Self-Management Support: Patient Planning Worksheet

Improving Chronic Illness Care, a national program of The Robert Wood Johnson Foundation
Seattle, Washington, USA


Patients must take better care of themselves to keep their chronic illnesses under control, and need to be trained in proven methods of minimizing complications, symptoms and disability. But effective self-management means more than telling patients what to do. It means giving patients a central role in determining their care. This form helps people with chronic illnesses develop a personal plan to learn a new behavior, such as starting a program to increase their physical activity.

The Patient Planning Worksheet is a form that may be used by patients either at home or during their office visit to plan their self-management goals for managing their chronic illness.


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