The Social Environment

It is important to assess and incorporate both the patients' anticipated barriers to self-management and their available resources, at the level of (a) family and friends and (b) broader community influences, including work and neighbourhood factors (see Table 6.1)69. This can be accomplished by asking the patient what he/she thinks might interfere with the identified self-management goal(s) for the next visit (e.g. 'Ms Smith, what things do you think might make it difficult for you to follow the eating plan we discussed today?'). The clinician can then help the patient develop possible solutions, focusing on the use of available family, friend or community resources. Most

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