Self management approach at King Fahd University Hospital in Saudi Arabia
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). The prevalence of chronic diseases like cardiovascular diseases, obesity, overweight and diabetes has become a great cause of concern for the Saudi Arabian government. In addition, the number of patients with chronic diseases is increasing. The main reasons for that are people in Saudi Arabia have bad lifestyle, unhealthy diet and lack of physical activities (Maheshwari, 2011). To control chronic diseases and prevent patients from getting worse, we need to distinguish between chronic diseases and cute diseases. Chronic condition is one that 'has been (or is likely to be) present for at least 6 months, or is terminal' (The Royal Australian College of General Practitioners 2000). To treat chronic diseases we need to change lifestyle and we need to consider many things such as cost of drugs, availability of the medication, health providers. In addition, all health professional and patients should be aware about self management. Many studies proved that self-management is an important component of effective management of people with chronic conditions. It is a frame work that consists patients, family and health providers. Self management program can improve the quality of life, increasing patients information, decreasing hospitalization and visiting physician, improving patient's behaviors and improving the health care system for chronic diseases (Epping-Jordan et al. 2004). Unfortunately, Saudi Arabia does not have any self management approach to ...
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...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).
The good self model that can be implanted in my service is Flinders model. The Flinders model of chronic disease management has been developed by Dr. Malcolm Battersby and associates at Flinders University in Adelaide, South Australia. There are many reasons for using Flinders model. Firstly, it is a patient-centered care model and easy to be used. Another reason is that it creates a good partnership between health care providers and patients where the patient can be the decision maker and the health care provider can be facilitator.
This entails that the professional nurse provide not only ordinary but extraordinary care and support to make it possible for these individuals to achieve their requirements for self-care. Furthermore, the professional nurse judiciously and collaboratively partakes in the individual’s health care provided by the medical doctor. Dorthea Orem understood that individuals possess the natural capability of self-care, and nurses have a duty to place emphasis on enhancing that capability. Nurses who deliver direct care can support these capabilities by offering learning opportunities and teaching methods that enhance self-care activities, therefore contributing a positive and encouraging influence on the individuals and caregivers quality of
... Through the demonstration of these values on a daily basis, the nurse is able to not only take better care of his or her patients, but is also able to take care of his or herself. Through self-care, the nurse is able to better understand the phenomena of the client, and is able to provide better client-centered care.
This approach is based on four principles which are; to teach patients to assume their responsibility, to be well informed about their prevailing health issues, make them realize that their cooperation and willingness in treatment and prevention plan is in their own benefit and, let them take their own decisions. As narrated by Taylor (2006), Dorothea E. Orem's Self-care deficit theory of nursing emphasize that "People should be self-reliant and responsible for their
...mechanisms linking self-esteem to physiological and/or psychological components in diseases may elucidate causal relationships and enlighten on theoretical models of self-care, well-being, and disease management.
Leetong, A. (2010, Jan). The model of quality of life improvement for chronic patients in community by using social support. Journal of Social Sciences, 6(1), 29-33.
...ng stressed. Option 1 may lead to excessive pressure on doctors, and hence poor performance in service delivery. In medical field, it is necessary to allow the doctors to perform accurately on a consistent basis.
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.
Personal self-care can prevent unnecessary doctor or hospital visits which amount billions of dollars a year. Personal self-care teaches people how to become a wise consumer of the health care services. People learn when to go to a doctor or a hospital for health conditions that deserve it and when to use personal self-care for those that can be treated at home. People should be educated in order to make better decisions for their health.
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.
Polonsky, W.H (2006). ’Encouraging effective self-management in diabetes.’ In: k101 An introduction to health and social care, resources, Block 3, pg19, Milton Keynes, The open university.
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...
This is more holistic approach in the sense that it ‘involves the promotion of health, preventing of disease, the treatment of illness, the care for those who are disabled and continuous developm...
The specific aim for this grant proposal is the design a study, over a six-month period, to examine the effectiveness of healthier psychological functioning and awareness of one’s self. Self-awareness is a big concern as individual’s
I would like to explore the concept of self-care to get a better understanding of the concept to enhance self-care promotion in ambulatory surgery patients when they are discharged to home. Self-care is a concept that has many different meanings to different individuals in different situations of care. By analyzing this concept and how it’s used it will better prepare me to enable patients to be more independent in their care at home. Nursing care directed toward returning control of the situation to the patient allows the process of self-care and healing to begin. Orem’s self-care model can promote successful practice wh...
This model benefits the individual as it educated in other to be able to prevent the disease/illness so they can live a healthier lifestyle.