Chronic disease self-management


Chronis Disease Description

Steve is a 58-year old father of six who is not working. Steve was previously a drunkard and was addicted to several drugs including cocaine. Steve received a liver transplant after he was diagnosed with liver cirrhosis. Frank has been living in the same neighborhood since he got married to his late wife who passed away after she was involved in a grisly accident. His family provides for him, especially his eldest daughter.

Steve has never had any form of insurance, ever, in his life. Nothing that he owns is insured, his health included. Currently, he has no income or a source of funds. His six children take care of themselves and do not depend on their nonchalant father who is rarely concerned with their well-being. Three of his youngest children are in school while the others dropped out to look for work so that they can support the younger ones. Steve never visits a hospital unless it is necessary. He has never received a full medical check up voluntarily. The last time Steve received a medical check-up was before he received a liver transplant.

At the date of the liver transplant, the doctor warned him of possible chronic diseases that would attack him if he did not change his lifestyle. He risked having heart diseases, cancer and type-2 diabetes. The results, however, were not followed up. The doctor advised that he changed his, unhealthy, lifestyle if he did not want to be attacked by the diseases (W Battersby, Ask, M Reece, J Markwick, & P Collins, 2003). Steve is yet to visit the hospital even after having some symptoms that are out of the ordinary. Steve was recently involved in a minor road accident, and the doctor insisted that he has a medical checkup. Steve was found to be overweight with a Body Mass Index of above 30. Steve was found with heart diseases and type-2 diabetes. Steve is always having trouble doing simple tasks which he dismisses.

Health Promotion Activities and Risk Factors Applicable to Steve

Consolidated eating routine and physical movement advancement programs mean to avert type-2 diabetes among individuals who are at expanded danger of the infection (Huffman, 2009). These projects effectively urge individuals to enhance their eating regimen and expansion their physical movement utilizing the accompanying:

  • Trained suppliers in clinical or group settings who work specifically with system members for no less than three months
  • Some mix of advising, guiding and expanded backing (W. Battersby, Ask, M. Reece, J. Markwick, & P. Collins, 2001)
  • Multiple sessions identified with eating regimen and physical action, conveyed in individual, or by different techniques

Projects may likewise utilize one or a greater amount of the accompanying:

  • Providers who are eating regimen guides of various strengths (for instance, nutritionists, dietitians, diabetes instructors), exercise advocates from different claims to fame (for example, physical teachers, physiotherapists, mentors), doctors, medical attendants, prepared laypeople, and others (Huffman, 2009)
  • A scope of force in the directing, with various or couple of sessions, longer or shorter length sessions, and individual or gathering sessions
  • Individually customized or nonspecific eating routine or physical action programs
  • Specific weight reduction or activity objectives
  • A time of support sessions taking after the crucial center time of the system

Program members might be considered at expanded danger of type-2 diabetes if they have blood glucose levels that are unusually lifted, however not sufficiently high to be named type-2 diabetes (Huffman, 2009). Members may likewise be distinguished utilizing diabetes hazard appraisal apparatuses.

Coronary Illness

Individuals with diabetes have a higher danger of heart assault, and stroke. People with the persistent coronary disease every now and again have type-2 diabetes (W Battersby et al., 2003). Individuals with diabetes and endless coronary disease are at higher danger of heart assault and stroke.

The reported increment in diabetes in numerous nations is thought to be connected with more individuals being physically latent, having poor dietary patterns and being overweight.

  • If a person has diabetes, it is imperative that he/she deals with his/her condition by being physically dynamic, getting a charge out of proper dieting and keeping up a healthy weight (W Battersby et al., 2003).
  • If the person has type-2 diabetes, like Steve, he/she may need to take medications to help him/her to keep up regular blood-glucose levels, and roll out a way of life improvements. It is additionally imperative to quit smoking, diminish the aggregate cholesterol, deal with a pulse and consistently see the specialist for diabetes surveys (Huffman, 2009).

Physical movement is an essential piece of caring for Steve’s well-being and diminishing the danger of intensifying the ceaseless coronary illness (W. Battersby et al., 2001). Consistent physical movement will:

  • improve his long-term wellbeing
  • reduce his risk of heart assault
  • give him more vitality
  • help him to deal with your weight
  • help him to accomplish more beneficial aggregate cholesterol
  • lower his circulatory strain
  • make his bones and muscles more grounded
  • get him to feel surer, upbeat and loose
  • Help him to rest better.

