Lecture 4 - Self Management in Chronic Neurological Conditions Flashcards
Define Self Managment
the way a person proactively manages their lifestyle for their health, well being and QofL when living with chronic conditions
What is the recommended amount of physical activity
150-300 mins of moderate intensity activity or 75-150mins of vigorous activity each week
muscle strength 2 days per week
PD is ______ rd less active than older adults
1/3
MS is _____ less active then general population
moderately
Stoke perform ______ as many steps per day as general population
half
_____% of TBI patients perform the recommended amount of physical activity
8%
What are the clinical implications of Windward et al’s study on self managment
people need more support to complete exercise
Define Tertiary prevention approach
focus on restoring function after an acute event
Define Secondary prevention approach
early intervention to establish self management with regular monitoring - help people start a program and maintain it for long term.
Name the 8 Barriers to exercise in people with neurological conditions
“C.onnor F.ears L.osing I.D. F.or L.iqour”
Low outcome expectation lack of time fear of falling disappointment fatigue impairments co-morbidities
Name the 5 Facilitators to exercise for people with Neuro conditions
Self efficacy Age College education Accountability to another person Access
Define Self Efficacy
a persons belief in his or her capabilities to overcome personal, social, and environment barriers to exercise
How do you increase and decrease self efficacy
Increase: success, modelling, social persuasion, education of benefits
Decrease: failure, disappointment
What are some behaviour change techniques to increase PA
establish current physical activity level set goals identify interests identify barriers and facilitators education feedback/self-monitoring review - via skype, in person
What did Van der Ploeg find about patients with TBI, Stroke and exercise self managment
Counselling group were twice as likely to participate in sport or physical activity after discharge. 1.5X as likely to meet the physical activity guidelines, and significantly more people in conselling group were meeting PA guidelines
