Nursing Best Practice Guidelines

Strategies to Support Self Management in Chronic Conditions

Background Information
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Purpose & Scope
Key Assumptions
Background
Client Education and Self-Management Education

Practice Recommendations
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Interpretation of Evidence
Practice Recommendations: Assess
Practice Recommendations: Advise
Practice Recommendations: Agree
Practice Recommendations: Assist
Practice Recommendations: Arrange
Innovative Delivery Models
5 A’S APPROACH

Point of Care Resources
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The “5 A’s” of Behavioural Change
Table 1: Characteristics of the Chronic Care Model
Figure A. Chronic Care Model
Table 2: Comparison of Client Education and Self-Management Education
Table 3: Stages of Change Model
Assessment of Client’s Readiness for Change Script
Example of “Ask-Tell-Ask” Script
Example of “Closing the Loop” Script

Sample Tools
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PHQ-2 Client Health Questionnaire
Personal Action Plan: Helping clients with chronic conditions develop a plan for learning new behaviours.
Tools for Establishing an Agenda

Client and Family Education
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Client Resource
Nurse Reference
References