Esteem HealthCHW Certification Training
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Module 2: Core CHW CompetenciesLesson 2.2 · 7 sections · ~40 min

Health and Chronic Conditions

Learning Objectives
  • Define "chronic condition" and explain its prevalence and impact on public health in the United States.
  • Name the factors contributing to chronic conditions, both within and outside an individual's control.
  • Explain the ways chronic conditions can impact an individual's daily life now and as they age.
  • Describe the impact of pain on individuals with chronic conditions and strategies for pain management.
  • Explain the relationship between sleep and health, particularly in the context of chronic conditions.
  • Become familiar with the resources, treatments, and management strategies available to individuals with chronic conditions.

Why health matters in your work

Health greatly influences our quality of life. As a community health worker, you will work with individuals who have chronic health conditions. CHWs need to know what chronic health conditions are and the effect they have on people's lives. CHWs should also understand what causes chronic conditions and how to manage them.

What is a chronic condition?

A chronic condition is an illness or health condition that lasts for at least three months and is slow to progress.

Warning
Chronic conditions are the leading cause of death and disability in the United States. Incidence varies dramatically by age, income, race, ethnicity, and insurance status.

Common chronic conditions you'll encounter

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Cardiovascular Disease

Coronary heart disease · Heart attack · Stroke · Pulmonary embolism

How chronic conditions affect daily life

Chronic conditions ripple into many areas of individuals' daily lives:

  • Physical energy and sleep
  • Chronic pain
  • Nausea
  • Ability to complete daily tasks
  • Bowel or bladder control problems
  • Stigma or negative attitudes from others
  • Emotional or mental health
  • Shame, isolation, and loss of career and relationships

What drives chronic conditions

A person's environment, activity level, and food choices have a large impact on their health — areas individuals can often improve. Other factors, like genetics and some social factors, are outside individual control.

Outside our control

Bacteria and viruses cause some chronic diseases (certain cancers, HIV). Genes play a role in heart disease and depression. Aging itself can lead to chronic conditions.

Environment

The places we live affect our health. Quality schools, housing, healthcare, and grocery stores with fresh produce all benefit us. Air pollution and mold can cause chronic diseases like asthma. Older people struggle in areas where walking is hard — uneven sidewalks, busy streets without crosswalks. Community violence prevents activity and increases stress.

Personal relationships

Family and friends can help us stay healthy or make us sick. They affect what we eat, whether we smoke or drink, how much we exercise, and how we deal with stress. CHWs should remember how much loved ones influence their clients.

Stress

Stress is a leading cause of chronic disease, especially in communities exposed to traumatic stress from poverty, food insecurity, inequality, and violence. Stress makes our heart beat faster, raises blood pressure, releases hormones, and pulls energy away from the immune system to fight, flee, or store fat. Over time, the stress response increases risk for a wide range of chronic conditions.

Common treatment options

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Medications

Prescription, over-the-counter, or homeopathic.

Reflection Prompts

How might the symptoms of a chronic condition influence your ability to engage in school, work, caregiving, volunteering, or social events?

If you were experiencing these symptoms, what kinds of services and supports might be helpful?

Reputable resource
MedlinePlus.gov is a great source on many chronic conditions — prevention, diagnosis, treatment, and resources for explaining conditions to different age groups. CHWs should always use and share information from reputable sources.

Prevalence in California

A California Health Care Foundation report found that chronic conditions are the leading cause of death and disability in the US. In California:

27.2%
of Californians have high blood pressure
15.8%
have asthma
10.7%
have diabetes
26%
of people with chronic conditions are ages 18–39
70%
of people with chronic conditions are ages 65+
8%
of high-income Californians have 2+ chronic conditions (400%+ of the federal poverty line)
14%
of low-income Californians have 2+ chronic conditions (below 138% of the federal poverty line)

Chronic condition example: Pulmonary hypertension

Pulmonary hypertension happens when the pressure in the blood vessels leading from the heart to the lungs is too high. Chronic lung disease is a common cause — mold exposure can also play a role.

Chronic conditions like this can feel out of your control as a CHW. But because you visit patients in their homes and talk about different parts of their lives, you can spot issues doctors might miss. For example, while checking a home for safety, you might see mold making the patient's pulmonary hypertension worse.

Note
By spending time with patients to learn about their lives, environments, and stressors, you gain insight into the factors actually shaping their health.
Knowledge Check

Which statement best defines a chronic condition?

AA sudden illness that resolves within a few days of onset.
BAn illness or health condition that lasts at least three months and is slow to progress.
CAny condition that requires a single surgical procedure to cure.
DA condition that only affects people over the age of 65.
Knowledge Check — Select all that apply

Which of the following are factors that are generally OUTSIDE an individual's control when it comes to chronic conditions?

Genetics
Bacteria and viruses
Aging
Daily food choices
Activity level

Pain and health

An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.
International Association for the Study of Pain (IASP)

Pain can be classified as either acute or chronic.

Acute vs. chronic pain

ACUTE PAIN

  • Starts suddenly and is expected to last a short time
  • Usually linked to a specific event — injury or illness (muscle strain, severe sunburn, kidney stone)
  • Treated with over-the-counter medications or a short course of stronger pain relievers and rest
  • Pain ends when the underlying cause resolves (e.g., kidney stone passes, diseased tooth removed)
  • Can also be recurrent — episodes interspersed with pain-free periods (menstrual cramps, migraines)

CHRONIC PAIN

  • Lasts 3–6 months or more (longer than "normal healing")
  • Can be difficult to treat
  • Improvement may be possible, but for many patients a cure is unlikely
  • Makes it difficult to take part in the fundamental tasks and pleasures of daily living
  • Can be so debilitating it affects every aspect of life — work, school, friendships, family

Culture and pain

People from different cultures feel and talk about pain differently. In some cultures, people might think they should bear pain and try to ignore it; in others, they might be more expressive about pain and the underlying health issues. CHWs should keep these cultural differences in mind.

