Start where you are.  It’s never too early or too late to begin sharing management.

What is shared management?

Shared management is a helpful model for navigating transition. It values the key role you play in your child’s health care and how your role shifts over time.

Gail Keickhefer and Cris Trahms, leaders in shared management, borrow from the business world as a way to describe the changes parents go through.  For example, in the beginning, you were the CEO of your child’s care and, over time moved to manager, then supervisor, and eventually to consultant.  This is a shift from total responsibility to shared responsibility.  It happens as you guide and coach your child to develop skills, assume more responsibility and build confidence to more actively participate in their own care.

Learn more about shared management from Gail Kieckhefer, PhD. Pediatric Nurse Practitioner, University of Washington, School of Nursing.

The goal is for your child to take an active role in their own health care.  Each person’s maximum potential to do this will be uniquely their own. Shared management holds the view that one’s ultimate goal is not necessarily independence but effective interdependence.

Shared management is played out and practiced in life’s daily routines.  You can build on this when it comes to involving your child in managing their medical needs. The model suggests that it is never too early to teach new skills and make these shifts. And yet, shared management is a positive approach that encourages you to start wherever you are; it’s never too late.

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