageing pattern, and increased life expectancy at birth have transformed the epidemiologic conditions. These shifts have introduced non-communicable diseases (NCDs) as the biggest demand of this demographic segment and imposed special perspectives in designing their priorities and organizing intervention activities.
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