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Guided Self-Determination (GSD) is an empowerment-based, person-centred, reflection and problem solving method intended to guide the patient to become self-sufficient and develop life skills for managing difficulties in diabetes self-management.
Coping strategies using avoidant behavior are characterized by tendency to escape rather than managing difficulties.
When managing difficulties arose (e.g. somnolence, nursing, diagnostic procedures, visit by relatives, etc)., the interview was completed later.
Different tricks were mentioned by the participants for managing difficulties in daily life such as - "I use my nail to feel the edge" or - "When I sew, I will soak my finger to be able to push the needle through".
In relation to these 21 statements, the GP panel median importance score was 9 for one statement ('GP surgeries should ensure that young people are aware of their policy on confidentiality'), 8 for nine statements, 7 for ten statements, and 6 for one statement (' GPs should offer parents support and advice on managing difficulties during the waiting period following a referral').
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Managing difficulty in weaning from mechanical ventilation [ 88] as well as rehabilitation programs [ 89] and avoiding additional pressure neuropathies by careful positioning are also considered to be major issues.
Guided self-determination (GSD) is an empowerment-based, person-centred, reflection and problem solving method intended to guide the patient to becoming self-determined and developing life skills to manage difficulties in diabetes self-management using worksheets.
Thereafter the patients were taught how to manage difficulties at their return-to-work and how to generalize coping strategies to different risk factors at their work places.
10 A similar approach was used to manage difficulties encountered with fluid thickeners.
The women said that children and family gave energy and meaning to life, which strengthened them to manage difficulties.
Having a family and supporting network is important to manage difficulties as it brings meaning and joy to life.
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