lecture 19: self management of chronic conditions Flashcards

1
Q

how many canadians live w at least 1 chronic condition + ex

A

1 in 3 (33.7%) canadians
- cardiovascular disease (CVD)
- cancer
- chronic resp disease (CRD)
- diabetes
- mood/anxiety disorders

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2
Q

modifiable risk factors for chronic conditions

A
  • physical inactivity
  • unhealthy eating
  • harmful use of alcohol
  • smoking
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3
Q

+‘ve outcomes of self-management

A
  • related to better overall health
  • savings in healthcare costs
  • decrease in hospitalizations
  • increased self-efficacy
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4
Q

barriers to self-management

A
  • low SES
  • undeserved populations
  • health literacy
  • financial constraints
  • psychological health
  • poor relationship w care provider
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5
Q

where is self management support provided

A
  • primary care
  • community
  • hospital
  • online programs
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6
Q

how is self management provided

A
  • self management programs
  • peer support
  • stress-management and coping skills
  • skill development
  • education
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7
Q

client education for self-management

A
  • issues covered reflect widespread common problems related to a specific disease
  • disease-specific and offers information and technical skills related to disease
  • based on underlying theory that disease-specific knowledge creates behaviour change which produces better outcomes
  • goal is “compliance”
  • delivered by health-care professional
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8
Q

self-management education

A
  • issues covered are identified by client
  • provides problem-solving skills relevant to concerns identified by the client living with a chronic condition
  • based on theory that greater client confidence in their capacity to make life-improving changes for better clinical outcomes
  • goal is increased self-efficacy and improved clinical outcomes
  • educators may be nurses, healthcare, providers, or others living w the disease
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9
Q

what are the 5 A’s of behavioural change approach

A
  1. assess
  2. advise
  3. agree
  4. assist
  5. arrange
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10
Q

stages of change model

A
  1. precontemplation
  2. contemplation
  3. preparation
  4. action
  5. maintenance
  6. relapse
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11
Q

strategies for self-management

A
  1. behavioural strategies
  2. psychosocial strategies
  3. tailoring strategies
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