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ME 528- Patient Communication > Compliance and Decision Making > Flashcards

Compliance and Decision Making Flashcards

1
Q

What are the top causes of death in the US?

A

Heart disease, cancer, CVA

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2
Q

What are the actual causes of death in the US?

A

Tobacco, poor diet and physical inactivity, alcohol

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3
Q

What are some things that can trigger behavior modification?

A

Birthday? Anniversary of a person’s death, media, mid-life crisis?

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4
Q

Self-monitoring

A

objective/measurable goals

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5
Q

Behavior modification categories (7)

A

Cue to action
Self-monitoring
Goal setting
Stimulus control
Social support
Rewards
Self-talk

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6
Q

Stimulus control

A

knowing the situations that trigger behavior

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7
Q

Cognitive dissonance

A

inconsistent thoughts and actions

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8
Q

What is the bottom line for long-term follow up

A

a person is always at risk to do those behaviors again

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9
Q

Behavioral change is not always enough, and medication needs to be added BUT

A

medication only works if the patient takes it and takes it properly

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10
Q

What are common reasons for non-compliance?

A

Perceived cost/benefit
Polypharmacy
Logistics (can’t open pill bottles)
Co-mobidities (depression, addition)
Childhood and elderly (need support)
Health literacy
Beliefs

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11
Q

Bottom line for non-compliance

A

don’t assume, ask

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12
Q

Shared decision making is a process of _______ a course of ________ (including _______)

A

choosing, action, inaction

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13
Q

Decision making capacity

A

Ability to utilities information about an illness and proposed treatment options to make a choice that is congruent with one’s own values and preferences

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14
Q

Capacity can _____ over time

A

fluctuate

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15
Q

Conditions with diminished capacity

A

dementia, such, TBI, end of life

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16
Q

Elements of capacity

A

understanding
expression of choice
appreciation
reasoning

17
Q

Elements of capacity: understanding

A

to know the meaning of disease, treatment, options, risks

18
Q

elements of capacity: expression of choice

A

capability to express (verbally, written) choice

19
Q

elements of capacity: appreciation

A

Do they appreciate how are the “facts” are relevant to them

20
Q

elements of capacity: reasoning

A

can they relate their values/preferences to the choices to be made?

21
Q

The greater the potential risk from disease and/or treatment the

A

greater the need for capacity assessment

22
Q

Knowledge

A

do you know the risks and benefits of each option?

23
Q

Values

A

are you clear as to which benefits, and risks matter the most to you?

24
Q

Support

A

do you have enough support and advice to make a choice?

25
Q

certainty

A

Do you feel sure about the best choice for you?

26
Q

Decision support is a process of

A

assessing decisional needs, intervening to address individual needs, evaluating the progress and quality of decision making

27
Q

Quality decisions

A

informed
congruent with personal values
acted upon

28
Q

Presenting risk information: similar profile

A

probability of an outcome in people “like me” who experience the problem

29
Q

Presenting risk information: format

A

use quantitative, qualitative and graphic formats (100 faces) to enhance understanding

30
Q

Presenting risk information: framing

A

Risk message + positive messages improves message framing

31
Q

Helping interpret risk information? Risk of what?

A

getting a disease? dying?

32
Q

Helping interpret risk information? How big is the risk?

A

chance that your patient will experience the outcome

33
Q

Shared decision making is an integrative process between the patient and the clinician that

A

engages the patient in decision making
provides the patient information and alternative treatments
facilitates the incorporation of patient preferences and values into the plan

ME 528- Patient Communication (5 decks)

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