Patients with Complex Chronic Diseases: perspectives on supporting self-management.
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 discussed.
Sevick
Mary Ann
MA
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System (151-C), Pittsburgh, Pennsylvania, USA. sevick@pitt.edu
Trauth
Jeanette M
JM
Ling
Bruce S
BS
Anderson
Roger T
RT
Piatt
Gretchen A
GA
Kilbourne
Amy M
AM
Goodman
Robert M
RM
D000368:Aged; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy*; D003142:Communication; D015897:Comorbidity; D015438:Health Behavior; D006801:Humans; D008297:Male; D009042:Motivation; D010349:Patient Compliance; D010817:Physician-Patient Relations; D011788:Quality of Life; D012648:Self Care