糖尿病教育权威英文26Selfmanagement.ppt

Self-management Section 2 | Part 6 of 6 Curriculum Module III-1 | Self-management The impact of diabetes Think of someone you know in your personal or social life who has diabetes What is your understanding of how they are managing their diabetes? How do you know? Do you know… really? What do they tell you? What don’t they tell you, if anything? The impact of diabetes What do you feel is supportive behaviour from close family, friends, or the healthcare professional? What is not supportive? If you had diabetes, what would you expect from the people listed above? Why is self-care important? Not enough healthcare providers for day-to-day management 24-hours-a-day management is necessary Better long-term outcomes Barriers to self-care Consider barriers to self-care in your culture Examples: financial resources discrimination Barriers to self-care Lack of knowledge and skills Lack of support Lack of resources: experienced, knowledgeable people testing equipment, urine tests, meters, access to laboratories money for medication Attitude(s) of healthcare professionals Knowledge of healthcare professionals Self-management abilities The ability to self-manage is enhanced by: Considering the individual’s need(s) Teaching skills to carry out medical regimens Guiding behavioural change Providing emotional support Self-care “Medical care for chronic illness is rarely effective in the absence of adequate self-care.” “Self-care and medical care are both enhanced by effective collaboration among chronically ill patients and their families and healthcare providers.” Self-care Shared goals Sustainable working relationships Mutual understanding of roles and responsibilities Requisite skills for carrying out their roles Importance of monitoring Only way to know how diabetes is managed on day-to-day basis Results in glucose levels closer to target Teaches how to interpret and act on results Helps make changes to meals, medication or activities on a daily basis Urine glucose tes