Page 34 - Vision Manual

I.
RESOURCES AND BARRIERS TO SELF CARE
Providers – Use the space below to list the different providers that you have that help care for you and their role. These would include doctors, nurses, home health aides, case workers, and therapists.
II.
Supporters – Identify the various people in your life that help you with managing stress and staying healthy and well. These might include family members, friends and anyone who encourages you.
III.
Barriers and strategies to overcome them- Use the boxes below to identify barriers that challenge your ability to attend to health, and talk about what helps you overcome those barriers.
Name: Role: Name: Role: Name: Role: Name: Role:
Phone Number: Phone Number: Phone Number: Phone Number:
Name: Role: Name: Role: Name: Role: Name: Role:
Phone Number: Phone Number: Phone Number: Phone Number:
Barriers (Things that get in the way) Skills and Strategies to overcome barriers
Example: Side Effects from Medication make it hard to take meds.
Pros and Cons list to taking medication, talking to Dr. Johnson or Mom
Coping With Stress and Tolerating Distress
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