Aloha Nader,

I have been an RN for almost 13 yrs and am absolutely convinced of a need for holistic/integrative/functional (whatever name you wish to use) health care. Empowering the patient by teaching them at THEIR level -- much printed pt. education material is really not helpful for many of the most at-risk groups. Diet, lifestyle teaching but presented in ways which work with their specific ethnic or social practices is proving very effective in my work with cardiovascular disease, inflammation and diabetes. I hope this is helpful. Please let me know if you were looking for different information.

For a specific Nursing Theorist I lean towards an evolution of Betty Neuman's in which we integrate new knowledge (i.e. the endocannabinoid system's incredibly important role in our bodies.)

Kristin L. Wohlschlagel, RN, CHPN, C-LT, 

ِDear Kristin,

Nice. Would you please explain more about Betty Neuman's theory in nursing of chronic diseases? 

Dear Nader, 

I would respectfully suggest you search the web for good information about Betty Neuman's theory. It is a bit dated but holistic. It also recognized stress as a key cause of illness. Best wishes!

Aloha,

Kristin

Dear Kristin,

 I know Betty Neuman's theory. please explain more about Betty Neuman's theory in nursing of chronic diseases by your words.

During long-term illnesses that require ongoing care of the patient, one of the rational methods of nursing care is. Quite often, such assistance is carried out more professionally than helping relatives. The main obstacle to the spread of such concerns is the high cost of such assistance. Therefore, nursing care is not available to all.

I do also agree that Betyneuman theory will be suitable as it has all the level of prevention primary secondary and tertiary and various stressors which will have impact on chronic patients .Accordingly to level of prevention .as you require ,you can plan it and can deliver interventions to strengthen individual system 

I think there are many that you could use. Some which come to mind are Roy's adaptation Model, Dorothy Orems self-care and self-efficacy theory. I like SE model because it talks about living with an chronic illness and incorporates SE and spirituality. Here is an article on how spirituality and SE go hand-in had with sickle-cells disease.

How about Nursing Need theory by Virginia Henderson? Even in chronic illness, individuals may be able to attain some independence.

In my opinion, Orem’s Self-Care Deficit Theory is beneficial in chronic disease management as it empowers patients to take responsibility for their health. It focuses on the individual's ability to perform self-care and identifies three primary roles for nurses:

Assisting patients who cannot perform self-care independently, working alongside patients to meet their health needs, and supporting and teaching patients to manage their own care effectively.