Multiple Approaches to Taking Charge of Your Health

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Domenic Haynes
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1 Multiple Approaches to Taking Charge of Your Health Susan Cotey, RN, CDE Lennon Diabetes Center, Huron Hospital, Cleveland Clinic MaryAnn Horst Nicolay, BA, DTR Diabetes Partnership of Cleveland Stacey Rokoff, MSSA, LSW Fairhill Partners

2 Disclosure Presenters reported no financial interest relevant to this presentation

3 Objectives Describe how a comprehensive self-management diabetes education program can affect patient care. Define and clarify community based programming and resources available for individuals with chronic diseases and individuals caring for an individual with a chronic disease. Discuss the impact of an empowerment group on women touched by diabetes.

4 How a Comprehensive Self-Management Diabetes Education Program Can Affect Patient Care

Personal Quality Improvement Patients are offered: personal consultation referral to

5 Our Unique Self-management Program Classes meet once per week for 2.5 hours for 3 consecutive weeks Patients are motivated to make lifestyle changes through Personal Quality Improvement Patients are offered: personal consultation referral to nutritionist problem solving regular follow-up phone calls to patients a community diabetes support group for ongoing support

6 The format of the diabetes education was changed to include group/classroom teaching Individual patient needs were assessed one-onone prior to being referred to the class Classes met once per week for 2.5 hrs, for 3 wks Patients were introduced to CQI methods during the first class, and encouraged to engage in personal quality improvements (PQI) of diabetes Managing your Diabetes You Can Do It! workbook used as classroom text Workbook was given to each patient

7 Workbook Description 8 chapters Ch 1 provides general introduction to diabetes, and involves patients in PQI and data collection immediately Ch 2 explains the theory behind CQI Ch 3-8 comprehensively covers diabetes education in line with requirements from the American Diabetes Association Structured to encourage and rely on patient participation In-Class Exercises Homework assignments

More on PQI Patients identify one personal challenge related to diabetes management e.g. the need to exercise more frequently, or eat less carbohydrates, and so on.

8 More on PQI Patients identify one personal challenge related to diabetes management e.g. the need to exercise more frequently, or eat less carbohydrates, and so on. Patients are asked to begin data collection immediately! To gain information about their challenge, and to identify a course of action Patients are taught data collection techniques to monitor changes Use of data table Graph on a control chart

19 Healthy You Take Charge of Your Health The Chronic Disease Self-Management Program

20 Prevalence of Select Chronic Conditions US Adults Ages 65 and Over Chronic Condition Prevalence Hypertension 51.5% Arthritis 49.3% Heart Disease 21.2% Cancer 20.8% Diabetes 16.5% Sinusitis 13.9% Ulcer 12.1% Stroke 9.1% Asthma 8.5% Hay Fever 6.7% Chronic Bronchitis 5.8% Emphysema 5.1% Kidney Disease 3.7% Liver Disease 1.3%

21 Chronic Conditions in Ohio 58% of Ohioans have at least one diagnosed chronic disease 80% of adults over 65 have one or more chronic diseases 50% have 2 or more

22 Evidenced Based Health Promotion(EBHP) EBHP is process of planning, implementing and evaluating programs adapted from tested models/interventions in order to address health issues at an individual and community level. EBHP programs have individual, organizational, community and public policy implications.

23 Workshop Topics: Find practical ways to deal with pain and fatigue. Discover better nutrition and exercises choices. Medication management. Learn better ways to communicate with doctor and family. Action plans and goal setting. Refer to Stanford University handout: Workshop Overview

24 CDSMP Workshop Workshop Details Time: 2.5 hours once a week for 6 weeks Where: community settings, churches, libraries, hospitals Who: People with different chronic conditions OR People caring for someone with a chronic condition attend Leaders: Workshops are facilitated by 2 trained leaders, who either have a chronic condition or have a loved one with a chronic condition

26 Thank You Susan Cotey, RN, CDE Lennon Diabetes Center, Huron Hospital, Cleveland Clinic MaryAnn Horst Nicolay, BA, DTR Diabetes Partnership of Cleveland Stacey Rokoff, MSSA, LSW Fairhill Partners

The Chronic Disease Self Management Program

The Chronic Disease Self Management Program Implementing Evidence Based Health Promotion Programs Presenters Courtney Barkley Evidence Based Facilitator Starr Sowers Health & Wellness Division Manager