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Journey Into Well-Being:

   The Path to Positive Self
Management of Chronic Disease
OBJECTIVES:

  1.To understand the concept of self management in Chronic
       Disease Management

  2. To learn the task...
Reflect…..



Knowledge =?= Behavior Change
ACUTE DISEASE


   abrupt onset
   short term
   single cause
   diagnosis certain
   intervention usually effective
   ou...
Chronic Disease

      gradual onset
      long term
      many causes, interrelated
      delayed diagnosis
      multipl...
Traditional Education               Self Management
                                           Education
  Professional is...
Self Management Tasks

 Medical management
 of condition(s)

 Managing changing life
 roles

 Dealing with difficult
 emot...
Self Management Skills

   Problem solving
   Decision making
   Resource utilization
   Patient/ health care
   provider ...
Action Planning
 1. Something YOU want to do
 2. Achievable
 3. Action specific
 4. Answers the questions:
     What?
    ...
Benefits of Self Management programs

 Increased use of
 healthy behaviours
   relaxation, exercise, healthy
   eating, st...
Why do self management programs work?

   Self Efficacy Theory:
   When patients have the
   confidence to do
   something...
Ontario’s CDPM Framework
                                           INDIVIDUALS
                                          ...
Journey Into Well-being
The Chronic Disease Self Management Program

  Stanford (Lorig) model
  Licensed program
  No doct...
$25 (Reference book)
2 leaders: 1 Lay leader,
1 Health Care
Professional
    (4 day training for
leaders)
Scripted session...
CDSMP in the CHC

   Need for CDM programming
   Community – staff relationship
   Locations
   Existing programs
   Ongoi...
C38 Journey Into Well Being[1]
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C38 Journey Into Well Being[1]

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C38 Journey Into Well Being[1]

  1. 1. Journey Into Well-Being: The Path to Positive Self Management of Chronic Disease
  2. 2. OBJECTIVES: 1.To understand the concept of self management in Chronic Disease Management 2. To learn the tasks and skills required to self manage 3. To introduce NYGH ‘s Chronic Disease Self Management Program, Journey Into Well-Being 4. To experience elements of group skill mastery 5. To discover how CDSMP fits into the Community Health Centre
  3. 3. Reflect….. Knowledge =?= Behavior Change
  4. 4. ACUTE DISEASE abrupt onset short term single cause diagnosis certain intervention usually effective outcome cure common uncertainty minimal knowledge of professional important
  5. 5. Chronic Disease gradual onset long term many causes, interrelated delayed diagnosis multiple interventions, side effects, no effects no cure…..management uncertain future knowledge of patient and professional important
  6. 6. Traditional Education Self Management Education Professional is expert in Patient is the expert in their disease lives Professional tells patient Patient sets goals with what to do and sets goals professional Professional solves the Patient identifies problems problems Patient learns strategies to Goal is for patient to comply solve problems to professional to achieve Patient internally motivated benefits and uses problem solving, Behaviour changed by goals to achieve benefits external motivation that are meaningful Minimal behavior change Maximal behaviour change occurs. occurs
  7. 7. Self Management Tasks Medical management of condition(s) Managing changing life roles Dealing with difficult emotions
  8. 8. Self Management Skills Problem solving Decision making Resource utilization Patient/ health care provider partnership Taking action (achieving meaningful goals)
  9. 9. Action Planning 1. Something YOU want to do 2. Achievable 3. Action specific 4. Answers the questions: What? How much? When? How often? 5. Confidence level of 7/10 or more (Stanford CDSMP)
  10. 10. Benefits of Self Management programs Increased use of healthy behaviours relaxation, exercise, healthy eating, stress management Improved health status Reduced health care utilization 1:9
  11. 11. Why do self management programs work? Self Efficacy Theory: When patients have the confidence to do something, they will probably do it (Bandura) skills mastery modelling reinterpretation of symptoms social persuasion
  12. 12. Ontario’s CDPM Framework INDIVIDUALS AND FAMILIES Healthy Public Personal Policy Skills & Self- Management HEALTH CARE Supportive Support Environments ORGANIZATIONS Delivery Information Community System Provider Systems Action Design Decision Support Productive interactions and relationships Informed, Activated Prepared, activated communities & proactive individuals prepared, proactive practice & families community teams partners Improved clinical, functional and population health outcomes
  13. 13. Journey Into Well-being The Chronic Disease Self Management Program Stanford (Lorig) model Licensed program No doctor’s referral needed Target: 50+ with any chronic disease diabetes, asthma, hypertension, arthritis, osteoporosis, depression 6 weeks, 2 ½ hours Relaxation, nutrition, exercise, action plans
  14. 14. $25 (Reference book) 2 leaders: 1 Lay leader, 1 Health Care Professional (4 day training for leaders) Scripted sessions – emphasis on group process, setting and achieving goals, learning from others
  15. 15. CDSMP in the CHC Need for CDM programming Community – staff relationship Locations Existing programs Ongoing support Disease specific information Exercise Other opportunities

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