living well 101 oregon living well program. what is self-management? the tasks that individuals must...
TRANSCRIPT
Living Well 101
Oregon Living Well Program
What is Self-Management?
The tasks that individuals must undertake to live with one or more chronic conditions.”
“What people do 99.9% of the time.”
Oregon Living Well
The Symptom Cycle
Oregon Living Well
Disease
Stress/Anxiety
Pain
Tense Muscles
Fatigue
Difficult Emotions
Depression
Shortness of Breath
Programs Offered in Oregon
• Living Well with Chronic Conditions - English language Stanford Chronic Disease Self-Management Program
• Tomando Control de su Salud – Spanish language and cultural adaptation of Living Well
• Positive Self-Management Program – adapted for people living with HIV/AIDS and their caregivers
Oregon Living Well
Living Well Programs
• Peer led small groups (10-15 people)• Standardized training for leaders• Highly structured teaching protocol• Standardized participant materials• Licensed organizations
Oregon Living Well
Program Overview
• 2 ½ hours per week; 6 weeks
• Multiple chronic diseases and symptoms in the same group
• Focus on self-efficacy, action planning, problem solving, and communication.
Oregon Living Well
The Self-Management Toolbox
Oregon Living Well
• Physical activity
• Medications• Managing
fatigue• Action
Planning• Better
breathing• Understanding
emotions
• Problem-solving• Using your mind• Managing pain• Communication• Healthy eating• Working with
health professionals
Action Planning
• Something you want to do• Achievable• Action-specific
• Answers the questions: What? When? How much? and How often?
• Confidence level of 7+ (out of 10)
Oregon Living Well
Problem Solving
1. Identify the problem2. List ideas3. Select one4. Assess the results5. Substitute another idea6. Use other resources7. Accept that the problem may not be
solvable
Oregon Living Well
Evidence-BaseResearch indicates participants spend
• Fewer days in the hospital
• Fewer outpatient and ER visits
Participants report
• Improvement in self-reported health and health distress
• Improvement in social life/activities
• Improved energy/less fatigue
Demonstrated cost-savings
Oregon Living Well
Living Well Programs by County (2005-2009)
Oregon Living Well
Number of Workshops
1 - 2
3 - 5
6 - 27
28 - 51
No workshops
Lake
HarneyMalheur
Lane
Grant
Klamath
Douglas
Baker
Linn
Crook
Jackson
Coos
Curry
Deschutes
Jefferson
Josephine
Lincoln
Benton
UmatillaWallowa
UnionMorrow
She
rman Gilliam
Marion
Clackamas
Polk
Tillamook
Clatsop
Yamhill
Colum
bia
Washington
Hood RiverMultnomah
Wasco
Wheeler
Living Well Programs by Year
Oregon Living Well
6
37
71
105
1 16
1 413 15
113
10
20
40
60
80
100
120
2005 2006 2007 2008 2009
Nu
mb
er
of
Pro
gra
ms
Living WellTomandoPSMP
Living Well Participation by Year
Oregon Living Well
53
366
816
1,3081,376
0
200
400
600
800
1,000
1,200
1,400
1,600
2005 2006 2007 2008 2009
Nu
mb
er
of
Pa
rtic
ipa
nts
Chronic Conditions
Oregon Living Well
• Living Well participants report an average of 3.1 chronic conditions
Arthritis 44% High blood pressure
37% Chronic pain
35%Depression
31%High cholesterol 29% Diabetes 27% Heart disease 16% Asthma 15%
Living Well in Oregon• 400 Trained Leaders
• 60 + Master Trainers
• 30 Licensed Organizations
Regional Infrastructure
• Regional Coordinators
• Regional Training Centers
Oregon Living Well
What Participants are Saying
Oregon Living Well
“This program has given me the confidence that I can have a future worth living. I have learned there are people like me, not living life to the fullest because of a chronic condition and that we can move forward. Great people teaching us to live again.”
-- Laura Furrey
[Add your own quotes or use these & remove this line]
“I was tired. My pain was my boss. It was telling me what I could and couldn’t do. {insert your program name} workshops put me back in charge.”
“Now I have the energy to do the things that matter. I am calmer and more confident about my health. I got relief from my pain.”
“I put life back in my life.”
Questions? Contact us
Oregon Living Well Program
800 NE Oregon St., Suite 730
Portland, OR 97232
1-888-576-74214
Oregon Living Well