Strategies for self-management support by patients with stroke: integrative review

Abstract

Objective:To analyze strategies for self-management support by patients with stroke in the light of the methodology of the five A's (ask, advice, assess, assist and arrange). Methods: Integrative review conducted at the following databases CINAHL, SCOPUS, PubMed, Cochrane and LILACS. Results: A total of 43 studies published between 2000 and 2013 comprised the study sample. All proposed actions in the five A's methodology and others were included. We highlight the Assist and Arrange, in which we added actions, especially with regard to the use of technological resources and joint monitoring between patients, families and professionals. No study included all five A's, which suggests that the actions of supported self-management are developed in a fragmented way. Conclusion: The use of five A's strategy provides guidelines for better management of patients with stroke with lower cost and higher effectiveness.

Development care for children with special health needs in home care at Paraná - Brazil

“…8:2 Responsibility assumptions of subjects for their self-care is indicated on chronic conditions management, or in the case of HC, supported self-care. 16 In this sense, HCS must be aware to promote accountability and self-care, through practices that promote one's independence and fluidity in health services network. 16 In one of the services, preparing the caretakers, regarding the execution of new care the child will require at home, happens still in the hospital.…”

“…16 In this sense, HCS must be aware to promote accountability and self-care, through practices that promote one's independence and fluidity in health services network. 16 In one of the services, preparing the caretakers, regarding the execution of new care the child will require at home, happens still in the hospital. In this HCS, caretakers preparation is developed by the hospital team, in others, this training happens at home after discharge, except another HCS, which the training happens in the hospital by the HC professional, in cases, the child will need suctioning of the airways.…”

“…8 For these urgency or emergency transportation, it is important to agree with the service a specific flux for HCS, in order no delay for the difficulty of flux among services to harm or put at risk the patient's life. 16…”

Supported self-care for children and adolescents with chronic disease and their families

“…To this end, professionals should use material that provides information on health and disease management for both the family and patient. In this sense, a study validated 15 illustrations about asthma with children/adolescents and their parents, with the intention of incorporating these into educational material on health Accompaniment Distance monitoring (by phone or mail) of the self-care plan (17,27,33,37) Helping the person to use important community resources in his/her self-care (15) Groups of pairs with professional support (16)(17)21,27,38) Accompany the child/adolescent and/or the family through questionnaires that assess activities of daily living, self-care and/ or quality of life in a continuous form (33) Analyzing the achievement of goals in conjunction with the patient (33) Implement a self-care intervention centered on the patient and/ or his/her family (17,20,38) Interventions using technological resources to empower the individual in self-care actions (4,(16)(17)21,33,(36)(37) Source: Adapted from Morais HCC, Gonzaga NC, Aquino PS, Araújo TL, 2015 (39) .…”

Self-care to elderly after cerebrovascular accident: caregiver and academics experiences

“…Thus, an individualized self-care plan has to be based on the reality of the elderly person with cerebrovascular accident sequelae and must be drawn up together with him, the caregiver and the multidisciplinary team in order to provide a more humanized care and proactive rehabilitation. As a model, health professionals can follow the strategies of the 5 "A"s (assessment, advising, agreement, assistance and accompaniment) aimed at supported self-care that provides a better approach to the elderly person with cerebrovascular accident sequelae, especially when the approach is employed for physical and social rehabilitation (15) .…”