There are many diseases in the world that affect patient’s life. WOH has mentioned that chronic conditions might lead to disability in the future which leads to spend a lot of money to treat patients (WHO, 2005). Chronic condition has been defined as “health problems that require ongoing management over a period of years or decades, and include: diabetes, heart disease, asthma, chronic obstructive pulmonary Disease (COPD), cancer, HIV/AIDS, depression, and physical disabilities. To control chronic diseases and prevent patients from getting worse, all health professional and patients should be aware about self management. Therefore, this assignment will explain that ‘Self-management is an important component of effective management of people with chronic conditions and implant current self management models in health care can help to improve the quality of outcomes for patients and health care system. Self management can be defined as “Involves (the person with the chronic disease) engaging in activities that protect and promote health, monitoring and managing of symptoms and signs of illness, managing the impacts of illness on functioning, emotions and interpersonal relationships and adhering to treatment regimes.” (flinders) The main goal of self management is to strength and increase patient’s confidence and aware about managing their health problems (self management toolkit 2011). Self-management of chronic conditions is should consider many factors which are Patients and their family and the health providers should be involved in the plan with consideration all the medical and psycho-social components of a condition in order to empowering the patient through proactive and adaptive strategies (W. Battersby, et al, 2003 p. 43). Self management toolkit showed that engage the patient and make him/her be involved in goals sitting is a good way to improve patients self management and increase the relationship between patients and the providers which may led to increase patient's confidence (self management toolkit 2011).Self management toolkit shows good communication strategies for improving self management in patients with chronic diseases which are engaging the patients, exploring importance ambivalence and collaborative action planning (self management toolkit 2011). In addition, W. Battersby, et al has mentioned that a comprehensive definition of self management is: Self-management should involve the patient who is working in partnership with their carers and health professionals (W. Battersby, et al, 2003 p. 43). Many studies showed that self management program can improve quality of life of patients with chronic diseases and improve the quality of health care organizations.
A long term condition not only brings the physical symptom of pain, but a number of psychological and social effects too. In 2014 the Department of Health recognised that the impact of having a long term condition can contribute to mental health problems like depression and anxiety (Department of Health, 2014). As well as finding ways to manage their physical symptoms, patients are encouraged to adopt acknowledge and address all of their health and wellbeing needs, in particular self-management at home and incorporating and educating the patient’s family and close friends as a support system (Kraaimaat and Evers, 2003). The suffering that a person with chronic pain endures not only impacts on their life, but also affects their family, time lost from employment and uses up precious healthcare resources.
In this 21st century, there are more and more policies and guidelines that focused on long term conditions as these conditions are incurable but only can be controlled and progressed with long term management. In Northern Ireland, a policy framework “Living with Long Term Conditions” had been introduced and addressed about long term conditions (LTC) that needs high quality of care. This policy provides a better outcome with supporting good practice through 6 key development areas. The 6 key principles are essential in helping people with LTC to receive a better care, treatment and support. First area is partnership between the service user and the collaboration team whereby communication skill is highlighted to encourage service users to play an active role in managing their own conditions with individual care plan. Next, self-management is also another key principle to be developed so that those people with LTC managed their condition effectively which may progress over time. Through training and education on acquired skills is a good start to promote self-management strategy as they able to deal with flare-ups, condition and lifestyle. Thus, information is vital in helping them understand their own condition and knowing what is the best for them in order to increase their quality of life. A medicines management service help in bringing the best outcome for LTC patients while carer also need to maintain their own health to continue their caring role and act as a safeguarding through the provision of the support. Last principle is improving care and services at the right time and right way to prevent readmission and prolong hospital stay (DHSSPS, 2012).
Each child will probably have many different kind of health issue during his or her infancy or childhood. In addition, for some children these illnesses are mild, they come and go, and they do not have negative influence on their everyday life and development. On the other hand, for some children, there are some chronic illnesses that have a huge effect on their daily life during childhood. Indeed, a chronic health condition is a health issue that last more than 3 months, and it has a big effect on on a child’s daily life, activity, and development. As a result, it demands more hospitalizations, extensive medical care, emergency care, and/or home health care. According to Weiner, “Each year in the US, 6 million children ranging
The concept of health and illness being separated into two models provides indication into the two very different but integral paradigms of how to treat patients deemed as needing care. These two models (known as the Biomedical Model and the Psychosocial Environmental Model) classify diagnosis, treatment and care in different ways which some actually share the same purpose. It is important in today’s society to be open to both models as both are used in all practices based on their similarities and their differences as they are able to “provide complimentary explanations rather than competing ones.”(Gilbert, L, Selikow, T & Walker, L., 2009:3).
