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       #Post#: 304--------------------------------------------------
       How can care professionals support self-management?
       By: Janei5 Date: August 3, 2015, 4:02 am
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       How can care professionals support self-management?
       #Post#: 308--------------------------------------------------
       Re: How can care professionals support self-management?
       By: Harald Braun Date: August 3, 2015, 4:10 am
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       The current culture of the delivery of health care remains all
       too often 'do to' rather than 'work with'. There are challenges
       around widely shared expectations and behaviours:
       The balance of power in encounters; "I don't know, you're the
       doctor."
       That the professionals will 'cure' or at least 'fix' the
       individual.
       That mental health issues are split off- people with mental
       health issues are less likely to be able to self-manage
       effectively and people with multiple LTCs are more likely to be
       overwhelmed by disease burden and become anxious/ depressed.
       A problem-saturated view, where an individual's strengths and
       the assets in their community are not explored or acknowledged.
       One of the core aims of encounters between people with LTCs and
       professionals needs to become the improvement of the knowledge,
       skills and confidence of the individual to self-care which
       requires a respectful partnership based approach: "Over 90% of
       people with LTCs say they are interested in being more active
       self-managers and over 75% would feel more confident about
       self-management if they had help from a healthcare professional
       or peer. Despite this, many people with LTCs have limited
       knowledge of, or influence over their care. Despite considerable
       efforts to tackle the most important area, namely the
       effectiveness, quality and focus of consultations between
       patients and clinicians, the most significant problem is the
       reluctance of clinical staff to provide active support for
       patient engagement. Unfortunately, shared decision making for
       example, is less common in the UK than in many other countries."
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