Patients with Complex Chronic Diseases: Perspectives on Supporting Self-Management
Mary Ann Sevick,Jeanette M. Trauth,Bruce S. Ling,Roger T. Anderson,Gretchen A. Piatt,Amy M. Kilbourne,Robert M. Goodman +6 more
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TLDR
The case of an individual with diabetes and end-stage renal disease who is having difficulty with self-management is presented in terms of intervention effectiveness in the areas of prevention, addiction, and self- management of single diseases.Abstract:
A Complex Chronic Disease (CCD) is a condition involving multiple morbidities that requires the attention of multiple health care providers or facilities and possibly community (home)-based care A patient with CCD presents to the health care system with unique needs, disabilities, or functional limitations The literature on how to best support self-management efforts in those with CCD is lacking With this paper, the authors present the case of an individual with diabetes and end-stage renal disease who is having difficulty with self-management The case is discussed in terms of intervention effectiveness in the areas of prevention, addiction, and self-management of single diseases Implications for research are discussedread more
Citations
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A Scoping Review and Thematic Classification of Patient Complexity: Offering a Unifying Framework:
Alexis K. Schaink,Kerry Kuluski,Renee Lyons,Martin Fortin,Alejandro R. Jadad,Ross E.G. Upshur,Walter P. Wodchis +6 more
TL;DR: An overview of complex chronic conditions, and what is known about complexity, is provided, and a Complexity Framework is developed to guide the approach to understanding patient complexity.
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Capacity, responsibility, and motivation: a critical qualitative evaluation of patient and practitioner views about barriers to self-management in people with multimorbidity
TL;DR: Full engagement in self-management practices in multimorbidity was only present where patients’ articulated a sense of capacity, responsibility, and motivation, pointing to a balanced role for health services and wider enabling networks.
References
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