Class 7 - Supporting Self-Management

Question 1

What does successful self-management contribute to?

Answer 1

better physical and psychosocial health outcomes

Question 2

What are the 4 tasks that must be mastered for successful self-management?

Answer 2

1. processing emotions (normalizing emotions, communicating)
2. Adjusting to changes
3. Integrating illness into daily life
4. Determining meaning of illness to base decisions (informed decisions about care)

Question 2

What does successful self-management looks like?

Answer 2

daily activities that keep illness under control, minimize impact on physical health, cope with psychosocial parts of illness

Question 3

Why are self-management skills useful?

Answer 3

-responding to changes
-maintaining healthy lifestyle
-managing symptoms
-deciding when to seek treatment and what to try

Question 4

What are some examples of self-management skills?

Answer 4

-working WITH healthcare team
-using medications safely and effectively
-community resources
-talking with friends and family
-adapting social activites

Question 5

Nursing Role: Empower

Answer 5

empower the person

Question 6

Nursing Role: Ensure

Answer 6

ensure autonomy with respect to adjusting the regimen

Question 7

Nursing Role: Recognize

Answer 7

recognize person is expert with their own illness

Question 8

How do you help families with self-management?

Answer 8

-familiarize self with the disease, the persons illness narrative and unique experience
-anticipate changing needs
-identify and utilize family strengths
-minimize risk
-address safety concerns
-provide equipment and teach how to use
-work WITH the family

Question 9

What do you need to learn about the person?

Answer 9

-needs and goals
-supports
-available resources
-what have they tried
-what are they willing to try
-what do they need from you

Question 10

How do you support self-management?

Answer 10

-search for evidence to inform decisions
-SMART goals
-make conditions to cultivate change
-support self-efficacy
-book check-ins and follow-ups
-communication

Question 11

What influences medication adherence?

Answer 11

-behaviours towards meds
-knowledge of meds
-environment
-relationship with provider and system
-side effects
-complexity
-forgetfulness
-cost

Question 12

Social/economic, provider-patient and system, condition-related, therapy-related, and patient-related are the 5 dimensions of ______________ (examples of each dimension in the slides!!!!)

Answer 12

medication adherence