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Collaboration: couples working together to manage chronic illness.

Management of chronic illness by couples, within the context of their lives, has the potential to become problematic, especially if the illness is severe. Working together collaboratively appears to be one way that some couples are able to prevent, resolve, or circumvent problems and go on to do the illness and biographic work that is necessary to manage both the illness and their lives. This paper explores what collaboration is, how it works, and what happens when it breaks down. It also offers a three-step program for nursing intervention in cases where collaboration has either broken down or never existed.