Applying the 5 A's: Self-Management Strategies in Chronic Illness

This assignment delves into the application of the 5 A's framework (Assess, Advise, Agree, Assist, and Arrange) in supporting self-management for individuals with chronic illnesses. It provides examples of statements and actions that healthcare professionals can use under each of the 5 A's to engage and invest in patients' health goals. The assignment emphasizes collaborative self-care planning to foster trust, autonomy, and adherence to health behaviors. It also references Canadian self-management strategies and highlights the importance of integrated system-wide support, with primary healthcare providers delivering self-management support as part of routine care. The assignment concludes with a list of references supporting the concepts discussed.

Running head:CHRONIC ILLNESS MANAGEMENT
CHRONIC ILLNESSMANAGEMENT
Name of the Student
Name of the university
Author’s note

1CHRONIC ILLNESS MANAGEMENT
1. Review the strategies to support self-management in Self-Care and Self-
Management in Chronic Illness in Canada
The self-management strategies include the 5A’s of the behavioral change approach of Assess,
advice, agree, assist and arrange (Registered Nurses’ Association of Ontario, 2010). In order to
incorporate self-management strategies it is the duty of the nurses to understand the condition of
the patient, whether the patient is in a condition to perceive the self-management strategies.
Nursing would be able to communicate the self-care plans and would be able to educate about
the various self-monitoring techniques. Keeping of records and logs after the self-monitoring
such as glucose monitoring and blood pressure monitoring would prevent missed vaccine shots,
or important tests. The third “A” Agree refers to the fact that nurses should include patients in
establishing the goals and action plans (Registered Nurses’ Association of Ontario., 2010)..
Involving the patients in the decision making process, helps in empowering the patients,
improving the services and the health outcomes (Vahdat et al., 2013). Furthermore regular follow
ups and use of innovative modalities in educating patients can be helpful in safe self-care
activities after discharge. Usage of the e- Health platforms adds high practical education to the
patients (Talboom-Kamp et al., 2018). According to the Canadian self management strategies it
is right that there is a requirement of an integrated system wide support for the self care. The
primary health care providers should be able to deliver the self management support as a part of
routine care (Health Council of Canada, 2012).
1. ASSESS ADVISE AGREE ASSIST ARRANGE
1. Statement:
“How do you feel? Do
you think you can
manage yourself if
educated about self
Statement:
“You would
refrain yourself
from any kind of
factors that may
Statement:
“Are You ok
with these
medicines or
these
Statement:
“Are you
having
problems in
handling your
Statement:
“We will
again meet
for a regular
follow up

2CHRONIC ILLNESS MANAGEMENT
care?”
(For Asthma patient)
trigger your
asthma
exacerbations”.
equipments?” nebulizers?” right after 2
weeks with
your log
book.
Action:
Physical assessment to
check the severity of
the symptoms.
Action:
Writing down a
series of factors
that can trigger
asthma attack in
patient.
Action:
Example:
Validating
their interest
by sharing
your own
interests
Action:
In-hand
demonstrations
of how to use
the nebulizer.
Action:
Writing down
the date of
the next
meeting and
ensuring that
the patient
sets a
remainder
for the next
meeting.
2. Statement:
“ I heard you were
having some problems
regarding your diet?
Do you want it to be
clarified as you know
much of the prevention
of your disease
depends upon your
diet”
(Diabetes patient)
Statement:
“ you can have
complex
carbohydrates,
fibrous foods but
certainly avoid
sweetened
beverages”
Statement:
“ Do you
agree with the
fact that you
will have to
strictly
maintain this
food habit”
Statement:
“ Do you know
how to self
monitor the
blood glucose
level?’
Statement:
“ you need to
record all
your
readings in
the log book
and then
meet for a 1
month follow
up”
Actions: Maintenance
of a conducing
environment for the
patient expressing
concern.
Actions:
Preparing a diet
chart
Actions:
Validating
their interest
by sharing
your own
interests
Actions:
In-hand
demonstrations
of how to use
the blood sugar
monitoring
equipment.
Actions:
Writing down
the date of
the first
reading in
the patient
log book

3CHRONIC ILLNESS MANAGEMENT
References
Health Council of Canada, (2012). Self management support for Canadians with chronic health
conditions. Access date: 18.7.2018. Retrieved from:
http://www.selfmanagementbc.ca/uploads/HCC_SelfManagementReport_FA.pdf
Registered Nurses’ Association of Ontario., (2010).Strategies to Support Self-Management in
Chronic Conditions: Collaboration with Clients. Access date: 18.7.2018. Retrieved from:
http://rnao.ca/bpg/guidelines/strategies-support-selfmanagement-chronic-conditions-
collaboration-clients
Talboom-Kamp, E. P., Verdijk, N. A., Kasteleyn, M. J., Numans, M. E., & Chavannes, N. H.
(2018). From chronic disease management to person-centered eHealth; a review on the
necessity for blended care. Clinical eHealth, 1(1), 3-7.
Vahdat, S., Hamzehgardeshi, L., Hessam, S., &Hamzehgardeshi, Z. (2014). Patient Involvement
in Health Care Decision Making: A Review. Iranian Red Crescent Medical Journal,
16(1), e12454. http://doi.org/10.5812/ircmj.12454