Class 8 - Supporting Wellness in Illness Flashcards

1
Q

What are some negative effects of patient education?

A

-assumes lack of knowledge is primary cause of unhealthy behaviour
-can cause blaming
-can curate a defensive response
-doesn’t consider motivation or state of change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Non-adherence can cause frequent ____________ for the same concern

A

hospitalizations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Factors that affect adherence level:

A

-developmental level
-level of understanding
-beliefs of treatment
-perceived barriers
-self-efficacy
-treatment difficulty
-meaning of the condition
-emotional readiness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does the transtheortetical model of change focus on?

A

readiness for change before change is made

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are characteristics of the pre-contemplation phase?

A

-not considering change
-denial
-problem isn’t considered serious
-may have given up on previous attempts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Strategies to move forward the pre-contemplation phase:

A

-education
-assistance with identifying risks v. benefits
-assess readiness for change
-“might” questions to visualize potential benefits
-remain flexible
-revisit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the characteristics about the contemplation phase?

A

person is ambivalent about changing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are strategies to move forward the contemplation phase?

A

-identify barriers and misconceptions
-pros and cons of new behaviour
-DARN questions
-address concerns
-identify support systems
-assess readiness
-establish a time frame

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

DARN Questions

A

D - desire “why do you want to make the change”
A - ability “do you have to tools to make the change?”
R - reason “what is motivating you to make the change”
N - need “on a scale of 1-10 how important is this to you?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Characteristics of the preparation stage?

A

person is prepared to experiment with small changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are strategies for the preparation phase?

A

-let patient create plan
-keep it simple
-realistic goals and timeline
-clear and positive info
-social connections
-stack the deck
-pros and cons
-readiness
-time frame

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Characteristics of the action phase:

A

person takes definitive action to change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are strategies during the action phase?

A

-positive reinforcement
-follow-ups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are strategies for maintenance and relapse prevention?

A

-encouragement and support
-contingency plans for handling setbacks
-follow-ups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some factors that influence behaviour?

A

-default to zero
-illogical thinking
-media, family, peers
-windows of opportunity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some barriers to change?

A

-lack of info/skill
-lack of confidence
-misconceptions
-personal cost
-environmental/logistical barriers
-salience

17
Q

Motivational interviewing is an assessment strategy and an ______________

A

intervention

18
Q

What does motivational interviewing address?

A

ambivalence - mixed feelings

19
Q

What is the focus of motivational interviewing?

A

exploring meaning and self-efficacy

20
Q

What is the key component of motivational interviewing?

A

active listening

21
Q

Motivational Interviewing - READS

A

Roll with resistance
Express empathy
Avoid argumentation
Develop discrepancy
Support self-efficacy

22
Q

What is resistant behaviour?

A

negating, blaming, excusing, etc.

23
Q

How do you “roll with resistance”?

A

provide info and alternative and explore possible solutions

24
Q

Elicit, provide, elicit strategy

A

-Elicit information from the person to understand values and readiness
-Provide information to address knowledge gaps
-Elicit information on the persons understanding and their feelings about it

25
Q

What is the goal of developing discrepancy?

A

change persons perceptions without creating a sense of being pressured