Description/Overview: Overview: By 2020, one quarter of the American population will be living with more than one chronic illness creating a cost burden in the trillions of dollars. Approximately half of the patients with a chronic disease have problems following their prescribed regimen to the extent that they are unable to obtain optimum clinical benefit. Two key concepts involved in this approach are patient-nurse partnership and patient self-management. Presentations: Three presentations will describe evidence-based approaches to promote patient self-management and patient-nurse partnerships. The initial presentation will review delivery system design considerations for implementing self-management programs into clinical practice. Formative and summative evaluation outcomes will be presented that reflects the work of three regional project managers and the thematic categories of implementation facilitators and barriers for patient self-management will be described. The second presentation reports the impact of a videophone nurse delivered self-management intervention on caregiver strain, depression, and satisfaction with the program. Participants were caregivers of recent stroke patients recruited from Houston, Texas and San Juan, Puerto Rico. The last presentation will describe an educational-facility partnership and the teaching/learning strategies for chronic disease management and patient self-management. Application of disease management and patient self-management concepts throughout two courses provided an education-practice link to improve student competencies. Summary: The three presentations, will demonstrate the strong linkages of the chronic disease model and the patient self-management framework into nursing practice and education. The presentations reveal effective methods that foster patient self-management skills and facilitate the patient-nurse partnerships necessary for clinical best practice of chronic disease.

Learner Objective #1: Incorporate the Chronic Care Model into evidence-based teaching and practice strategies that demonstrate the translation of research into practice for patients with chronic disease.

Learner Objective #2: Describe information and telehealth technologies that promote collaborative interaction between patients, caregivers, and nurses in managing chronic conditions.