The iPANEL team is committed to dissemination of findings as well as engagement in numerous and varied ways that will reach as many people as possible.  Methods will include presentations, publications, webinars, newsletters, posters, cafés, workshops as well as collaborations with policy makers, decision makers, health system planners, academics, and media personnel.  Research is meant to change practice at all levels of the health care system, including direct client care, practitioner basic and continuing education, health policy development, health care management and leadership.

  • Publications & Presentations
  • Publications
  • Unravelling the tensions between chronic disease management and end-of-life planning

Unravelling the tensions between chronic disease management and end-of-life planning

Thorne, S., Roberts, D., & Sawatzky, R. (2016). Research and Theory for Nursing Practice. Volume 30 Issue 2, 91-103. doi: 10.1891/1541-6577.30.2.91


An increasing appreciation for the burden that chronic conditions represent for people and for societies has triggered an evolving body of popular and professional conceptualizations of the nature of the chronic disease challenge. In this discussion article, we trace the trajectory of thinking about chronic illness care, surfacing underlying assumptions and drivers that have shaped current dominant models of service delivery. We note significant gaps in these conceptualizations, especially with respect to the reality that many chronic conditions are life limiting. Contrasting chronic disease theorizing with the conversations that have arisen around end-of-life care for other kinds of health conditions, we argue for a shift in our thinking to accommodate the implications of life limitation in our service delivery planning. We see significant leadership potential in optimizing the role nurses can play across the chronic disease trajectory by integrating the healthy optimism of self-care management with the profound compassion of a personcentered palliative approach.


To read this article please visit the journal site.


iPanel Events

No events

Recent Tweets

RT @EOLresearchers: U.S. Study: "Understanding language gaps is key to ensuring #patients can engage in meaningful conversations with their…