Chronic Disease Management - Essay Example

Some patients suffered from pain and other symptoms like nausea, vomiting, tremors, constipation, and malaise. Controlling the symptoms with just giving medicines, did not give them any relief and they were in distress. They wanted someone to talk to them and address other aspects like taking them to church or asking some dear one to meet them, etc. However, the wards were full and nurses could not spend much time with each patient. They were working mechanically with no emotional aspect in their care. The ward in charge who realized this suggested an increase in staff to the management. However, in my opinion, what the ward needed was different case management and not just an increase in staff.  According to Smith (2003), "Case management involves an approach and an organizational attitude to achieving these ends, not simply a team of nurses." Schifalacqua et al (2004) opined that to realize individual fiscal and clinical outcomes, it is very important to implement community-based advanced case management programs. This is because one of the keys to self-management outcomes appears to be a personalized partnership.