Building Healthy Lifestyles Lori Sincennes RN BN CDE,

1
Building Healthy Lifestyles Lori Sincennes RN
BN CDE, Kathy Petrunia-Client
2
GROUP VISITS

• Providing Timely Comprehensive Care

3
Why do group visits?

• CLINICIAN PERSPECTIVE
• Better learning for client
• Clients are seen in a timely fashion
• Self-management is the foundation of group
  sessions
• Comprehensive assessments with holistic approach
  to health

• CLIENT PERSPECTIVE
• Expanding and enhancing basic knowledge and
  principles
• Inspires and maintains motivation
• Self-management
• Support

4
How do we do group visits?

• CLINICIAN PERSPECTIVE
• People with like diagnosis have a group visit
  scheduled monthly
• There has to be a champion in each group
• Clients share pertinent info within their comfort
  level
• Brief follow-ups or phone calls arranged for
  those requiring 11

• CLIENT PERSPECTIVE
• Initially lead by RN/RD
• Members encouraged to be active participants
• We address physical, emotional, social and
  financial aspects
• Meetings are agenda driven

5
Type I Diabetes Group - Sample Agenda

•  
• Strategies to ease financial burden of diabetes.
  What financial assistance is available?
  (Contributor) (Presenter)
• Disability Tax Credits (Contributor) (Presenter)
• Form T2201
• Process
• Likelihood of acceptance
• Duration
• Lantus vs Levemir (Contributor) (Presenter)
• Medical advice during holidays (Contributor)
  (Presenter)
• Setting and achieving goals (Contributor)
  (Presenter)
• Pot Luck date and menu (Contributor)
  (Presenter)

6
Is it working?

• CLINICAL PERSPECTIVE
• Some groups lead their own sessions
• Adjusting their own insulin and medications
• RN/RD provide relevant resources and information
• If consult needed a short 11 is scheduled

• CLIENT PERSPECTIVE
• Learn medical aspects of DM and how to adjust to
  socio-economic aspects of DM
• Meetings keep us on track
• Members accept greater responsibility for their
  healthy lifestyle
• Listen better to what I am supposed to be doing

7
Is it working.

• CLINICIAN PERSPECTIVE
• Groups becoming more independent
• Brainstorm solutions
• Principles of self-adjustment and self-management
  are reinforced as requested
• Topics chosen by group for monthly session
• Natural leaders have emerged within the group

• CLIENT PERSPECTIVE
• Enormous personal growth and empowerment
• Meetings are fun, informative, relative and
  timely
• Increased positive attitude with group support
• Expanded to informal social activities that are
  information based

8
Conclusion

• Group visit membership is constantly changing
• The clinic has shown better A1Cs
• The focus of the Building Healthy Lifestyles
  program is better self-management no matter what
  the chronic disease
• Group visits are now being used in all Chinook
  Health Building Health Lifestyles sites
• A client stated medical professionals are
  trained in disease management and our focus
  should be health