2807Nrs Chronic Illness Management | Assessment Answers
An effective self-care plan is one which is built in collaboration with the individual with chronic illness instead of prescribed. Not only does a collaborative plan foster a trusting relationship with a team of health and human services professionals, it also increases a sense of autonomy and adherence to health behaviour. This activity will seek to prepare you to build a self-care plan with an individual.
1.Review the strategies to support self-management in Self-Care and Self-Management in Chronic Illness in Canada.
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Statement: Example: “In this visit we will discuss and make a plan for illness. Management tells me you are having trouble with one symptom more than others?” |
Statement: Example: “Good question, this is what I know about (health concern)” |
Statement: Example: “Are you wanting to change any of your health practices?” |
Statement: Example: “What kinds of supports will you need to make this change?” |
Statement: Example: “Can we schedule another meeting for next month?” |
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Action: Example: Maintain open posture when client is expressing concerns |
Action: Example: Review client’s symptoms logs with them |
Action: Example: Validate their interest by sharing your own interests |
Action: Example: Asking open ended questions to facilitate problem solving |
Action: Example: Write meeting down |
Answer:
According to (Larsen, 2009) for chronic patients, it’s very important that an effective self-care plan. The most effective self-plan is one which the patient has been collaborated and helped in prescribing the best way to manage self-care more so when having chronic diseases (Kramer-Kile & Osuji , 2012) it’s the rule of the health care professionals to ensure that the self-care plan is designed well to achieve the desired results. Therefore to achieve this, there are some strategies that can be used and are used to support self-management in self-care and also self-managing the chronic infections. The strategies include
Behavioral strategies
According to this strategy, when a client is involved in planning their own care, there is always a successful management. (Th health foundation, 2013) There are always better results for a client when this strategy is used since they are knowledgeable, very active and act role of a collaborative partner when it comes to their own care. Engaging learning processes and teaching participants the skills make the behavioral strategies.
Psychological strategies
Some of the main integral values for managing chronic disease are feelings and altitudes. It’s very necessary that a client understands that emotional responses that are related to their chronic disease are very vital.
Communication strategy
This strategy is used in ensuring that a chronic disease patient or client gets to understand the information they receive. It entails assessing chronic disease client on their level of understanding and clarification when they receive information. (Harriet & Snyder, 2009)
The following is an example on the usage of the 5As of the self-care support model and plan. (Glasgow & Miller , 2006)
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ASSESS |
ADVISE |
AGREE |
ASSIST |
ARRANGE |
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Statement: Do you feel some challenges to stay under medication and to maintain the chronic disease diagnosis |
Statement: It’s very challenging to cope the situation, however, having regular check-ups will facilitate quick recovery |
Statement: Are you willing to seek better medical check-ups for the treatment of the chronic disease |
Statement: What makes you not be able to cope with the current medication plan |
Statement: Can I organize you have a meeting with specialized doctors in the chronic related complications |
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Action Pay attention to note some of the experiences the client is facing |
Action Note the frequency and how the client has been attending check-ups and who has been attending them |
Actions Explain to them what the previous check-ups have missed if he or she has been attending |
Actions Try to give the clients a clue of the kind of answers you expect |
Actions Write the meeting down |
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Statement After the change on the medical professionals, is there any physical body change or concerns that you may have noticed. Are the new medicine helping you recover |
statement This new medication need to be administered under the doctor’s prescription. You need not to mistake any of them. Be cautious with time and the diet too. |
statement Are you willing or is it possible for you to have a close medical attention by having one of the specialists attending you, by either getting to your place or just travelling for regular dated check-ups. |
statement I will organize for your regular check-ups, your diet prescription and some other conditions that will fasten your healing or recovering process. |
Statement Be meeting your doctor for check-ups on every first and third Monday of the month for check-up’s and progress update |
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Action Listen keenly to the response the client will give and note them down |
Action Label the medicines, give proper prescription and explain them to the client |
Action Give the clients advantages and disadvantages of each option and allow them to make the choice |
Action Explain to the client the need for the check-ups and diet change. |
Action Give the client specific dates and note them down in their reference cards |
References
Glasgow, R. E., & Miller , D. C. (2006). Assessing delivery of the five ‘As’ for patient-centered counseling. Health Promotion International,, 21(3), 245–255,.
Harriet, B., & Snyder, S. (2009). Five Communication Strategies to Promote Self-Management of Chronic Illness. American Academy of Family Physicians, 12-16.
Kramer-Kile, M., & Osuji , J. (2012). Chronic illness in Canada: Impact and intervention. Cadana works press.
Larsen, P. D. (2009). Chronic Illness. Jones & Bartlett Learning, 2009.
Th health foundation. (2013, October 21). Person-centred care resource centre:Behaviour Change Model. Retrieved July 20, 2018, from Person-centred care resource centre: https://personcentredcare.health.org.uk/resources/5-behaviour-change-model
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