Goal Setting and Problem Solving Ben Peay, RN, CDE Diabetes

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Goal Setting and Problem Solving

• Ben Peay, RN, CDE
• Diabetes Management Clinic

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How do people feel when they are diagnosed with
Diabetes?
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How do people feel after having diabetes for a
long time?
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What kinds of changes are people asked to make?
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Things that dont work

• Urge more willpower
• If you would just try harder...
• Threatening bad outcomes
• youll go blind if you dont do what I tell you
  to do...
• The gift of advice
• maybe if you joined a nice fitness center...
• AND

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• Nagging
• If you nag people enough, work is the course of
  least resistance.
• -Stephen R. Covey

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Barriers that prevent progress

• Lack of Knowledge or Skill
• Lack of Access to Care
• Mood Disorders Depression
• Lack of Money or insurance

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• Unachievable Self-Care Plans
• Poor communication
• No plan for implementing
• Lack of enthusiasm
• Environmental Barriers
• Life gets in the way

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• Harmful Health Beliefs
• No big deal
• I feel fine, therefore I am fine
• Hopelessness
• Theres nothing I can do
• Treatment is ineffective
• No matter what I do, the results are the same.
  So why bother?

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What Does Work?

• Prepare the Soil
• Help patients to become interested in
  self-management
• Plant the Seeds
• Help patients develop action plans that are clear
  and reasonable

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• Determine an area for behavior change
• Get the details
• Listen carefully, especially for 2 sides
• Limit questions
• Be a journalist
• Summarize and feed back
• DO NOT OFFER ANY HELP OR ADVICE!

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4 Basic Strategies to prepare soil

• Open questions
• Affirm
• Reflections
• Summarize

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Summarization

• It sounds like youre somewhat worried about
  long-term effects of your diabetes if you dont
  manage it well. On the other hand, youre young
  and you feel fairly healthy most of the time.
  You enjoy eating what you like, and the long-term
  consequences seem far away. Youre concerned,
  and at the same time youre not concerned.

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Getting Started

• Can you think of a healthy change youd like to
  make in your life, but you just havent yet?

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How can we plant seeds?

• Ask about importance
• 0 10
• Not important very important

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4 Basic Strategies to prepare soil

• Open questions
• Affirm
• Reflections
• Summarize

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AADE 7

• Healthy Eating
• Being Active
• Monitoring
• Taking Medications
• Problem Solving
• Healthy Coping
• Reducing Risks

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THE 7 HABITS OF HIGHLY EFFECTIVE PEOPLE WITH
DIABETESStephen R. Coveywww.diabetes7.org
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1 Be Proactive

• Choose your actions and take responsibility for
  them.

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2 Begin with the End in Mind

• Imagine what you are capable of then go for it!

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3 Put first things first

• Prioritize tasks according to what is truly
  important.
• What one thing could I do on a regular basis
  that would make a big positive difference in my
  life?

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4 Think Win-Win

• Win-Win is about creating a positive energy of
  cooperation, which naturally leads to success in
  diabetes management

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5 Seek first to Understand, Then to be
Understood

• Listen with your mind and your heart. Let the
  other person know you understand. Then make
  yourself understood in a clear, honest way,
  seeing the situation through the other persons
  eyes.

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6 - Synergize

• Synergy happens when two or more people work
  together to find a better solution than either
  could alone.
• Always synergize with the goal of progress not
  perfection!

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7 Sharpen the Saw

• Physical
• Eating healthy, exercise, monitoring
• Mental
• Continue to educate yourself about diabetes, set
  and achieve goals
• Social
• Strengthen relationships with family and friends
• Spiritual
• Do things that bring a sense of peace and meaning

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S.M.A.R.T Objectives

• S Specific
• M Measurable
• A Achievable
• R Relevant
• T Timely