PROPER ILLNESS MANAGEMENT

The term self-management is often misunderstood by patient, carers and psychiatrist. The terms ‘self’ and ‘manage’ suggest that the patient has ownership of their condition, and will be responsible for managing their condition in isolation and without assistance. This is not the case. Self-management is the patient working in partnership with others, including health providers and carers to promote their health, manage their signs and symptoms, monitor behaviors and manage the impact of their condition. A good self-manager knows about their condition and is able to access resources and services to improve their everyday quality of life.

How can self-management help a person who has a chronic illness? Once you’ve decided to take an active role in managing your illness, you and your doctor can work together to set goals that will lead to better health. These goals will be part of an overall treatment plan.

Pick a problem. Take an honest look at the unhealthy aspects of your lifestyle. Start with a particular behavior that you’d like to change in order to have better control of your illness. For example, you might decide that you don’t eat enough vegetables, get enough exercise or take your medicines as your doctor tells you to.

 Get specific. Once you’ve identified a problem, state a specific goal for dealing with it. The more specific your goal is, the more likely you are to succeed. For example, instead of saying, “I’m going to exercise more,” decide what kind of exercise you’ll do. Be specific about what days of the week you’ll exercise and what times you’ll exercise on those days. Your new goal might be: “During my lunch hour on Mondays, Wednesdays and Fridays, I’m going to walk 1 mile in the park.” Plan ahead. After you’ve stated your goal, think of things that could go wrong and plan how you’ll deal with them. For example, if it rains and you can’t go to the park, where will you go to walk? If you plan how to handle problems in advance, they won’t prevent you from meeting your goals. Check your confidence level. Ask yourself, “How confident am I that I’ll be able to meet this goal?” If the answer is “Not very confident,” you may need to start with a more realistic goal.

Follow up. As you’re working toward your goal, check in regularly with your doctor to let him or her know how you’re doing. If you’re having trouble following the plan, talk to your doctor to figure out why. Your setbacks can be learning experiences that help you make a new plan for success. One of the most important things to remember is that you can change your behavior. Even though your illness makes you feel helpless at times, if you work with your doctor to set goals and you take responsibility for following through with them, you can make changes that will lead to better health.