The Principles Of Chronic Disease Management

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UNIVERSITY OF NAIROBI
COLLEGE OF HEALTH SCIENCES
SCHOOL OF NURSING
COMMUNITY HEALTH
1. (a) Define a chronic disease
A chronic disease is a life threatening condition that persists for period of more than three months and cannot be treated but its progression can be controlled.
(b) Discuss the principles of chronic disease management (18 marks)
Chronic disease management aims at preventing the prevalence of the disease, delaying the onset and progression of the symptoms, reducing the severity and improving duration and quality of life in an individual. Different systems must work in collaboration to achieve an effective management system.
WHO (2004) came up with 10 principles of management.
1. Develop a treatment partnership with your patient. The health care provider need to have a clear understanding of the patients’ health condition. The need to educate the patient comprehensively and provide reliable information. This helps in creating a doctor-patient relationship which facilitates the development of treatment plans and options. The health care provider also needs to have a vast scope of knowledge to help the patient choose better medical informed decisions.
2. Focus on your patient’s concerns and priorities. There is need of a good understanding of the patients’ needs and expectations by the care providers. Culture, religion and race may influence the patient’s requirements individually. This guides on the choice of an appropriate care model specific for each individual
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