Helping people to manage change

1
Helping people to manage change

• God grant me the serenity to accept the things I
  cannot change, the courage to change the things
  I can, and the wisdom to know the difference.

2
Motivated to change?
Ready, willing and able
Dr S Tomkins The Barbican 9th May 2006
3
Dr S Tomkins The Barbican 9th May 2006
4
Assess if Appropriate for Self Care

• Those not appropriate -
• People with severe dementia
• People with active florid schizophrenia
• People with extreme mental handicap
• Children under the age of 4 years old

But remember the carers will want to deliver
facilitated self care
Dr S Tomkins The Barbican 9th May 2006
5
Support Levels of Self Care

• Level 4
• DO NO HARM

Dr S Tomkins The Barbican 9th May 2006
6
Support Levels of Self Care

• Level 3
• Support self care

Adopt a consultation technique that encourages
self care and keeps the locus of control with the
patient at all times.
Dr S Tomkins The Barbican 9th May 2006
7
Support Levels of Self Care

• Level 2
• Actively seek and promote self care

Enquire what help is required to assist self
care, and try and arrange this help.
Dr S Tomkins The Barbican 9th May 2006
8
Support Levels of Self Care

• Level 1
• Instigate interventions that will enable optimal
  self care

1c Manage health beliefs and facilitate the
process of acceptance and change. 1b
Integrate modified cognitive behavioural therapy
and other modified techniques. 1a Treat with
advanced level clinical psychology.
Dr S Tomkins The Barbican 9th May 2006
9
Required self care support services
Level 2 Level 3 Level 4
1a
1b
1c
Dr S Tomkins The Barbican 9th May 2006
10
Community Matron
Dr S Tomkins The Barbican 9th May 2006
11

• Are you
• Ready, Willing and Able?