In addition, they lead to limitations in the quality of life of the individuals affected and of their caregivers, causing important economic effects in families, communities, and society and -; of course -; bring along the necessity that whoever endures them will have to carry out some adjustments in their daily lives, adjustments always related with their daily care and routines, as we already reported in 2008 and, hence, is obligated to develop new strategies, focused -; as recommended by international organizations -; on generating active patients, strategies based on self-care, which turns out difficult for solitary patients and who require professional support from a healthcare professional who is a nurse, their nurse.
Además, estas enfermedades conllevan una limitación en la calidad de vida de las personas afectadas y de sus cuidadores, ocasionando efectos económicos importantes en las familias, las comunidades y la sociedad.