Elements and Performance Criteria
- Elements define the essential outcomes
- Determine the person’s needs
- Identify the person’s chronic disease conditions and seek information about its possible impacts on health, well being and ability to achieve maximum performance in everyday situations
- Determine current treatments, and other inputs and supports by seeking information from the person or other health professionals
- Determine the level and type of support and assistance required by the person within scope of own role
- Adjust services and support to meet the specific nature of the chronic disease
- Actively involve the person in the development of strategies to self manage their chronic disease
- Support the person in a holistic manner
- Discuss with the person, their family and other carers, the full range of issues that could have an impact on their well being
- Respond to the range of issues in an integrated way
- Support the person to understand their chronic disease condition
- Facilitate the person to self-manage through provision of advice and resources
- Identify and discuss any unmet needs and requirements and make appropriate referral
- Contribute to a coordinated service approach
- Maintain awareness of current contribution of other agencies and professionals in supporting the person
- Identify the level and type of contribution made by family and other carers and the effects it has on the person
- Identify and meet communication and reporting responsibilities within the support system and own role
- Respond to variations in the person’s needs in the context of a coordinated service approach
- Determine the person’s needs
- Identify the person’s chronic disease conditions and seek information about its possible impacts on health, well being and ability to achieve maximum performance in everyday situations
- Determine current treatments, and other inputs and supports by seeking information from the person or other health professionals
- Determine the level and type of support and assistance required by the person within scope of own role
- Adjust services and support to meet the specific nature of the chronic disease
- Actively involve the person in the development of strategies to self manage their chronic disease