Transcript Working Together to Improve Self Care Shipston Medical Centre

Working Together to Improve
Self Care
Shipston Medical Centre
What is Self Care?
• “The practices undertaken by individuals
towards maintaining health and managing
illness”
• Self care is the basic level of health care in
society
• Self care is a continuum
The Self Care Continuum
100%
PROFESSIONAL
CARE
100%
SELF CARE
Daily
choices
Lifestyle
HEALTHY
LIVING
Self care of
ailments
MINOR
Minor
ailments
Long term
conditions
AILMENTS
LONGTERM
Acute
condition
Serious
mental or
physical
illness
CONDITION
Acute
HOSPITAL
CARE
Sources of information
•
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•
•
GPs
Practice nurses
Minor injuries unit
Pharmacists
Dentists
Range of health
professionals –
chiropody,
physiotherapists,
occupational therapists
• NHS direct
• Books – “Books on
Prescription Scheme”
• Internet – see practice
website for reliable
sources
• “Warwickshire Health
Line”
• 03000 247 111
Healthy Living – personal choices
Healthy Living
Healthy
Living
ACTIVE 11
Family fun
day
Sports and
Social Club
July 24th 25pm
Minor illness
Minor illness and self care
• Not just a recipient of health care but take
responsibility to play an active role in own health
and wellbeing.
• “What should I do if …” booklets – evidence
based, up to date advice.
• Dr Gilder and Health Visitors holding ‘How to
manage Minor Illness in Children’ sessions for
young parents at new ‘Badger Valley Children’s
Centre’
Self help and long term conditions
• Patient satisfaction survey results – “did you
feel more able to manage your condition after
seeing the doctor?”
• 15 million people in UK have a long term
condition – increasing as population ages
Long term conditions
• On average a person with diabetes sees their health
care professional for 3 hours a year.
• That leaves 8757 hours where they are managing the
condition themselves!!!!
• Not just about education but about developing
confidence and motivation to use skills and knowledge
to take control over life with a chronic condition.
• Working together - Practice registers and recall system
– regular reviews
• Repeat medication facilitator – provides prompt for
review when ordering repeat medication
Benefits of self care in long term
conditions – The Evidence.
Given the necessary skills and support, people
who self care more, can……
experience better health and wellbeing, improve
outcomes
improve compliance with medication
reduce the need for emergency hospital admission
have better planned and coordinated care
have better mental health and less depression
Self care and long term conditions
Education and involvement in decision making
Care plans – personalised management plans –
COPD/asthma/schizophrenia and bipolar disorder
Patient held records – diabetes/warfarin/lithium
Antenatal care, Red book - child development
Educational Programmes - ‘expert patient programmes’
Falls prevention
Cardiac and pulmonary rehabilitation
Desmond
Support groups, involvement with family and carers
Parkinson's disease
Alzheimer's disease
Stroke
Complex cases
Multiple health and social problems ,
often house bound, high risk of
hospital admission
Case Management: joint working
with GP, District Nurses , EBH day
unit, Intermediate Care Team,
Community Matron – Yvonne Bottrill
Holistic approach, signposting to
services, checking compliance with
medications, encouraging improved
self care.
Successful at preventing hospital
admissions and increasing
independence
Promoting self care at Shipston,
working in partnership, striving for
improved health and wellbeing.