Chronic disease managment Essay

What is self- management? Self- caveat management is defined as the behaviour active by an individual in managing and implementing the discussion regimen within the individuals lifestyle turn of events and it recognizes an individuals central role in managing degenerative meetions (Costantini et al. , 2008). In sum, self-management is to help individuals collaborate with health c ar professionals to help themselves, by exploitation strategies and proper interventions, to bring self- fright into daily routine to help managing chronic diseases and to promote smell of life.How leave you promote self-efficacy and autonomy for your clients in your practice? Chronic kidney disease (CKD) takes well-nigh every flavor of unhurrieds life, both physical and emotional. According to Mok (2011, p12), some(prenominal) strategies identified in helping endurings with CKD to modify nutritional adherence. These strategies fall into three categories persevering instruction, behaviour modification and organizational changes. These strategies too applicable in other intercession in CKD.According to Barbra (2011,p183), when patient ofs disease degenerate or towards terminal states, strategies of ending self-management and patronise to medical or comfort tutorship were also mentioned. Nurses enkindle 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 mind should sire accredited patients ar ready to put on the changes and the education received poop be fully understood.Usually when patients atomic number 18 knowing in their own condition, their self-efficacy and autonomy will be greatly improved. In addition, education should also be provided to c argivers because a cope of patients with CKD depend on caregivers in ADLs. During sagacity and education proces s, nurses should be aware of using good converse skills, interviewing skills and impart sure accurate information and related resources are provided to patients and caregivers.Second, behaviour modification strategies. According to Mok (2011, p12), some(prenominal) techniques can be used in behaviour modification much(prenominal) as varans, self-monitoring, and positive reinforcement. Nurses can combine potent behavioral, psychosocial strategies such as periodical reminder by using telephone, email, regular trying on or face to face interaction. Nurses should advocator patients for regular follow up to net 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 drive monitoring, diaries, logs, personal health records to help skip over their health conditi on. Third, organizational 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 ontogenesis dietetical 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 return to professional medical care should be acknowledged. Nurses should educate and assess patients and caregivers efficiency of performing self-management, making sure they are knowledgeable of serious symptoms and capable of want help when needed.What are indicators of productive self-management in patients with CKD? According to Mok (2011, p12), several factors may affect boffo treatment such as lack of knowledge, hectic lifestyle, lack of end making in own dietary topics and dissatisfactory of dietary prescription. First, knowledge famine will make patients unable to shoot proper food or 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 elderly depend on others are often unable to adherence to the official regimen. Therefore, lifestyle modification, caregivers capability and support are also indicators of successful self-management. Third, lack of finale making of own dietary outcome due to depend on caregivers sort of of patients might influence successful self-management. Fourth, dissatisfaction of inflict 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 treatment. In nurses and p atients perspective, nurses communication skills, interviewing skills, collaboration capability, staff training, patients readiness, patients emotional support, patients knowledge, fuss solving techniques, etc are all indicators of successful self-management.