Chronic illness self-management: locating the 'self'.
J Adv Nurs
; 48(5): 484-92, 2004 Dec.
Article
em En
| MEDLINE
| ID: mdl-15533086
ABSTRACT
AIM:
In this paper, we present the findings of a recent research project in which we explored self- management with older people who were diagnosed with asthma.BACKGROUND:
Asthma self-management literature has focused on the need for the patient to 'adhere' to prescribed therapies, in particular the taking of medications, monitoring of respiratory function or recognizing and avoiding triggers.METHOD:
Data were generated during a period of 9 months from three sources; in-depth interviews with 24 older participants, an open-ended questionnaire and two mixed-gender participatory action research groups.FINDINGS:
Based on current literature, our previous research findings which have 'unpacked' what is 'self'-management, and data generated in this project, we propose that three asthma management models are in operation Medical Model of Self-management, Collaborative Model of Self-management and Self-Agency Model of Self-management. Locating the 'self' in self-management means acknowledging that many people living with a chronic condition are already self-determining and their expertise should be acknowledged as such.CONCLUSION:
Health care professionals can best facilitate people toward self-agency by embracing new understandings of self-management in long-term illness. This process is enhanced when the expertise a person brings to the management of their condition is given the respect it deserves. There needs to be a focus on providing people with the means to grow and learn in a participative relationship that cannot be fully realized with 'off the shelf' self-management solutions.
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Base de dados:
MEDLINE
Assunto principal:
Asma
/
Autocuidado
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2004
Tipo de documento:
Article