Pain has wide-ranging effects: diminished quality of life, difficulty keeping a job, and more frequent (and expensive) healthcare utilization. Chronic pain most commonly affects middle-aged adults but can affect people of any age.

Pain management

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Interventional Techniques

Nerve blocks, spinal cord stimulators, injections.

Case Study
LindaAge 54 · Long Beach, CA
Situation

Linda has Medi-Cal coverage. She's been to the ER three times in the last six weeks for severe pain, and her insurance company referred her to a CHW program to help her manage her pain and avoid the ER. Linda explained she keeps going to the ER because she doesn't have a primary care provider (PCP), and the ER is easy to reach by bus.

What the CHW Did
  1. Called Linda's insurance company to connect her with a PCP.
  2. Helped Linda schedule the PCP appointment.
  3. Arranged Medi-Cal non-emergency medical transportation (NEMT), since the PCP wasn't easily accessible by bus.
  4. After the PCP diagnosed Rheumatoid Arthritis (RA), spent time helping Linda understand the diagnosis and feel less afraid.
  5. Found a doctor specializing in RA who accepts Linda's insurance.
  6. Helped Linda set up a system to track her pain level and manage her medications.
  7. Connected Linda with community resources — food assistance and an RA support group.
Outcome

Linda is now in ongoing RA care with the right specialists, has tools to manage her condition, and is connected to community support that addresses both her health and her broader needs.

Sleep and health

Sleep is the body's rest cycle — one of the body's most critical physiological needs. It makes up a third of every person's life and shapes how we live, function, and perform during the other two-thirds. It's as vital as the air we breathe and the food we eat, especially for those with chronic diseases or compromised immune systems.

Sleep vs. lack of sleep

SLEEP...

  • Consolidates memories, which facilitates learning
  • Restores our ability to concentrate and pay attention
  • Helps muscles repair and recover
  • Regulates the metabolism
  • Allows us to maintain mental and physical health

LACK OF SLEEP...

  • Causes problems beyond the feeling of tiredness
  • Reduces our judgment and concentration
  • Triggers hunger hormones that can cause weight gain
  • Weakens the immune system and increases our risk of illness
  • Reduces our reaction times, leading to more accidents
  • Causes irritability, anger, and anxiety

Supporting sleep health

Poor sleep can be associated with mental health struggles. Many mental disorders involve sleep disruption — either sleeping too much or not enough.

9 strategies to improve sleep

  1. Use a fixed bedtime and wake up time
  2. Keep naps to 45 minutes or less
  3. Don't smoke or drink alcohol before sleeping
  4. Exercise regularly (but not right before bed)
  5. Avoid caffeine before bed
  6. Use comfortable bedding
  7. Avoid spicy and sugary foods before bed
  8. Set your bedroom to a comfortable temperature
  9. Block out noise and light
Case Study
AnthonyAge 58
Situation

Anthony had been having trouble sleeping and feeling tired for the past 8 months. At first he only had trouble a few nights a week, but it got worse over time. He took over-the-counter sleep medicine — it didn't help much. He drank more coffee and gained weight because he couldn't exercise (too tired during the day). The lack of exercise made his arthritis pain worse. He felt irritable and was having relationship problems with his wife.

What the CHW Did
  1. Anthony's doctor diagnosed insomnia and gave sleep-hygiene advice; the doctor later prescribed sleep medication and suggested a therapist, which Anthony declined — he agreed to work with a CHW instead.
  2. Over a few months, the CHW worked with Anthony on a better exercise plan, reducing coffee, and eating healthier.
  3. Relationships with his wife and others improved, and he felt less irritable — but the sleep problems persisted.
  4. The CHW helped Anthony talk to his doctor about the continued sleep problems, and he was referred to a sleep specialist for further evaluation.
Outcome

Anthony is now in specialist care, has reshaped his daily habits, and is in better relationships. He was frustrated by the persistence of his sleep problems, but grateful for the partnership of his doctor and his CHW.

Knowledge Check — Matching

Match each pain-management approach to the example that best describes it.

Terms
Interventional Techniques
Physical Therapy
Alternative Medicine
Lifestyle Changes
Behavioral Health Interventions
Definitions
Nerve blocks, spinal cord stimulators, injections
Hands-on techniques and health education
Acupuncture, massage, supplements
Talk therapy and group support
Weight loss, exercise, Tai chi, yoga
Knowledge Check

In Linda's case, what was the FIRST barrier the CHW addressed to help her avoid repeated ER visits?

AConnecting her with a primary care provider she didn't previously have.
BEnrolling her in a Rheumatoid Arthritis support group.
CPrescribing her stronger pain medication directly.
DSigning her up for new health insurance.
Lesson Takeaways

🌟 Lesson takeaways

Chronic conditions are the leading cause of death and disability in the US, shaped by factors both within and outside individual control. They ripple into every area of daily life — energy, pain, mental health, and relationships. Pain and sleep are two of the most pervasive impacts CHWs help patients manage. As a CHW, you should be familiar with the common symptoms of your patients' chronic diseases, as well as the treatments, management techniques, and resources and supports available to them. By spending time with people in their homes and lives, CHWs can spot what doctors miss — and connect patients to the resources, specialists, and supports that make a real difference.

🎉Great work!
📅
Coming up

Great work! At the end of this module, you'll join a live discussion with your cohort and an instructor to talk through these cases and questions. We'll see you there.