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stepping out, a stroke self-management programmeenabling individuals to take control of their daily livesstepping out logo

Self-management

Self-management has been described in many different ways. Generally it refers an individual using different methods to exercise control and take responsibility whilst living day to day with a chronic condition such as stroke.

According to Kate Lorig, an expert in chronic disease self-management programmes from Stanford University, USA, self-management methods can include the following examples: 

  • Problem-solving: when the individual who has had a stroke develops a new problem or complication, finding the most effective ways to solve the problem.
  • Decision-making: the individual deciding when more treatment is necessary, or when to seek advice, or change exercises.
  • Resource utilization: finding out what services are available to the individual in the local community, and making best use of the available resources, e.g. stroke clubs.
  • Collaboration: the individual who has had a stroke working together with physiotherapist, nurses and doctors to find solutions and plan the timing and content of treatment schedules.
  • Taking action: finding different ways to keep as active as possible and take control over all the different ways that make it easier to live day-to-day after a stroke.

When you have a stroke it's up to you. The physios come and give you exercises, but when they've gone, you can't just sit there doing nothing. They taught me new things and each time I could see an improvement. That gave me the courage to do it on my own.

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