Becoming an Active Self Manager

______ self managers maintain participation in life despite illness

active

______ self managers withdraw and allow illness to dominate

passive

medical management

caring for health conditions

role management

maintaining or adapting roles

emotional management

managing emotions (coping with anger, fear, sadness)

what are three essential tools for self management?

• problem solving

• decision making

• action planning

what percentage of clients with chronic illnesses fail to consistently follow treatment recommendations?

50%

what are some barriers to adherence to treatment recommendations?

• complexity of regimens

• treatment burden

• disrupted routines

what are the two types of non-adherence?

1. intentional non-adherence

2. unintentional nonadherence

intentional nonadherence

clients consciously choose not to follow treatment, often tied to health beliefs, mistrust or competing priorities

unintentional nonadherence

when clients want to adhere but fail due to forgetfulness, misunderstanding instructions or environmental barriers

prospective memory

ability to remember to perform a task in the future

what role does prospective memory play in treatment adherence?

common when tasks are complex or lack environmental cues

strong social support has a ____ ____ on treatment adherence

protective effect

what are some empowerment oriented approaches?

• self management education

• shared decision making and collaborative goal setting

• peer support and confidence building

• health literacy and educational resources

allosteric model

even if someone has a strong internal drive, without an enabling environment, motivation cannot translate into behavior change

both motivation and a supportive environment are necessary for change

if readiness is high but confidence is low, what should OT focus on?

building skills and supports

if readiness is low, what should the OT focus on?

exploring ambivalence and connecting change to meaningful values