The concept of health stewardship and responsibility for self, marks a shift from adopting a paternalistic approach to care, with decision-making the main remit of healthcare practitioners, towards encouraging and empowering individuals to take increasing responsibility for their healthcare and outcomes. The main aim of nursing is to achieve optimal health outcomes for every patient. Exploring health stewardship as a path to wellness will assist healthcare practitioners to guide patients living with a chronic disease to be as healthy as possible.