title: TOLERATED ILLNESS concept and theory for chronically ill and elderly patients as exemplified in American Indians.
abstract: BACKGROUND
  The TOLERATED ILLNESS phenomenon refers to a noted discordance between subjective and objective health measures in the chronically ill patient. The TOLERATED ILLNESS theory of care helps explain why some patients will report good to excellent health in spite of their having low functional ability.
  
  
  METHODS
  TI facilitates provider recognition of this largely unrecognized phenomenon and is instructive as to the why's for the patient tolerating illness.
  
  
  RESULTS
  The goal of presenting this theory is to provide a way to identify, assess, and assist those previously silent with unmet needs to bring about optimum patient outcomes.
  
  
  CONCLUSIONS
  Importantly, patient and provider goals may diverge.
authors.affiliation: University of Minnesota, School of Nursing, Minneapolis, MN 55455, USA. mossx015@umn.edu
authors.forename: Margaret P
authors.initials: MP
authors.lastname: Moss
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D002908:Chronic Disease / Q000523:psychology*; D004185:Disability Evaluation; D015577:Geriatric Assessment / Q000379:methods; D006305:Health Status Indicators; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D008960:Models, Psychological