self management Flashcards
what is self management?
- daily and flexible process where an individual is able to perform individual goal- driven activities
what does self management help adjust to?
- adjustment to psycho- logical consequences such as emotions and stress
what are two examples of self management techniques?
- adopting info
- drug and symptom management
how are patients recognised in self management techniques?
- recognised as active co- producers of their own health and supported to develop the knowledge and skills needed to become confident self- managers of their conditions
what are self management techniques viewed as? what do thy help?
- viewed as a portfolio of techniques and tools
- help patients chose healthy behaviours and a fundamental transformation of the patient- caregiver relationship into a collaborative partnership
what is self- management an integral part of?
- integral part of LTC management and PCC
what determines how effectively health is managed?
- the individual’s own capabilities and resources determine how effectively their health is managed
what are the two benefits of self- management strategies?
+ better health outcomes
+ improvements to patient’s QoL, clinical outcomes and health service use
what are the seven self management techniques?
- eating well
- exercising
- taking medicines
- keeping in good mental health
- coping if symptoms worsen
- knowing when to seek professional help
what should you involve participants in?
- involve them in decision making
- patients and clinicians need to work together
what may be more important than clincial targets?
- setting goals and following up on the extent to which these are achieved over time
what are participants motivated to do?
- motivated to be pro-active with their own care
- self manage using targeted approaches and structured support
what is promoted to patients?
- healthy lifestyle and education is promoted
what does education help people to monitor?
- monitor symptoms
what should be provided and why?
- follow up
- including providing opportunities to share with and learn from other service users
what is peer support beneficial for?
-provides opportunities for the patient to be supported
what do self- management techniques do for the patient?
- give them confidence and empowerment
how do you adopt a consulting style?
- curious, supportive, non- judgemental
- communicates evidence about benefit and risk in an unbiased way
what are the 8 features a consultation should include?
- developing empathy and trust
- negotiated agenda- setting and prioritising
- information sharing
- re-attribution (if appropriate)
- communicating and managing risk
- supporting deliberation
- summarising and making the decision
- documenting the decision
what are the different formats of education? (6)
- written
- video
- podcast
- leaflets
- websites
- groups
what should be considered when giving education?
- consider needs of the patient and their preferences
what type of information is more effective?
- written information is more effective if personalised
what are the six barriers to self- management?
- professional dominance in health care
- lack of time
- patient and professional characteristics
- patient-professional interactions
- LTC characteristics and treatments
- organisational cultures and infrastructures
what are patient and professional characteristics that can act as a barrier to self- management? (4)
- values
- attitudes
- knowledge
- demographics
