Chronic disease managment Essay

What is self-management? Self-c argon management is be as the doings employed by an item-by-item in managing and implementing the word regimen within the individualists lifestyle routine and it recognizes an individuals central role in managing chronic maladys (Costantini et al. , 2008). In sum, self-management is to uphold individuals collaborate with health cargon professionals to dish themselves, by using strategies and proper interventions, to bring self-care into day by day routine to aid managing chronic indispositions and to promote fictitious character of life.How volition you promote self-efficacy and liberty for your clients in your implement? Chronic kidney disease (CKD) guesss almost every medical prognosis of diligents life, both physical and emotional. jibe to Mok (2011, p12), several strategies identified in encourageing patients with CKD to meliorate nutritional attachment. These strategies fall into three categories patient fostering, behaviour qualifying and organizational changes. These strategies as well as applicable in other treatment in CKD.harmonize to Barbra (2011,p183), when patients disease deteriorate or towards terminal states, strategies of ending self-management and behind to medical or comfort care were also mentioned. Nurses tush apply these strategies by nursing interventions to help promote patients self-efficacy and autonomy. First, patient procreation strategies. Nurses should assess patients hold and their knowledge and literacy level before providing education. These assessment should harbour convinced(predicate) patients are ready to accept the changes and the education received goat be fully understood. ordinarily when patients are knowledgeable in their own condition, their self-efficacy and autonomy will be greatly amendd. In addition, education should also be provided to caregivers because a lot of patients with CKD expect on caregivers in ADLs. During assessment and education process , nurses should be aware of using good communication skills, interviewing skills and suffice sure accurate information and related resources are provided to patients and caregivers.Second, behaviour modification strategies. According to Mok (2011, p12), several techniques idler be used in behaviour modification such as proctors, self-monitoring, and positive reinforcement. Nurses can blend in effective behavioral, psychosocial strategies such as periodical reminder by using telephone, email, regular appointment or face to face interaction. Nurses should advocate patients for regular take in up to make sure patients adherence to treatment.No patient is alone 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 blood pressure monitoring, diaries, logs, personal health records to help track their health condition. Third, o rganizational changes. According to Mok (2011, p13), nurses can collaborate with other health care professionals such as dietitians and physicians to enhance compliance.Nurses can directly help patients in developing dietetic plan and improve patients satisfactory, in turn, promote treatment adherence. Lastly, according to Barbra (2011, p183), when patient unable to perform self-care, giving up self-management and engender to professional medical care should be acknowledged. Nurses should work and assess patients and caregivers capability of performing self-management, making sure they are knowledgeable of serious symptoms and capable of pursuance help when needed.What are indicators of thriving self-management in patients with CKD? According to Mok (2011, p12), several factors may affect in(predicate) treatment such as privation of knowledge, hectic lifestyle, lack of decision making in own dietary outcomes and dissatisfactory of dietary prescription. First, knowledge defici t will make patients unable to choose proper viands or make necessary adjustments, in turn, leads to mishap 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 elderly look on others are often unable to adherence to the prescribed regimen. Therefore, lifestyle modification, caregivers capability and reinforcement are also indicators of successful self-management. Third, lack of decision making of own dietary outcome due to reckon on caregivers instead of patients might influence successful self-management. Fourth, dissatisfaction of prescribed renal 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 treat ment. In nurses and patients perspective, nurses communication skills, interviewing skills, collaboration capability, staff training, patients readiness, patients emotional support, patients knowledge, hassle solving techniques, etc are all indicators of successful self-management.