Week 4 - Self-Management of Chronic Disease Flashcards
How can one coping with their chronic disease?
Efforts to control internal / external demands but are experienced as taxing or stressful
- Avoid thinking, problem solving, seeking information, reappraisal, positive orientation, acceptance, maintain regular activities
How can one adapt to their chronic disease?
Used to respond to and interact with demands in the physical ad social environment, and thereby continue life in meaningful ways
- Modify activities, manage emotions, avoid thinking, reappraisal, acceptance, maintain regular activities
How can one self-manage their chronic disease?
Diagnosis specific and aim to control disease symptoms, complications and progression, to increase overall health
- Medication management, risk management, adopt healthy behaviours, symptom management, seek information, maintain regular activities
What’s are the self-management domains under Taxonomy of Everyday Self-Managing Strategies (TEDSS)
- Healthy behaviour - proactively strengthening & maintaining health
- Disease control - reducing the risk of disease-related complications, controlling and / limiting symptoms
- Internal - manage negative emotions & stress, accepting the situation and ‘moving forward’
- Social interactions - maintaining social relationships and managing awkward / embarrassing situations
- Activities - enabling / retaining participation in everyday activities despite disability or persisting symptoms
- Process strategies - problem solving, learning & integrating self-management strategies into everyday life
- Resource strategies - seeking and managing both formal and / or informal supports and resources
What does intervention under ‘Healthy behaviour’ look like?
- Having a healthy diet
- Physical / cognitive exercise
- Creating good sleep habits
What does intervention under ‘Disease control’ look like?
- Controlling symptoms
- Manage medications
- Monitor symptoms
- Prevent complications
- Use complementary medicine
What does intervention under ‘Internal’ look like?
- Accept condition
- Allow sadness
- Control stress
- Stay positive
- Seek spiritual comfort
What does intervention under ‘Social Interaction’ look like?
- Disclosing condition to close ones
- Choosing social relationships
- Optimize relationship
- Staying in contact with friends
What does intervention under ‘Activities’ look like?
- Engaging in valued activities
- Organize routines
- Pace, plan, prioritize
- Use aids
What does intervention under ‘Process Strategies’ look like?
- Create action plan
- Find information
- Make decisions
- Problem solve
- Set goals
What does intervention under ‘Resource Strategies’ look like?
- Advocate own disease
- Explain needs
- Finding support
- Seek help from providers
What are the 4 questions to assess readiness for change?
- Do you consider (behaviour) to be a problem?
- Are you distressed by this problem?
- Are you interested in change?
- Are you ready to do something to lead to change now?
Red = no to Q1 & 2
Yellow = yes to Q1-3
Green = yes to Q1-4
What is the 3 plan under ‘Action Planning’?
- Crisis action plan - what to do if patient encounter a barrier / crisis
- Goal setting action plan - SMARTER goals
- Coping action plan - identify barriers and action to take; confidence scale
What are the 5 stages of change?
- Contemplation
- Preparation
- Action
- Maintenance
- Relapse
What are the 2 phases in the Health Action Process Approach (HAPA)?
To assess motivation & action + guides use of goal setting & coping action plan
- Phase 1: Development of goal intention, motivational or decision making (non-intention)
- Phase 2: Planning & goal enactment volitional action (intentional)
Non-intentional + Intentional = Action (Recovery)
What are some theories and techniques to guide intervention for chronic disease?
- Goal intention formation (Motivational interviewing & Outcome self-efficacy)
- Planning (Building self-efficacy, Goal setting, Action Planning)
What are the mechanisms to build self-efficacy?
- Mastery: successful accomplishment of new skill (i.e. repetition, practice, homework, trial & error)
- Social Modelling: vicarious experience by seeing peers experience success; group discussion (i.e. reports from group members, pictures, quotes, videos)
- Social (verbal) persuasion: encouragement, positive feedback, coaching (same as above)
- Physiological & emotional states: alternate explanation for symptoms, talking through negative feelings (i.e. cognitive reframing, alternative interpretations)
