(Mike Hindmarsh) Action Plans to Support Behaviour ChangeĪction plans are detailed descriptions of the actions a person will take towards making a lifestyle or other behaviour change. Starting where the patient is at is more likely to ensure continued success then forcing them to start somewhere else. If the patient's goal seems clinically useless, go with it anyway. Goal setting is most successful if it includes follow-up, problem-solving, and adjusting activities if goals are not being achieved. When priorities are known, people can collaborate with their healthcare team to determine steps to be taken towards achieving their goals and how progress can be monitored.Goal oriented plans enable people and their healthcare team, to discuss which health problems are important to them and decide on priorities in the context of how they can achieve what is important to them.It simplifies decision making for people with multiple conditions by focussing on outcomes that span conditions and aligning treatments towards common goals.It frames the discussion in terms of what the person wants to do rather than what might be generally accepted as what they should do.A systematic review on improving diet, published by the Agency for Healthcare Research and Quality in 2002, included goal setting in a list of a few intervention components shown to be associated with improved behavioural outcomes.Ī goal-oriented approach to making healthcare decisions, assessing outcomes, and measuring success has several advantages: Working with people to identify something they want to do is one of the simplest, yet most effective techniques we can use to improve communication and behaviour change. If they have a care plan with clear information about what to do when they get sick (often called an acute plan or COPD Action Plan, or Blue Card) then the person and their family know what to do sooner, when to take their reliever medicine and can sometimes avoid getting worse and ending up in hospital. By planning ahead for the next 12 months, a number of common complications can be anticipated and planned for.įor example, a person with COPD is at risk of developing acute exacerbations. This can facilitate the shift from a more typical, reactive approach (dealing with acute problems) to one that is more planned and proactive. People at low to moderate risk of developing complications of their condition should be encouraged and supported to self-manage their condition and can benefit from having a clear and simple plan that facilitates lifestyle change and medical concordance.Īpproximately 20% of the population utilise 80% of the resources and this group would benefit from someone sitting down and spending the time to create a more comprehensive care plan. Results in an overarching, single care plan that is owned by the person but can be accessed by those providing direct care.Īnyone with a long-term condition can benefit from having a care plan. Information about support networks, including peer support, carers and family support groups are included. The person should be encouraged to have an active role in their care, be provided with information or signposting to enable informed choices and supported to make their own decisions within a guidance of managed risk.Īssessment and care planning views the person ‘as a whole’ supporting them in all their needs and individual diverse roles, including family, parenting, relationships, housing, employment, leisure and education. Planned, proactive and anticipatory with regular follow-up and emergency planning for crisis episodes.A dynamic process of discussion, negotiation, decision-making and review that takes place between the person and the professional – who have an equal partnership.A holistic, systematic approach based on the person/whanau’s strengths, values and aspirations and puts their goals, choices and lifestyle wishes in the centre of the process.A continuous process resulting in an overarching care plan that is regularly reviewed.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |