NURSING105 Nursing In Practice

Self-management support has been one of the key healthcare concepts from New Zealand to locate both non-communicable disease and chronic diseases.  This includes cancer, diabetes, cardiovascular disease, and dementia. The aim of this study will be to support people self-care management based on the 5As’ of nursing and Patient assessment of chronic illness Care. The perception of the self-care management will be discussed followed by the analysis of the self-care management result. Strategic recommendation for self-care management will be analyzed. The conclusion will summarize the whole analysis outlining a key recommendation for self-care management (Arditi et al., 2018).

Perceptions of self-management support

The self-care management must be patient-centered, psychologically patient supportive, showing relevancy towards the patient’s culture and a systematic follow up of patient’s situational improvement. The patient-centered self-care management reflects the empowerment of the patient to be cooperative of their healthcare professionals. The psychological support reflects the necessity of the psychological support to the patient. The cultural relevance focuses on respecting patient’s culture. The systematic follow up denotes the regular follow up of the patient’s health improvement (Francis et al., 2018).

Analysis of the self-management result based on Patient Assessment of Chronic Illness Care tool

The Patient Assessment of Chronic Illness Care tool was used, to sum up, the quality healthcare and improvement of patients self-management perception. The patients and related healthcare professionals have expressed their opinion.  Most of them have given less than 4 out of 5 when they were asked regarding the effects of medicines, preference of the treatment procedure and idea of the treatment plan. This clearly indicates the research participants use to carry an average perception (Gugiu et al., 2009).

The research participants have shown a clear dissatisfaction over the monitoring process and goal settings of their healthcare providers. Moreover, the research participants were not fully satisfied regarding the family care, doctor’s observation and treatment plan for self-care management as most of this criterion got less than 3 out of 5. In addition, the patients have shown their strong dissatisfaction over the doctor observation after the treatment procedure. As per the research, the patients were mostly satisfied with choices of treatment; further medication-related query resolving and overall organized care (Szecsenyi et al., 2008).

The overall result has indicated the fact that the patients were not fully satisfied with the self-management care provided to them by the healthcare professionals. Most of the patients are unsatisfied with the doctor’s observation after treatment and monitoring process. Hence, effective self-care management must be provided to the patients and the healthcare professionals need to be ethical and empathetic towards their treatment process.

Strategic recommendation for self-management support

The betterment of self-care management in nursing can be done by the effective utilization of ethical principles of nursing; assess advice, agree, assist and arrange.

Assess: Assessment includes a clear observation of the symptoms of the health issues. This includes the ethical behavior of the patient, sharing evidence-based nursing guidelines and respecting the culture of the patient.  

Advise: this includes the behavioral change and informing the patient of behavioral change.

Agree: This is a decision-making process setting specific goals for better self-care management.

Assist: Assist denotes to help patients by providing effective self-care strategies to address the issues (Gugiu et al., 2009).

Arrange: Arrange includes following up the patient and monitoring the condition of the patient regularly.

Conclusion

The study has conceptualized a small evaluation of the self-care management. This indicates the collaboration of the healthcare professionals and patients to nullify the healthcare issues.  This assessment is conducted based on a research study that indicates the lack of patient monitoring. Hence, application of 5A practices of nursing can provide a better outcome (Arditi et al., 2018).  

References

Arditi, C., Iglesias, K., & Peytremann-Bridevaux, I. et al. (2018). The use of the Patient Assessment of Chronic Illness Care (PACIC) instrument in diabetes care: a systematic review and meta-analysis. International Journal For Quality In Health Care. doi: 10.1093/intqhc/mzy091

Francis, H., Carryer, J., & Wilkinson, J. et al. (2018). Patient expertise: Contested territory in the realm of long-term condition care. Chronic Illness, 174239531875785. doi: 10.1177/1742395318757853

Gugiu, P., Coryn, C., Clark, R., & Kuehn, A. et al. (2009). Development and evaluation of the short version of the Patient Assessment of Chronic Illness Care instrument. Chronic Illness, 5(4), 268-276. doi: 10.1177/1742395309348072

Szecsenyi, J., Rosemann, T., Joos, S., Peters-Klimm, F., & Miksch, A. et al. (2008). German Diabetes Disease Management Programs Are Appropriate for Restructuring Care According to the Chronic Care Model: An evaluation with the Patient Assessment of Chronic Illness Care instrument. Diabetes Care, 31(6), 1150-1154. doi: 10.2337/dc07-2104