Strauss and colleagues published a model that addresses the problems and concerns related to a patient living with a chronic illness. This framework considers the concerns and experiences a patient and family have rather than focusing on the illness (Larsen, 2014). Mrs. Hernandez’ has several key self-management problems associated with her chronic illness. Family and patient teaching need to occur to promote the self-management skills needed to promote optimum health.
The first key problem is the prevention of medical crisis and their management as they occur (Larsen, 2014). In order to establish the most effective care plan for Mrs. Hernandez’, we need to …show more content…
Mrs. Hernandez’ being of Hispanic origin may need help with instruction and education using her native language for better understanding. The use of brochures and posters may be helpful in the teaching process (Lorig & Holman, 2003). Mrs. Hernandez’ may need additional instructions on her oxygen therapy through outside resources. Providing Mrs. Hernandez’ with a list of recourses to choose from may include durable medial equipment facilities, home health care, smoking cessation groups, and a dietician. At this point, Mrs. Hernandez’ may not have accepted that she has a chronic illness as her daily life style is not compliant with managing …show more content…
223). This factor is specific to the patient and her confidence level. The nurse will assess Mrs. Hernandez’ to determine if she believes she can accomplish the goals of the treatment plan. The nurse will also assess if she has any behaviors that would prevent a successful outcome. The nurse will clearly state and provide written instructions to the patient and family. The goals will be a collaborated with the patient, family, and health care team and agreed by all for a successful