Within the current context of health care, health promotion for individuals with chronic illness often reflects the priorities of disease-specific preventive care needs and related physical, social, emotional, and spiritual wellbeing. This article reports a phenomenological study of how older people with chronic illness experience health and health promotion and illuminates a different perspective of health resources and strategies. The findings have profound implications for nursing practice and theory, suggesting the need for restructuring work assignments and refocusing nursing care more clearly away from the medical model.
(C. L. McWilliam) Assistant Professor, Faculties of Nursing and Family Medicine, University of Western Ontario, and Career Scientist, Ontario Ministry of Health, London, Ontario.
(M. Stewart) Professor, Family Medicine, University of Western Ontario, London, Ontario.
(J. B. Brown) Assistant Professor, Family Medicine, Thames Valley Family Practice Research Unit, University of Western Ontario, London, Ontario.
(K. Desai) Director, Oxford County Home Care Program, Woodstock, Ontario.
(P. Coderre) Director, Health Unit, Middlesex-London Home Care Program, London, Ontario.
Carol L. McWilliam is a career scientist funded by the Ontario Ministry of Health. This research is also funded by the Ontario Ministry of Health. The results and conclusions are those of the authors. No official endorsement by the Ministry is intended, nor should it be inferred. The authors also acknowledge the invaluable services of Lynn Dunikowski, Chief Librarian, Canadian Library of Family Medicine.