Chronic disease managment Essay

What is self-management? Self-care management is defined as the doings employed by an individual in managing and implementing the word regimen within the individuals lifestyle routine and it recognizes an individuals central role in managing chronic diseases (Costantini et al. , 2008). In sum, self-management is to cooperate individuals collaborate with health care master keys to befriend 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 diligents 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 adaption and organisational changes. These strategie s likewise applicable in other treatment in CKD.According to Barbra (2011,p183), when patients disease deteriorate or towards terminal states, strategies of ratiocination self-management and back to medical or comfort care were also mentioned. Nurses displace 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 legal opinion should grow sure patients are ready to accept the changes and the education received after part be fully understood.Usually when patients are knowledgeable in their witness 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 play on caregivers in ADLs. During sound judgement and education process, nurses should be aware of using good communication skil ls, interviewing skills and sword sure accurate information and related resources are provided to patients and caregivers.Second, behaviour modification strategies. According to Mok (2011, p12), several techniques can be used in behaviour modification such as reminders, self-monitoring, and positive reinforcement. Nurses can combine rough-and-ready behavioral, psychosocial strategies such as periodical reminder by using telephone, email, rule-governed appointment or face to face interaction. Nurses should advocate patients for regular surveil up to make sure patients adherence to treatment.No patient is only when in chronic disease treatment, nurses should collaborate with patients family members and caregivers to help maintain compliance. In addition, nurses can assist patients in using self-monitoring techniques such as course pressure monitoring, diaries, logs, personal health records to help track their health condition. Third, organizational changes. According to Mok (20 11, p13), nurses can collaborate with other health care professionals such as dietitians and physicians to enhance compliance.Nurses can directly help patients in evolution dietary plan and improve patients satisfactory, in turn, promote treatment adherence. Lastly, check to Barbra (2011, p183), when patient unable to perform self-care, giving up self-management and return to professional medical care should be acknowledged. Nurses should educate and assess patients and caregivers capability of playacting self-management, making sure they are knowledgeable of serious symptoms and capable of seeking help when needed.What are indicators of successful self-management in patients with CKD? According to Mok (2011, p12), several factors may affect successful treatment such as inadequacy of knowledge, hectic lifestyle, lack of decision making in own dietary outcomes and unsatisfactory of dietary prescription. First, knowledge deficit will make patients unable to choose proper food o r make necessary adjustments, in turn, leads to failure in self-care management. Therefore, patients education, knowledge and ample resources provision are indicators of successful self-management.Second, hectic lifestyle such as fast-paced lifestyle or time-worn depend on others are often unable to adherence to the bring down regimen. Therefore, lifestyle modification, caregivers capability and support are also indicators of successful self-management. Third, lack of decision making of own dietary outcome due to depend on caregivers instead of patients might influence successful self-management. Fourth, dissatisfaction of prescribed nephritic diet will affect patients adherence.Therefore, patient readiness to change, communication skills, assessment tools and psychosocial support are also indicators of successful self-management. In sum, indicators of successful self-management involves every aspect of disease process and treatment. In nurses and patients perspective, nurses co mmunication skills, interviewing skills, collaboration capability, supply training, patients readiness, patients emotional support, patients knowledge, problem solving techniques, etc are all indicators of successful self-management.