WRAP

Question 1

Definition

Answer 1

a structured system for monitoring uncomfortable and distressing symptoms and, through planned responses, reducing, modifying or eliminating those symptoms.

Question 2

Step 1: Developing a wellness toolbox

Answer 2

a list of tools, strategies and skills that have been used in the past to relieve disturbing symptoms

Question 3

Step 2: daily maintenance list

Answer 3

part 1 - writes how they feel when experiencing wellness
part 2 - uses toolbox to make a list of things that need to be done daily to maintain wellness (i.e. exercise, avoid caffeine)
part 3 - Keep a list of things that need to be done. read it daily.

Question 4

step 3: Triggers

Answer 4

part 1: make list of triggers

part 2: use toolbox to develop plan of how to handle triggers when they effect wellness

Question 5

step 4: early warning signs

Answer 5

part 1: identify early signs of worsening wellness (i.e. anxiety, forgetfulness, lack of motivation)

part 2: develop a plan for responding to warning signs

Question 6

step 5: things are breaking down or getting worse

Answer 6

(what one person thinks is breaking down may be crisis for another)
part 1: list symptoms that are occurring. (irrational responses, headaches, insomnia, isolation)

part 2: makes a plan for what might help when symptoms have worsened. This plan should be very specific and direct. (call Dr. and ask for and listen to directions, arrange to have someone stay with me around the clock)

Question 7

step 6: crisis planning

Answer 7

Meant for use by caregivers on behalf of an individual

step 1: gather info about what person is like when well
step 2: identify symptoms that indicate need for help with self care
step 3: provide names of people who can speak on their behalf
step 4: include health-care providers numbers, med list, allergies, preferred meds and meds they don’t like
step 5: include patients treatment preferences
step 6: include patients preferred treatment facility
part 7: includes preferred alternative facilities and those to be avoided
part 8: includes what identified supports should be doing on their behalf
part 9: contains a list of indicators, developed by patient, that tells supporters they are no longer needed.