Helping persons with multiple chronic conditions overcome barriers to self-management

Area of Science:

• Gerontology
• Public Health
• Nursing Practice

Background:

• Growing prevalence of multiple chronic conditions (MCCs) significantly impacts patient self-management.
• MCCs present complex challenges for daily patient care and adherence.
• Existing chronic care models require updates to address the complexities of MCCs.

Purpose of the Study:

• To describe the defining features of multiple chronic conditions.
• To present an updated chronic care model tailored for MCCs.
• To identify barriers to self-management in adults with MCCs and outline NP-led strategies to mitigate them.

Main Methods:

• Literature review and synthesis of current research on MCCs.
• Analysis of the components of an updated chronic care model.
• Identification and categorization of self-management barriers.
• Development of actionable strategies for nurse practitioners (NPs).

Main Results:

• Detailed description of the characteristics and implications of MCCs.
• Presentation of a revised chronic care model emphasizing integrated and patient-centered care.
• Enumeration of common barriers including patient-related, provider-related, and system-related factors.
• Specific, evidence-based strategies for NPs to enhance patient self-management.

Conclusions:

• Effective management of MCCs requires a multifaceted approach.
• An updated chronic care model provides a framework for improved patient outcomes.
• Nurse practitioners play a crucial role in overcoming self-management barriers for adults with MCCs.
• Targeted strategies can empower patients and improve quality of life.