Table 1.

Key features of the self-management program for seniors with dual sensory impairment

Steps		Senior actions	Nurse support
			Key questions	Ideal support	Pitfalls
1	Problem identification	Mentions problem. Decides to take action	You mentioned that you have a problem with…Would you like to do something about it?	Name the problem using the senior’s own words. If the senior does not want to take action, do not interfere	Ask for an explanation, take on the problem, insistence
2	Collecting alternatives	Collects a minimum of three alternatives: either by themselves, or by asking others for help	What could you do about this?	Stimulate the senior to answer. In cases where the senior does not come up with enough alternatives, provide information. Leave the choice to the senior	Impose solutions, make judgments, provide advice
			Are there other options?
3	Choice and planning	Selects an alternative that he/she will act on. Plans actions	How do you think you will manage this?	If the senior has difficulties planning, then apply the key question 2 procedure	Take over the choice/planning; provide coercive advice
4	Execution	Executes action		Lets the senior execute the action	Execute action for the senior
5	Reflection	Reflects on own action, mentions what went well	What was the result? What are you happy about: about what you could do on your own? What would you do differently the next time?	Ask What, When, How questions	Ask for an explanation