Chronic illness self‐management: taking action to create order

Abstract

Clinical nursing intervention for people with a long term illness may be enhanced when self-management is approached from a broad, contextual perspective and self-management processes are integrated into clinical practice. The challenge is for nurses to embrace processes in nursing practice that will facilitate interactions with clients without obstructing the diversity of perspectives, create an environment conducive to learning and engage individuals in identifying self-management strategies that have meaning in their lives.

Living with a fluctuating illness of ankylosing spondylitis: A qualitative study

“…The respondents were continuously on guard to detect changes in body sensations, and often managed through their own actions to reverse symptoms and maintain normalcy when stiffness and tiredness became worse. In contrast, during episodes of inexplicable and unmanageable pain, the sensations could not be reversed by their own actions and both their bodies and their everyday lives went out of control (9,25). One could say that their life's normalcy fell to pieces.…”

Nurses’ responses to expert patients: The rhetoric and reality of self-management in long-term conditions: A grounded theory study

“…Whilst noncompliance is professionally defined, actions that may be viewed as non-compliant by a professional do not necessarily lead to poor health outcomes (Roberson, 1992). A recent study by Koch et al (2004) illustrates this. In exploring perceptions of self-management in a group of elderly people with asthma, the researchers identified three types of self-management.…”

“…Within western health systems one of the most noticeable changes is the emphasis on patient self-management (Bodenheimer et al, 2002, Department of Health, 2002, Kings Fund, 2004, Koch et al, 2004 which in the United Kingdom (UK) has been accompanied by a shift of health professional roles characterised by the extension of the nursing remit in CDM (Health Technology Assessment Programme, 2004). Whilst in reality self-management programmes reach comparatively few (Kralik et al, 2004), in contrast nursing has long been recognised as having a key role to play in helping people to manage chronic illness (Audit Commission, 1999, Kratz, 1978.…”

“…Within western health systems one of the most noticeable changes is the emphasis on patient self-management (Bodenheimer et al, 2002, Department of Health, 2002, Kings Fund, 2004, Koch et al, 2004 which in the United Kingdom (UK) has been accompanied by a shift of health professional roles characterised by the extension of the nursing remit in CDM (Health Technology Assessment Programme, 2004). Whilst in reality self-management programmes reach comparatively few (Kralik et al, 2004), in contrast nursing has long been recognised as having a key role to play in helping people to manage chronic illness (Audit Commission, 1999, Kratz, 1978. However, there is evidence of a lack of proactive engagement with this client groups' needs (Gibbon, 1994, Kratz, 1978, Nolan and Nolan, 1995 and until recently nursing in the UK was acknowledged as not fully realising its potential to meet the needs of the chronically ill (English National Board, 1998, Nolan andNolan, 1999).…”

«Die Welt nicht zu klein werden lassen»

“…Es ist auch gekoppelt mit «etwas sein» und «etwas werden» (Kralik, Koch, Price & Howard, 2004). Auch beinhaltet es die Neuplanung des Alltagslebens und die Anpassung der Geschwindigkeit, um Ordnung in den Veränderungen zu bewahren oder wiederherzustellen (Norlyk & Harder, 2011;Skar, 2004).…”