title: COPD self-management supportive care: chaos and complexity theory.
abstract: This paper uses the emergent theories of chaos and complexity to explore the self-management supportive care of chronic obstructive pulmonary disease (COPD) patients within the evolving primary care setting. It discusses the concept of self-management support, the complexity of the primary care context and consultations, smoking cessation, and the impact of acute exacerbations and action planning. The author hopes that this paper will enable the acquisition of new insight and better understanding in this clinical area, as well as support meaningful learning and facilitate more thoughtful, effective and high quality patient-centred care within the context of primary care.
authors.affiliation: Practice Nurse, Claremont Surgery, Scarborough, North Yorkshire and Postgraduate Student, University of Hull, Yorkshire.
authors.forename: Amber
authors.initials: A
authors.lastname: Cornforth
mesh_terms: D006801:Humans; D017711:Nonlinear Dynamics; D011320:Primary Health Care / Q000458:organization & administration; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D012648:Self Care; D016540:Smoking Cessation