Functional mastery of health ownership: A model for optimum health

Abstract

The aim of this paper is to introduce the Functional Mastery of Health Ownership (FMHO) model and to develop an operational definition of functional mastery as it applies to a positive health outcome for patients with chronic illness or an altered life situation. Daily functioning within the negative disease burden of chronic illness is the goal of individuals living within the constraints of morbidity. Functional mastery fosters health ownership and helps to predict successful control over life circumstances for optimum wellness within the parameters of the limitations of the effects of illness. Significant to nursing, the FMHO conceptual framework uses four foundational influences to assess a patient's ability to not only master function within the disease process, but also to sustain function and best health over time. The FMHO model provides a tool for practitioners to enable individualized care as patients move through the disease process and adapt to changes over time.

Adolescent ownership of asthma health: A concept analysis

“…Quality of life measurement is also crucial. The model supports using quality of life measures that document patient and family beliefs of their quality of life over the past 2 weeks of time …”

“…The FMHO model is a new model that aids nurses to empower the patient and family to own their health. FMHO consists of four foundational influences: (1) the patient perception of health, (2) self‐efficacy, (3) social resources, and (4) the personal perception of mastery . Wellness is not merely the absence of disease but also involves the holistic self: physical, psychological, and social wellness .…”

“…Wellness is not merely the absence of disease but also involves the holistic self: physical, psychological, and social wellness . The FMHO also allows for the patient and parents to make decisions regarding their care and to gain the responsibility required to achieve wellness . At each point in the model, supports are present to empower the patient to learn how to care for their self.…”

“…A personal perception of mastery allows the adolescent to exert control over all of their health—physically and psychologically. The adolescent is not merely coping with their health but making strides toward wellness …”

Harnessing the Four Elements for Mental Health

“…This approach can be recognized as being considered part of the emerging field of “lifestyle medicine.” Aside from providing the fundamentals of sustaining life, and the potential mental health benefits detailed above, there are a range of ancillary advantages. Such approaches may enhance social connectivity, improve physical health, may enhance brain health and cognition, and increase “self-efficacy” or mastery (90). These approaches are generally very low-cost, although choices may be limited in developing countries and those with overindustrialized, polluted environments.…”