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Coping with complex chronic illness and other stories . . .

BMJ 2014; 349 doi: (Published 31 July 2014) Cite this as: BMJ 2014;349:g4820

Coping with complex chronic illness is hard work. Current ideas about self care, self empowerment, and self actualisation can increase the work expected from sick people, especially when combined with new technologies and treatment modalities for use at home. The burden of treatment theory conceptualises the effect of such demands on patients and their support networks. Everyone who looks after chronically ill people should read an excellent account of it in BMC Health Services Research (2014;14:281, doi:10.1186/1472-6963-14-281), which has Carl May and Victor Montori among the authors.

Women who are being treated for high blood pressure are at higher risk of developing psoriasis, according to an analysis of 77 728 US women from the Nurses’ Health Study, who provided biennially updated data on hypertension and antihypertensive drugs (JAMA Dermatology 2014, doi:10.1001/jamadermatol.2013.9957). People with psoriasis have long been known to be at higher risk of developing hypertension, but this is the first study to show that the association works both ways. The …

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