Week 2

Question 1

What are some approaches to Self-Care and Management?

Answer 1

CCM, ECCM, Programs, Transitional Care, Guided Care

Question 2

Explain the CCM and the ECCM

Answer 2

CCM - focuses on the combination of the individual and the community to create productive outcomes in chronic illness; focuses on having a better prepared patient and a prepared healthcare team

ECCM - focuses more on the community and building public policy; wants to activate the community and create a supportive community (d/t the Charter)

Question 3

What is executive autonomy and decisional autonomy?

Answer 3

Executive - the ability to self-manage

Decisional - the capacity to understand and make decisions

Question 4

What are some things that affect the ability to provide self-care?

Answer 4

A belief that one cannot care for self, functional ability/independence, self-determination, adherence to treatments

Question 5

What are some key aspects of self-management support?

Answer 5

Encouraging clients to engage in healthy behaviours, monitoring progress, maintaining regular contact with the client, and helping the client to feel a sense of control over their illness

Question 6

What are some factors that affect behaviours in chronic illness?

Answer 6

Presence of a support system
Acceptance of the illness
Access to resources (finances)

Question 7

What are the 5 A’s of behaviour change and what do they mean?

Answer 7

Assess - motivation, beliefs, health info, readiness, priorities; create and agenda

Advise - personalized health risks, help create a plan for change

Agree - set appropriate, attainable, and realistic goals; involve the patient in the goal-setting

Assist - in helping the patient cope, problem-solve, and utilize their available resources

Arrange - follow-up care, staying in contact, updating the plan as needed

Question 8

Describe motivational interviewing.

Answer 8

A continual process of information exchange; aims to motivate the client to create change within; set an agenda based on their perceived readiness to change certain things; set an agenda with the patient being the lead on what changes to make and how

Question 9

What are some of the things involved in the process of motivational interviewing?

Answer 9

Engaging the patient, focus on the patient’s motivation for change, considering the benefits of a change

Question 10

What are some of the core skills associated with motivational interviewing?

Answer 10

Open-ended questions
Affirm
Reflect
Summarize