Prognosis

The likely course and outcome of a disease

Definition

Prognosis is the predicted course, outcome, and likelihood of recovery from a disease or condition, based on medical evidence and individual patient factors.

Factors Affecting Prognosis

  • Disease stage and severity
  • Age, comorbidities, functional status
  • Response to treatment
  • Genetics and biomarkers
  • Access to care
  • Patient adherence

Communicating Prognosis

Prognostic information must be clear, honest, and culturally sensitive. Nurses reinforce provider discussions and support patient and family understanding. Patients have the right to know or not know their prognosis; respect autonomy.

Nursing Role

Clarify prognosis understanding, facilitate advance care planning, support decision-making, and provide comfort regardless of expected outcome.

NCLEX Relevance

Respect patient's right to information and autonomy.