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Self Management (Skills to support self management (Listen to the…
Self Management
Skills to support self management
Listen to the narrative
Wht patient believes and undertands
What patient wants and feels
Education
conceptualization of the disease
Reduce fear or anxiety
Towards accetpance
Increase self efficacy
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Page 27 of slides (Cycle of acceptance )
Goal setting - patient led
Clinician needs skills in facilitatin patient
setting of goals and developing strategies
Coach skills
Coaching whilst learning of skills
Feedback
Patient centered care approach
PCC approach
Person centeredness
Patient centered medicine
PCC
Self determination
individial involved in making goals
more likely behavior change will be carried out
Self efficacy
Belief of ones ability
Achievement of goals
increased ones motivation to engage in process
Facilitation of behavior change
SM in chronic pain
Treatment
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Movement
Depend on patient's goals
Specific ex program
Pacing up to an activity
Education
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Chronic pain model
Thoughts and belief
Factors
Goals
Facilitate the patient
Referral to psych
Referral to rehab co-coordinator
Patient
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SM in stroke
Patient
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Treatment
Functional retraining
Paient goals
Eduaction
Goals
Potential carers
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Family
social workers
Models of health
Conceptual frameworks
way of thinking about health
Biomedical vs Biopsychosocial models
Biomedical model
HCP (Healthcare Professionals )
Takes the lead in decision making
Focus on biological disturbance
Structural damage
disease focused
effective
acute conditions
poor evidence for chronic conditions
Treatment
Recovery
long term consequences arise when recovery is not part of the BM model
Patient
Passive recipient
Biopsychosocial model
Patient
physical
Psychological
Three factors determine intervention
social factors
Focus incudes psychological and social burden of the disease
Whole person approach
Multidimantional approach
Good evidence
Chronic disease management
Clinician needs to be ready to explore all aspects