Experiences of the chronically ill. A covert caring for the self.

The biomedical paradigm of Western society has dictated the values, attitudes, and behaviors of many health care professionals. For people living with chronic illnesses, this biomedical domination has reduced client control. Because of the prolonged nature of chronic conditions, these clients often become the best experts on themselves; however, this is rarely recognized or respected by health care professionals. As a result, people living with chronic illnesses often go underground and engage in a covert caring for the self. Results of a recent research project highlight four themes that provide insight into these covert caring practices: (a) taking control, (b) seeking knowledge, (c) accessing alternate healing modalities, and (d) an altered relationship with health care providers. These findings provide nurses with an opportunity for increased awareness and sensitivity to the experiences of people living with chronic conditions. Such a sensitivity could lead to enhancing client autonomy.