It is apparent that chronic illness is naturally incurable. The indications of these chronic disease factors are constant and unremitting; thus, as regards cognition, the emphasis of nursing should be on care, supportive, and preventative procedures when a patient undergoes unavoidable disease deterioration.
The nurses and other health care providers have to learn how to manage chronic diseases in order for them to be able to help chronically ill patients attain independence. An appropriate self-management plan for chronic disease is one of the major cognitive challenges to nurses (Larkin & Burton, 2008). In order to successfully accomplish this, health care professionals should be able to recall information about the patient (knowledge), understand the issues confronted by the patient (comprehension), apply the knowledge gained from interacting with the patient and the other medical staffs (application), differentiate assumptions from facts (analysis), develop a comprehensive care plan (synthesis), and evaluate the value and quality of the care plan (evaluation).
On the other hand, the ‘affective domain’ focuses on feelings, core intentions, and attitudes, and thus is strongly applicable to the caring profession of nurses (Emerson, 2007). It is vital that chronically ill patients are empowered and inspired to help themselves. Therefore, nurses should learn to listen attentively and sincerely to their patients (receiving), to show eagerness to respond (responding), to express commitment and develop individualized treatment plan (valuing), to embrace professional ethical codes as regards management of chronic illness (organization), and to work in a team (internalizing values).
The third domain—the ‘psychomotor’—involves exercise of motor skills, coordination, and physical aspects (Quinn, 2000). Within this domain, the nurse should learn to observe and compare the behavior of a chronically ill patient to another patient (imitation). In this way, ...
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