“…A transition is a health status change with consequences for roles, relationships, expectations or capacities, and it also indicates changes in the needs of a person (Meleis 1991). A transition during the course of an illness requires that the individual integrate new knowledge in order both to modify behaviour and to adapt to a new social context (Meleis 1991, Parkes 1971, Viney & Bousfield 1991. Earlier studies show that psychosocial problems may be partly explained by major functional impairments in MD, which can result in a lowered quality of life (Ahlström 1994, Eggers & Zatz 1998, Fowler et al 1997.…”