SelfManagement - PowerPoint PPT Presentation

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Title:

SelfManagement

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Self-management Support. Benefits of e-mail: Allows more time to review chart ... Patients need to look at. e-mails. Decision Support. Other Challenges ... – PowerPoint PPT presentation

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Slides: 10
Provided by: Lori1
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Title: SelfManagement


1
Self-Management
  • It Takes a Team

2
The Team
3
Delivery System Design
  • Pharmacy creates drug profiles for patients and
    up dates with each visit. Following appointment
    the patient is directed to pharmacy for a review
    of drugs with the clinical pharmacist. One more
    opportunity to reinforce medications.
  • Patients are provided to pharmacy in advance to
    streamline the process and allow pharmacist to
    schedule time accordingly

4
Self-management Support
  • Both e-mail and telephone communication modes are
    used.
  • Nursing Helpline information is included in the
    patient education/ resources package. We are
    using the fridge magnet and pamphlets. This has
    been tested for 3 months now to date the service
    has been used by four patients.
  • Whats it look like
  • Patient resource sheet
  • Weight Log
  • Sodium Facts
  • Introduction to Heart Failure ( HFSA)
  • Add on
  • Know your numbers
  • Activity and Exercise
  • Video Understanding Heart Failure

5
Follow-up
  • P- Lori will schedule a block of time (1.5
    hours) one day / week (Thursday) for telephone
    and e-mail follow-up. The call will be used to
    evaluate patient's weight, symptoms and adherence
    to self-management goal.
  • D- called 4 patients each call required 5 -
    10minutes. Responded to 3 e-mails (15 minutes).
  • S- the patients contacted by phone all reported
    good progress with identified goals 3 of 4 had a
    question regarding possible side effects of
    medications. 1 patient reported a weight gain of
    4lbs in 2 days and had correctly adjusted his
    diuretic.
  • A- Continue with phone follow-up for patients
    adjusting diuretic and those starting beta
    blockers.

6
Self-management Support
  • Benefits of e-mail
  • Allows more time to review chart
  • Can be done efficiently
  • My response is in written form and can be printed
    and saved by patient
  • Serves as documentation
  • Negatives
  • Patient requires computer and some skills
  • Patient must able to read
  • Patients need to look at
  • e-mails

7
Decision Support
  • Other Challenges
  • As numbers grow the need to identify patients who
    would most benefit from F/U
  • Who needs it most
  • Patients starting beta blockers
  • Patients using self-management to adjust
    diuretics

8
Self management Goals
  • Using self-management support tool we hope to get
    a better sense of our success with self
    management. It seems easy to establish the goal
    the difficult part is making that change a way of
    life.

9
Self-management Goal
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