TableĀ 3

Definitions of the Corbin and Strauss Chronic Illness Trajectory Model phasing16

PhaseGoal of definitionGoal of management
PretrajectoryGenetic factors or lifestyle behaviours that place an individual or community at risk for the development of a chronic conditionPrevent onset of chronic illness
Trajectory onsetAppearance of noticeable symptoms, includes periods of diagnostic workup and announcement by biographical limbo as person begins to discover and cope with implications of diagnosisForm appropriate trajectory projection and scheme
StableIllness course and symptoms are under control. Biography and everyday life activities are being managed within limitations of illness. Illness management centres in the homeMaintain stability of illness, biography and everyday activities
UnstablePeriods of inability to keep symptoms under control or reactivation of illness. Biographical disruption and difficulty in carrying out everyday life activities. Adjustments being made in regime with care usually taking place at homeReturn to stability
AcuteSevere and unrelieved symptoms or development of illness complications necessitating hospitalisation or bed rest to bring course under control. Biography and everyday life activities temporarily placed on hold or drastically cut backBring illness under control and resume normal biography and everyday life
CrisisCritical or life-threatening situation requiring emergency treatment or care. Biography and everyday life activities suspended until crisis passesRemoval of threat
ComebackA gradual return to an acceptable way of life within the limits imposed by disability or illness. Involves physical healing, limitations stretched through rehabilitative procedures, psychosocial coming to terms, and biographical re-engagement and adjustment in everyday lifeSet in motion and keep going the trajectory projection and scheme
DownwardIllness course characterised by rapid or gradual physical decline accompanied by increasing disability or difficulty in controlling symptoms. Requires biographical readjustment and alterations in everyday life with each major downward stepTo adapt to increasing disability with each major downward turn
DyingFinal days before death. Characterised by gradual or rapid shutting down of bodily processes, biographical disengagement and relinquishment of everyday life and activitiesTo bring closure, let go and die peacefully