As is often the case in non-communicable diseases & conditions self-management, including medication adherence, is a component of the treatment plan. Thus, self-management support as described in the Chronic Care Model is an important component of medication model. If self-management includes a psychomotor skill such as administering a shot or using an inhaler, the patient will need to be competent.  Competence is related to one�s need to adapt to new challenges that originate from cognitive and motor skills. Competence is strengthened by praise & positive feedback a nurse gives to the patient as new skills are return demonstrated.