Chronic disease managment
Chronic Disease Management
What is self-management? Self-care management is defined as the behaviour employed by an individual in managing and implementing the treatment regimen within the individual's lifestyle routine and it recognizes an individual's central role in managing chronic diseases (Costantini et al., 2008). In sum, self-management is to help individuals collaborate with health care professionals to help themselves, by using strategies and proper interventions, to bring self-care into daily routine to help managing chronic diseases and to promote quality of life.
How will you promote self-efficacy and autonomy for your clients in your practice? Chronic kidney disease (CKD) affects almost every aspect of patient's life, both physical and emotional. According to Mok (2011, p12), several strategies identified in helping patients with CKD to improve nutritional adherence. These strategies fall into three categories: patient education, behaviour modification and organizational changes. These strategies also applicable in other treatment in CKD. According to Barbra (2011,p183), when patients' disease deteriorate or towards terminal states, strategies of ending self-management and back to medical or comfort care were also mentioned. Nurses can apply these strategies by nursing interventions to help promote patients self-efficacy and autonomy. First, patient education strategies. Nurses should assess patients' need and their knowledge and literacy level before providing education. These assessment should make sure patients are ready to accept the changes and the education received can be fully understood. Usually when patients are knowledgeable in their own condition, their self-efficacy and autonomy will be greatly improved. In addition, education should also be provided to caregivers because a lot of patients with CKD depend on caregivers in ADLs. During assessment and education process, nurses should be aware of using good
What is self-management? Self-care management is defined as the behaviour employed by an individual in managing and implementing the treatment regimen within the individual's lifestyle routine and it recognizes an individual's central role in managing chronic diseases (Costantini et al., 2008). In sum, self-management is to help individuals collaborate with health care professionals to help themselves, by using strategies and proper interventions, to bring self-care into daily routine to help managing chronic diseases and to promote quality of life.
How will you promote self-efficacy and autonomy for your clients in your practice? Chronic kidney disease (CKD) affects almost every aspect of patient's life, both physical and emotional. According to Mok (2011, p12), several strategies identified in helping patients with CKD to improve nutritional adherence. These strategies fall into three categories: patient education, behaviour modification and organizational changes. These strategies also applicable in other treatment in CKD. According to Barbra (2011,p183), when patients' disease deteriorate or towards terminal states, strategies of ending self-management and back to medical or comfort care were also mentioned. Nurses can apply these strategies by nursing interventions to help promote patients self-efficacy and autonomy. First, patient education strategies. Nurses should assess patients' need and their knowledge and literacy level before providing education. These assessment should make sure patients are ready to accept the changes and the education received can be fully understood. Usually when patients are knowledgeable in their own condition, their self-efficacy and autonomy will be greatly improved. In addition, education should also be provided to caregivers because a lot of patients with CKD depend on caregivers in ADLs. During assessment and education process, nurses should be aware of using good
References: Mok, W.Q., Joyce, Y.A., Martin, C.(2011). Meeting the nutrition challenge of stage 3 kidney failure: consideration for nursing practice. Singapore Nursing Journal, 38 (4), 10-14. Online website: http://web.ebscohost.com.rap.ocls.ca/ehost/pdfviewer/pdfviewer?sid=786a358d-d182-4730-8e3c-3d511f24b12f%40sessionmgr114&vid=1&hid=121ﾧ Barbra, K.R. (2011). When is patient self-management of chronic disease futile? Chronic Illness, 7(3), 181-184. Online website: http://chi.sagepub.com.rap.ocls.ca/content/7/3/181