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
Norris SL, Lua, J, Smith SJ, Schmid CH & Engelgau, MM 2002, ‘Self- Management Education for Adults With Type ‘Diabetes’, Diabetes Care, Vol. 25 no.7, July, pp.1159-1171.
This relationship can be successfully built in the presence of appropriate communication. The positive correlation has been found between the patients’ adherence and the good communication in various recent studies. It means that the effective communication can make the patients understand the details of their illness, get a knowledge about the steps to be taken in order to cure it and get motivation to keep up their morale (Bakken et al., 2000).
Miller, C. (2011). An integrated approach to worker self-management and health outcomes: chronic conditions, evidence-based practice, and health coaching. AAOHN Journal: Official Journal Of The American Association Of Occupational Health Nurses,59(11), 491-501. doi:10.3928/08910162-20111025-02
There are many ways to categorize illness and disease; one of the most common is chronic illness. Many chronic illnesses have been related to altered health maintenance hypertension and cardiovascular diseases are associated with diet and stress, deficient in exercise, tobacco use, and obesity (Craven 2009). Some researchers define the chronic illness as diseases which have long duration and generally slow development (WHO 2013); it usually takes 6 month or longer than 6 month, and often for the person's life. It has a sluggish onset and eras of reduction for vanishing the symptoms and exacerbation for reappear the symptoms. Some of chronic illness can be directly life-threatening. Others remain over time and need intensive management, such as diabetes, so chronic illness affects physical, emotional, logical, occupational, social, or spiritual functioning. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, all of these diseases are the cause of mortality in the world, representing 63% of all deaths. So a chronic illness can be stressful and may change the way a person l...
In order to lead a healthy lifestyle, it is essential that individuals constantly monitor their health. This involves not only physical, but also mental and emotional aspects of the body’s functioning, as they relate to the home, school, work, and leisure environments. If necessary changes are made sooner rather than later, then a stable, balanced and healthy lifestyle will be more consistently maintained. In fact, the World Health Organization says being healthy is feeling that there are few physical or emotional impediments to doing things in your life that you would like. For example, there are many people who are suffering from chronic illnesses who are healthy because they are able to maintain their creativity and vivacity when others cannot. It is evident that self-awareness enc...
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
World Health Organisation. 2009. Self-care in the Context of Primary Health Care. Report of the
There are three primary concepts in the SCDNT. The concepts are self-care, self-care deficit and nursing systems (McEwen & Wills, 2011). In addition, authors McEwen and Willis breaks down Orem’s self-care theory with several requisites. They are universal, developmental, health deviation and therapeutic (McEwen & Wills, 2011). Plus, concepts of deliberated action and product of nursing are defined.
Self awareness in nursing refers to how glowing nurses comprehend themselves, their strengths, weaknesses, attitude and ethics in order to better transact with their patients. Self- awareness includes review of self, together with self confidence. Self -regulation express beyond one`s emotion and being trustworthy. For nurses to be able to empathize with their patients and treat them with compassion, they have to be self aware. When nurses are self aware, they are capable to adapt to, or certainly change their attitudes and deed in order to understand how unusual people take care of them hence improving the nurse- patient relationship. Nurses must reflect carefully on whether they can sustain in dependence in caring for a client and whether the relationship interferes with gathering the client’s needs. It is also essential to be sure that providing care to family and friends does not interfere with the care of other clients or with the dynamics of the health care group. Before making the conclusion, the nurse may possibly wish to discuss the situation with colleagues and the employer.
Self-care is a necessary practice in everyone’s life. This practice allows people to relax and replenished themselves. The first time I heard of this term was in during one of my social work classes. As we began to discuss self-care it became clear, that without proper self-care people, not just social workers are doing themselves a disservice. Self-care encompasses more than general rest. Self-care deals with emotional wellbeing, good health and spiritual wellbeing. All of these areas are key to having good self-care. The reading provides a good description self-care, it stated that self-care is achieving an equilibrium across our personal school and work lives. Achieving equilibrium in my personal life will only increase my ability to support and help others.