Nursing

Role of patient-nurse partnerships in nursing

Table of Contents

Introduction3

Self management3

Population management model (DoH, 2004)5

Key elements for prevention of chronic disease in clinical settings (DoH, 2004)6

Nursing Strategies to improve self-care6

Empathy7

Governed practice7

Record keeping7

Encouragement7

Health Education8

Advantages of self-management8

Empowerment8

Cost Reduction8

Motivation9

Self management and empowerment in Diabetes9

Healthcare management of diabetes10

Overview of primary, secondary, and tertiary partnership (Prochaska et al. 2009)12

Screening and diabetes12

Conclusion14

References15

Bibliography16

Role of patient-nurse partnerships in nursing

Introduction

Chronic diseases, such as cancer, cardiovascular diseases (heart diseases, strokes, etc), diabetes and respiratory diseases measure up to almost 60% of all health-care admissions as well as associated with most high medical cost in the UK (DoH, 2004). The cost is related to the frequent use of the health services, especially regarding the use of inpatient services. People with chronic diseases are more likely to be re-admitted to the hospital within 30 days of discharge and when they are readmitted is often due to severe acute condition. However, most of these conditions are preventable and re-admission is avoidable. The prevalence of chronic disease is increasing with 25% of children having one or more chronic illness since birth.

Since healthcare systems are built largely around acute services and inpatient services, chronic conditions are usually untreated or are controlled poorly until more serious and acute complication presents (Kelly, 2011).

Self management

Self management is the means by which a patient can be taught to deal with a chronic condition on his own. It involves training and developing skills in a patient to take care of himself when needed. Self management is a process that is done by developing relationships between the nursing staff and patients where the nursing staff teaches the patients to take care of themselves. For example, a person suffering from high diabetes can be taught how to administer the daily dose of insulin without the presence of the nurse or doctor.

Self-management refers to the skills, interventions and training by which patients with a chronic condition, disease or disability can effectively take care of their ailment and learn how to do so.

Chronic Care Management (CCM) - Model to help reduce chronic disease burden on the health services

Chronic Care Management is a term that has risen from the growing need for enhanced care and support in patients with chronic conditions. Proactive CCM has been accepted widely as a great means to improve quality of healthcare and reduce unnecessary expenditure.

Hospitalization is becoming one of the most difficult expenditure for families to cope up with and in the case of chronic diseases, it can become quite frequent. Such admissions can be avoided through self management and proper CCM (Hamar et al. 2010).

A German study evaluated the effect of a proactive chronic care management program on the participants of a German insurance society that suffered from chronic disease. The study specifically studied the impact of care delivered by nurses. The participants were individuals with coronary artery diseases, heart failure diabetes or chronic obstructive pulmonary diseases. The overall result showed that admission rate in the intervention group decreased by 6.2% compared with a ...