Featured Article| Volume 19, ISSUE 5, 104545, May 2023

OLD CLASS: An Innovative Approach to the Chronic Disease History of Present Illness


      • Nurse practitioners must be able to assess and manage chronic diseases.
      • A chronic disease history of present illness must be comprehensive.
      • OLD CLASS is a mnemonic created to assist nurse practitioner students elicit a thorough chronic disease history of present illness.


      Chronic diseases cause 70% of deaths worldwide, including 15 million premature deaths per year. The chronic care model was established to improve chronic disease management; however, it lacks a systematic approach to assist clinicians in fully assessing chronic care needs. OLD CLASS is a method developed by nurse practitioner faculty to guide nurse practitioner students to collect a thorough history, including the lived experience of chronic illness, so they can provide high-quality chronic disease management.


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      Alice S. Bristow, DNP, FNP-BC, CNE, BC-ADM, who can be contacted at [email protected], is an instructor. Dr. Bristow also maintains a faculty practice at Cahaba Medical Care, Woodstock, Alabama. Katie C. Buys, DNP, MPH, FNP-BC, PMHNP-BC, is an assistant professor, and Lauren C. Mays, DNP, FNP-BC, is an assistant professor at the University of Alabama at Birmingham School of Nursing.