Stroke Training and Awareness Resources (STARs)



Challenges to delivering self practice

Florence is asked to consider the challenges to delivering self-practice. Complete the quiz below to see what these may be.

Charlie emphasises how important good communication and written documentation is in the process of self-practice.

Florence is thinking, 'Hmm, now I understand more about self-practice, why it's started early, and how it fits in with self-management. This will be really useful on my next placement in the community.'

Which of the following could be challenges to delivering self-practice? True/False challenges. Correct answer in Bold

Health and Safety rules-

True: Health and safety rules are obviously necessary in hospital but they can create an artificially safe environment where patients aren’t allowed to take ‘real world’ risks.

False: Health and safety rules are obviously necessary in hospital but they can create an artificially safe environment where patients aren’t allowed to take ‘real world’ risks.

 

Weekend pass at home-

False: This can present a great opportunity for patients to transfer the skills they have learned during their self practice on the ward into a real world environment.

True: This can present a great opportunity for patients to transfer the skills they have learned during their self practice on the ward into a real world environment.

 

Professionals’ attitudes-

True: In ‘caring’ professions, it can be difficult to stand back and watch patients struggle, it can feel as though we’re not doing our job but sometimes self practice demands this of us.

False: In ‘caring’ professions, it can be difficult to stand back and watch patients struggle, it can feel as though we’re not doing our job but sometimes self practice demands this of us.

 

Time pressures-

True: Allowing a patient to engage in self practice especially where some prompting or support is involved often takes longer than stepping in and doing it for them.

False: Allowing a patient to engage in self practice especially where some prompting or support is involved often takes longer than stepping in and doing it for them.

 

Poor safety awareness-

True: Patients who lack insight and put themselves at risk may require more support to understand how they can engage in self -practice/ self-management safely and effectively.

False: Patients who lack insight and put themselves at risk may require more support to understand how they can engage in self practice/ self management safely and effectively.

 

Patients (& relatives) perception of hospital-

True: People expect to be cared for in hospital, but some people take this to mean the nurses doing everything for them! Rehabilitation and self practice can come as a shock to these patients and their beliefs may have to be sensitively challenged.

False: People expect to be cared for in hospital, but some people take this to mean the nurses doing everything for them! Rehabilitation and self practice can come as a shock to these patients and their beliefs may have to be sensitively challenged.

 

Open visiting-

False: This shouldn’t be a challenge to self practice. Where patients have frequent visitors close family members can be encouraged to be involved in the self practice tasks.

True: This shouldn’t be a challenge to self practice. Where patients have frequent visitors close family members can be encouraged to be involved in the self practice tasks.

 

Risk to patients-

True: Before agreeing a self practice task it’s important that we consider potential risks to the patient and others.

False: Before agreeing a self practice task it’s important that we consider potential risks to the patient and others.

 

Health legislation-

False: Current legislation and guidelines actively encourage self practice and self management e.g. Scottish Government (2019) Personalising Realistic Medicine: Chief Medical Officer for Scotland’s Annual Report 2017-2018 Edinburgh Scottish Government.

True: Current legislation and guidelines actively encourage self practice and self management e.g. Scottish Government (2019) Personalising Realistic Medicine: Chief Medical Officer for Scotland’s Annual Report 2017-2018 Edinburgh Scottish Government.   

 

Infection control-

False: It has to be considered but shouldn’t prevent self practice.

True: It has to be considered but shouldn’t prevent self practice.

Health legislation

Current legislation and guidelines actively encourage self practice and self management e.g. Scottish Government (2019) Personalising Realistic Medicine: Chief Medical Officer for Scotland’s Annual Report 2017-2018 Edinburgh Scottish Government  

Page last reviewed: 13 Jan 2021