Selfmanagement
The note “Self-management: exploration and agenda-setting definition of self-management” is based on the Chronic Care Model (CCM), which says that “self-management is the individual ability to deal well with symptoms, treatment, physical and social consequences and lifestyle changes inherent to living with a chronic condition (www.improvingchroniccare.org)” (Engels & Dijck, 2010).
Self-management involves
– dealing with physical, psychological and social consequences of the condition
– fitting the disease into daily life
– striving for an optimal quality of life
– achieving control (patient) and shared decision-making
Promoting self-management is the basis of every nursing intervention. The aim of this is to promote quality of life. Equal cooperation is important for joint decision-making. It is important to give the client confidence in their own abilities.
Question 50 concerns Mr. To give Albai confidence in his own actions, motivation and knowledge (self-efficacy). Luciel can also tell you something about wound treatment and the cause of the wound, such as venous insufficiency, DM and reduced mobilization. This makes Mr. aware of his possibilities for independence, which makes him less dependent on others, which improves his quality of life.
Self-efficacy, or confidence in one’s own abilities, is a determining factor for good self-management (see question 57).
Source:
Van Staa, A., Mies, L., ter Maten-Speksnijder (red)(2017) Verpleegkundige ondersteuning bij zelfmanagement en eigen regie. Bohn Stafleu van Loghum. p. 20.
Pel R. & Bakker A. (2022) Samen beslissen in het verpleegkundig domein, Kadernotitie Vilans & V&VN, Utrecht.
A.M. Stiggelbout, A.H. Pieterse, J.C.J.M. De Haes, Shared decision making: Concepts, evidence, and practice, Patient Educ. Couns. 98 (2015) 1172–1179. doi:10.1016/j.pec.2015.06.02
Elwyn G, Durand MA, Song J, et al. A three-talk model for shared decision making: Multistage consultation process. BMJ. (2017) 359:1-7. doi:10.1136/bmj.j4891.
5 A model in Kennisbundel. Vilans.nl https://kennisbundel.vilans.nl/zelfmanagement-competenties.html
See also video about self-management: