11. Motivational Interviewing Flashcards
EBD
____
____
____
Dentist’s expertise
scientific evidence
patient needs & preferences
Interdependence
Evidence-based medicine, shared decision making and patient-centered communications skills are all the ____
same
What Do Dentists Need To Teach Their Patients
● ____:
Preventive Home Care, Causes of Dental Disease, Rationale for Dental Care
● ____:
Best Ways to Care for Mouth at Home, Oral Facial Self Examination
● ____:
Why is Dental Care and Oral Health Important for General Health,
Value of Frequent, Routine Dental Appointments
knowledge
performance
value
Teaching Knowledge: 6 Levels Bloom’s Taxonomy
\_\_\_\_ Comprehension \_\_\_\_ Analysis \_\_\_\_ Evaluation
* Knowledge is the beginning of understanding * Synthesis/evaluation > take initial stages and make a decision about specific cirucmstance
knowledge
application
synthesis
Focusing on Knowledge
● Content Area & Patient Specific: NEED TO KNOW
● Building on What Patient Knows & Can ____
● Evaluate Literacy & ____ Levels
● Small Steps in Sequence
● Talk Combined with Illustration
understand
comprehension
Performance - Coaching & Skill Training
● Clear Understanding of ____
● Specific Demonstration with Appropriate Products
● Practice with ____ Tips
● Continued Practice & Evaluation
● ____ Reinforcement
objective/rationale
coaching
periodic
Communicating Values ● Arrange the \_\_\_\_ Environment ● Set the Cultural Norms ● \_\_\_\_ the Change You Want To See ● Establish a Relationship ● “Make Health the \_\_\_\_ Choice”
physical
model
easy
Motivating Patients to Change
● ____ People Change:
Maslow’s Needs & Drives
Rosenstock & Becker Health Belief Model
● ____ People Change:
Prochaska’s Trans-theoretical Theory
● ____ Clinicians Help People Change: Motivational Interviewing
why
when
how
Maslow’s 5 Needs and Drives
Physiological survival needs > ____ > social & belonginess > ____ > creativity/self actualization
Can ____ this model!
physical safety & economic security
ego/esteem
argue
Maslow’s Theory Applied to Dental Care
● Physiologic Survival Need
○ Remove or Reduce ____
● Physical Safety & Economic Security
○ Halt current and prevent future damage to preserve ____ & save
____
● Social & Belongingness
○ ____ and fresh breath for ____
● Ego & Esteem
○ Use latest ____ to have best oral health
● Self Actualization & Creativity
○ ____ for its own sake, highest level
pain teeth money beauty social acceptance technology health
Rosenstock & Becker’s Health Belief Model
* Health seekin behvaior depends on al of these * \_\_\_\_ - think back as to why all teeth need to come out * \_\_\_\_ - may thingks things are abd, but not as bad * \_\_\_\_ - uncomfortable dentures, may think there's no benefit * \_\_\_\_ - won't be able to affod dentures, etc
susceptibility
severity
benefit
barrier
Stages of Change: Transtheoretical Model
Six Predictable Changes in a Spiral Pattern
- ____
- Contemplation
- ____
- Action
- ____ in Change
- Relapse
- Parchoskas
- Before stop smoking - ____; contemplation, maybe stop but aware of problem; ____ - asking for nicotine patch, and gearing up; ____ after action; then relapse and do it all over, etc, can go right into other stages
- Predictable way
precontemplation
preparation for change
maintenance
precontemplation
preparation
maintenance
Patient Centered Care
* Role of patient * \_\_\_\_ - keep child safe * \_\_\_\_ - providing srervice, keep customer happy; consumer * \_\_\_\_ - counsel someone who is more in charge * \_\_\_\_ - providing knowledge
Go for the ____ two!
parent-child hairstylist advisor-executive coach-player last
Patient Provider Partnerships
1. Health is determined by more than healthcare
2. Patients are active ____ in their own health 3. Healthcare providers are ____ who help
patients achieve their own health goals.
• Non-\_\_\_\_ model
agents
facilitators
- Goods are different than service
* Good is ____ from the consumer; service is not
independent
