Coates (2017) — The Nurse's Role in Self-Management Support

A collection of vocabulary flashcards covering self-management concepts, core skills, and nursing perspectives based on Coates (2017).

Self-care

The person's actions directed toward health and illness needs, which are not necessarily limited to managing a chronic condition.

Self-management

The ability to manage symptoms, treatment, physical and psychosocial consequences, and lifestyle changes, involving ongoing decisions, adaptation, and cognitive, behavioural, and emotional regulation to support quality of life.

Disease management

Condition-focused clinical and service organization and treatment, representing a provider's plan that is not automatically the person's daily-life plan.

Health literacy

The ability to find and analyze information, articulate personal needs, and navigate professional healthcare roles, extending beyond merely reading educational leaflets.

Empowerment

Enabling and supporting a willing individual to participate and negotiate roles, rather than delegating responsibility without resources or assuming everyone desires the same degree of independence.

Core self-management skills (Lorig and Holman)

Six essential skills for managing chronic conditions: problem-solving, decision-making, using resources, forming a partnership with providers, action planning, and self-tailoring.

Self-tailoring

Adapting self-management strategies to an individual's unique condition and life context rather than expecting rigid reproduction of generic advice.

Coach perspective (van Hooft et al.)

A nursing role perspective emphasizing that the client is the expert in their life and that goals and strategies should fit personal priorities, while remaining attentive to clinical safety and resources.

Clinician perspective (van Hooft et al.)

A nursing role perspective centered on treatment adherence and biomedical control, carrying the reflective caution that the person's valued life can disappear behind disease targets.

Gatekeeper perspective (van Hooft et al.)

A nursing role perspective emphasizing independence, service affordability, and public resources, with the caution that cost containment can be mistaken for patient empowerment.

Educator perspective (van Hooft et al.)

A nursing role perspective emphasizing preparation to manage future problems and exacerbations, with the reflective caution that information alone does not ensure capacity or change.