Chronic Illness

Helping Patients Take Charge of Their Chronic Illnesses
The best affaire you can do for your patients with chronic disorders is to let them run with the ball.
featherbedtha M. Funnell, MS, RN
Fam Pract Manag. 2000 Mar;7(3):47-51.
Noncompliance has always been a significant challenge in chronic disease reverence, and its iodine of the issues Family Care Network has had to lodge as part of its diabetes quality improvement project, which FPM is following (see serial overview). This article is derived from a presentation the author made to the physicians and module members of Family Care Network as part of that project. As youll see, the authors effect to noncompliance is simply to render it obsolete.
Its been said that, as health care professionals, we take credit for our patients successes and blame them for our failures. How often afford you heard a colleague say something like, I got Mrs. Smiths HbA1c megabucks to 7 percent, but Mr. Jones was noncompliant. The truth is that, in both cases, the responsibleness is shared, but ultimately the patient has more control of the topic than we do.
Think about two of your patients who have, say, type-2 diabetes. Focus on one patient whose condition is well managed and a nonher whose condition is not well managed. What would you say are the differences between those two?



why is one more successful at controlling the disease than the other? Very often, if you examine it closely, the key difference is the patients level of involvement and responsibility for his or her own condition.
KEY POINTS:
The sometime(a) models of care, where physicians tell patients what to do and try to motivate them to change, do not work.
Because patients day-to-day decisions have a tremendous impact on their health, they must be active, informed participants in the health care process.
Physicians can help patients take charge of their conditions by encouraging them to set self-management goals.

The old models

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