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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

The expert patient: issues and implications for community nurses.

Patricia M Wilson¹

¹Department of Post-Registration Nursing, University of Hertfordshire, Hatfield, UK.

British Journal of Community Nursing

|October 26, 2002

Summary

The Expert Patient programme helps individuals self-manage long-term conditions, aiming to reduce limitations and improve symptom control. This lay-led initiative explores patient, family, and practitioner challenges in managing long-term health effectively.

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Area of Science:

Health Management
Patient Empowerment
Chronic Disease Self-Care

Background:

The Expert Patient programme, initiated by the Department of Health in 1999, is being piloted across England and Wales.
It aims to enhance self-management skills for individuals with long-term health conditions.
The program acknowledges and seeks to build upon the inherent expertise of patients in managing their own health.

Observation:

This initiative is primarily lay-led, suggesting a limited formal role for community nurses.
Community nurses frequently interact with patients managing long-term conditions and often identify 'expert patients'.
The article examines the concept of the 'expert patient' through case scenarios.

Findings:

The program focuses on developing patient self-management skills to reduce incapacitation.
Key objectives include improving symptom control and boosting patient self-esteem.
Exploration of challenges faced by patients, families, and practitioners is central to understanding the 'expert patient' concept.

Implications:

Potential for improved patient outcomes and quality of life through enhanced self-management.
Highlights the importance of recognizing and supporting patient expertise in chronic care.
Suggests a need for further research into the integration of lay-led programs within existing healthcare structures and the role of community nurses.