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P - Informed Self-Management

REPORT CARD: Informed Self-Management KNOWLEDGE GENERATION CLINICAL APPLICATION POLICY CHANGE Innovaon/Discovery Integrave Care Environmental Shi Effecve Pracce (Evidence and Outcomes) Equity Pracce Capacity Change Agents Societal Awareness Community Capacity 2020 PRIORITY 3 2020 PRIORITY 1 2020 PRIORITY 2 Emerging Evidence Outcome Measures Resource Capacity Take Home Mesage: Effective educational practices that incorporate self-management principles are needed to enhance inpatient and outpatient rehabilitation service delivery. Universal inclusion of educational specialists, within the rehabilitation team, can enable the development and mentoring of service providers, with linkage and coordination of services acting as primary drivers for changes in service delivery. Elimination of redundancy in education services, across sites, may enable resource reallocation to address self-management priorities. Resources 1. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Affairs. 2001;20(6):64-78. 2. Lorig K, Holman HR, Sobel D, Laurent D, González V, Minor M. Living a Healthy Life with Chronic Conditions (3rd Edition). Boulder, CO: Bull Publishing; 2006. 3. Glasgow RE, Davis CL, Funnell MM, Beck A. Implementing practical interventions to support chronic illness self-management in healthcare settings: lessons learned and recommendations. Jt Comm J Qual Saf. 2003;29(11):563-74. 4. Brillhart B, Stewart A. Education as the key to rehabilitation. Nurs Clin North Am. 1989;24(3):675–80. 5. Ljungberg I, Kroll T, Libin A, Gordon S. Using peer mentoring for people with spinal cord injury to enhance self-efficacy beliefs and prevent medical complications. J Clin Nurs. 2011;20(3-4):351-8. 6. Potter PJ, Wolfe DL, Burkell JA, Hayes KC. Challenges in educating individuals with SCI to reduce secondary conditions. Top Spinal Cord Inj Rehabil. 2004;10(1):30-40. 7. Consortium for Spinal Cord Medicine Clinical Practice Guidelines. Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for healthcare professionals. J Spinal Cord Med. 2001;24(Suppl 1):S40-101. 8. Consortium for Spinal Cord Medicine Clinical Practice Guidelines. Neurogenic bowel management in adults with spinal cord injury. J Spinal Cord Med. 1998;21(3):248-93. 9. Kennedy P, Hamilton LR. The needs assessment checklist: a clinical approach to measuring outcome. Spinal Cord. 1999;37:136-9. 10. Middleton JW, Tate RL, Geraghty TJ. Self-efficacy and spinal cord injury: psychometric properties of a new scale. Rehabil Psychol. 2003;48:281–8. 166 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


P - Informed Self-Management
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