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Table 1 Key features of the self-management program for seniors with dual sensory impairment

From: Effectiveness of a self-management program for dual sensory impaired seniors in aged care settings: study protocol for a cluster randomized controlled trial

Steps

Senior actions

Nurse support

  

Key questions

Ideal support

Pitfalls

1

Problem identification

Mentions problem. Decides to take action

You mentioned that you have a problem with…Would you like to do something about it?

Name the problem using the senior’s own words. If the senior does not want to take action, do not interfere

Ask for an explanation, take on the problem, insistence

2

Collecting alternatives

Collects a minimum of three alternatives: either by themselves, or by asking others for help

What could you do about this?

Stimulate the senior to answer. In cases where the senior does not come up with enough alternatives, provide information. Leave the choice to the senior

Impose solutions, make judgments, provide advice

Are there other options?

3

Choice and planning

Selects an alternative that he/she will act on. Plans actions

How do you think you will manage this?

If the senior has difficulties planning, then apply the key question 2 procedure

Take over the choice/planning; provide coercive advice

4

Execution

Executes action

 

Lets the senior execute the action

Execute action for the senior

5

Reflection

Reflects on own action, mentions what went well

What was the result? What are you happy about: about what you could do on your own? What would you do differently the next time?

Ask What, When, How questions

Ask for an explanation