If he endures a heart assault, the normal physical movement will help him to recoup all the more rapidly. He additionally has diabetes; the activities will direct his glucose level. The physical action does not need to be strenuous. Moderate-force physical activity, for example, lively strolling, will be remarkable for his wellbeing. It is suggested that he does no less than 30 minutes of moderate-power physical action on most if not all, days of the week (Huffman, 2009). He can do these in littler sessions, for example, three 10-minute strolls, if it is less demanding (Huffman, 2009).

Description of the Likely Barriers and Enablers for Effective Self-Management That Relate To Steve

Steve’s lifestyle might appear to be a bit weird to some people. Steve is not a drunk, but he spends most of his time drinking non-alcoholic beer, sitting and reliving old memories almost the whole day at his favorite tavern. He is not used to exercising let alone doing something for himself. He does not want to help to do chores around the house although his duties as a father have been taken up by the older siblings.

His family is also less concerned about his health because he is also less concerned about his good being. He has not informed them of his illness, and he will tend to take care of himself. He has been for long, known for his pride and his reluctance to take action. His self-management will seem difficult after he starts taking his medication, which he will have to include in his schedule (W Battersby et al., 2003).

Steve is always saying how he likes his life and rarely complains about the mistreatment of his children, especially the elder ones. He will likely follow his self-management schedule and turn out to be a responsible patient with chronic diseases due to the love he has for his life. Although he is old, his friends are always made aware, by Steve, of his dreams for he believes he has a lot of living left to do.

Self-management care plans for Steve

Healthy Eating

Adhering to a proper diet is vital when attempting to control the glucose levels. Steve’s adhering to a proper diet ought to be observed by his companion if not his family. The multidisciplinary group ought to incorporate his family and friends (W Battersby et al., 2003).

The case of adhering to proper diet objectives: Steve will eat green vegetables daily at supper. Steve will quit drinking beer (W. Battersby et al., 2001). Steve won’t backpedal for a considerable length of time. Steve will begin perusing nourishment marks and gauge the sugars he will devour every dinner. Steve will locate his day by day calorie admission need.

Being Active

Strolling, swimming, and running are a case of being dynamic. Keep in mind when beginning another project, Steve ought to talk with his doctor and start moderate, and bit by bit build his action term after some time. Physical movement can enhance cholesterol, circulatory strain and glucose levels (W Battersby et al., 2003).

The case of being dynamic objectives: Steve will join an exercise center and go three times each week. Steve will go out for a stroll for 30 minutes three times each week (Huffman, 2009). Steve will observe just an hour of TV every night (Huffman, 2009).

Taking Medication

Type-2 diabetes is a dynamic ailment, and eventually, Steve may require other medicine. If he does not get his prescription reliably, this ought to be one of his objectives.

The case of taking medication targets: Steve will put his pills in a pill box (W Battersby et al., 2003). Steve will convey my insulin with him. Steve will put an update note to bring his solution close to the front entryway. Steve will use his drug store’s consistence bundling.



Self-management of chronic diseases is an important topic to ignore and a difficult one to do without (W. Battersby et al., 2001). Chronic diseases are always attacking each day, and their management has turned out to be a nightmare to those affected by the conditions (W Battersby et al., 2003). Self-management can be beneficial in ensuring that the sick will know how to live with the disease once they learn how to manage their illness and not appear as a bother to their families and friends. The learning of this topic can serve as an excellent drawing board once a student becomes a professional. Helping patients to come up with their self-management plan will be very easy on the part of the professional if he/she decides to polish this topic and understand it completely.




Huffman, M. (2009). HEALTH COACHING. Home Healthcare Nurse: The Journal For The Home Care And Hospice Professional, 27(8), 490-496.

W Battersby, M., Ask, A., M Reece, M., J Markwick, M., & P Collins, J. (2003). The Partners in Health scale: The development and psychometric properties of a generic assessment scale for chronic condition self-management. Australian Journal Of Primary Health, 9(3), 41.

  1. Battersby, M., Ask, A., M. Reece, M., J. Markwick, M., & P. Collins, J. (2001). A Case Study Using the “Problems and Goals Approach” in a Coordinated Care Trial: SA HealthPlus. Australian Journal Of Primary Health, 7(3), 45.