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Self-management Support Tool HEALTHY CHANGES PLAN Organization Name: Name: Date: Phone:
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How to fill out self-management support tool

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How to Fill Out the Self-Management Support Tool:

01
Begin by carefully reviewing the self-management support tool and familiarizing yourself with its components.
02
Start by filling out your personal information, such as your name, age, and contact details, in the designated sections of the tool.
03
Assess your current level of self-management by answering the questions provided. This may include evaluating your ability to set goals, monitor your progress, and make informed decisions about your health.
04
Consider any challenges or barriers you face in managing your health and outline them in the appropriate section of the tool.
05
Reflect on your support system and identify individuals, resources, or organizations that can assist you in your self-management journey.
06
Use the provided space to record your personal goals and objectives regarding your overall wellness and self-management.
07
Consider any specific actions or strategies you can undertake to improve your self-management abilities and document them in the tool.
08
Finally, review your answers and make any necessary revisions or additions before finalizing the self-management support tool.

Who Needs the Self-Management Support Tool?

01
Individuals with chronic health conditions who aim to improve their ability to manage their own health.
02
Patients who need assistance in setting goals, making informed decisions, and monitoring their overall wellness.
03
Those who wish to identify and address barriers or challenges to successful self-management.
04
Individuals who would benefit from identifying and utilizing available support systems or resources.
05
Patients seeking to track and monitor their progress in achieving self-management goals.
06
Individuals who find value in documenting their personal goals and strategies for self-management.
07
Anyone desiring a comprehensive tool to assess and improve their self-management skills and abilities.
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Self-management support tool is a guide or resource designed to help individuals take control of their healthcare and make informed decisions about their health.
Healthcare professionals, care providers, and individuals with chronic conditions are required to use self-management support tools.
Fill out the self-management support tool by providing accurate information about your health condition, goals, and progress.
The purpose of self-management support tool is to empower individuals to manage their health effectively and improve their quality of life.
Information such as symptoms, medication usage, lifestyle changes, and progress towards health goals must be reported on self-management support tool.
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