Client Goals

Question 1

WHO model

Answer 1

Health condition
Body functions & structure Activity Participation
Environmental Factors Personal Factors

Question 2

Audiological Enablement

Answer 2

Enhancing the activities and participation of an individual with hearing difficulties
Improving their QOL
Minimising any effect on significant others
Facilitating their acceptance of any residual problems

Question 3

Model of Rehab (Stephens and Kramer)

Answer 3

Evaluation

• —> Activity/participation
• —> communication status
• —> contextual factors
• —> related functions and activites

Integration and decision making
—-> Goal setting/integration/categorisation

Short term remediation

• —> Instruction; personal and general
• —> Strategies
• —> Ancillary help

On-going remediation
—-> Communication training and coping

Question 4

What should we consider when setting and evaluating goals?

Answer 4

Activity & Participation
Communication status
Contextual factors
Related functions & activities

Question 5

What are we achieving with goal setting?

Answer 5

Motivation - something to work towards
Education
Evaluation

Question 6

The Line

Answer 6

Motivation Tool
How important is it for you to improve you hearing right now?
How much do you believe in your ability to use…

On a scale of 0-10, 10 being very much

Question 7

The transtheoretical model

Answer 7

Stages of change model

1) Pre-contemplation
2) Contemplation
3) Preparation
4) Action
5) Maintenance

and then either stable behaviour or relapse

Question 8

How to deal with different stages?

Answer 8

Early - enhance perception of the problem. Info about hearing mechnism. Talk about preconceptions

Mid - Info re HI and possible rehab strategies. Identify pros cons. Motivational interviewing. Narrow choice.

Late - Provide rehab, monitor progress and maintain motivation

Question 9

What are tools for motivation?

Answer 9

Motivational interviewing
Reflective listening
Tools/Scale: “The box”

Question 10

The Box

Answer 10

Benefits of NO Action
Costs of NO Action
Benefits of taking action
Costs of taking action

Question 11

What does care stand for?

Answer 11

Comfort
Acceptance
Responsiveness
Empathy

Question 12

Define clinical comfort

Answer 12

The ability to deal with emotive topics, (embarrassing or painful) without becoming uncomfortable

Question 13

Define clinical acceptance

Answer 13

The ability to accept the feelings and attitudes of the patient, without allowing them to interfere with patient rapport

Question 14

Define clinical responsiveness

Answer 14

The skill of reacting to indirect or incomplete messages that are made by the patient

Question 15

Define clinical empathy

Answer 15

an appropriate controlled, professional response to the patient’s affective reaction to illness

Question 16

Characteristics of good goals

Answer 16

Specific
Stated in a positive manner
Measurable (result in an observable change in behaviour)
Attainable 
Maintain existing positive coping skills

Question 17

What must we do before we are able to provide effective rehab?

Answer 17

1) Create relationship to facilitate communication
2) Identify the goals which “we” wish to achieve
3) Mediate disagreement between desired goals and achievable goals
4) Decide on which and how to provide rehab strategies to meet goals