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PPC Final > Discussing Lifestyle changes > Flashcards

Discussing Lifestyle changes Flashcards

1
Q

What is Resistance to change?

A

Communication and risk of nonadherence

Poor communicator vs. Good communicator

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2
Q

The moral issue?

A

Patient choice
Difficult to discuss during a consultation
Patient do not want to be morally judged by their provider
Readiness to change

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3
Q

What are the stages of change?

A 
Pre-comtemplation
Comtemplation
Planning
Action
Maintenance
Relapse
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4
Q

Lastly, Reluctance/

A

Worst adherence rates with behavioral changes, physicians: promote confidence

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5
Q

What is Motivational Interviewing

A
    • Patient Centered
    • Build Motivation and confidence
    • Better than traditional advice and education
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6
Q

What is the providers role in MI?

A

Collaborate
Encourage “change talk”
Reflective listening
Make patient comfortable

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7
Q

What are the techniques used in MI?

A

Show empathy
Cultivate discrepancy
Explore resistance
Encourage self-eficacy

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8
Q

How does it work?

A

Readiness, willingness, and ability to change
Key guiding principles: deeper issue and how to drive change
Time of process

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9
Q

How can we use it?

A

Lifestyle modifications such as alcohol consumption, poor diet and exercise and smoking

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10
Q

What is involved in alcohol use behavior?

A

Fetal alcohol syndrome (FAS)

  • Alcohol induced prenatal abnormalities
  • Risk of FAS increases with age and socioeconomic status
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11
Q

What are the patient challenges in alcohol use behavior?

A

openness regarding consumption, high school diploma, willingness to initiate conversation.

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12
Q

What are the provider challenges in alcohol use behavior?

A

Avoidance
Redirect the conversation
Focus on other health probelms

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13
Q

What was the impact of MI on alcohol use behavior?

A

Statistically significant outcomes favor MI
MI had greater impact within the first three months
No loss of impact when extended for more than three months

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14
Q

What is MI compared to other treatments for alcohol?

A

Superiority of MI

Cannot compare

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15
Q

What are the risk factors?

A

There are a lot of risk factors associated with diabetes

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16
Q

What is involved in diabetes self management?

A 
Knowledge of diabetes
Skills to manage diabetes
Internal motivation
Confidence in one's abilities 
Coping with complications
17
Q

What are the patient challenges?

A

Time
Family
Cost
Stress

18
Q

What are the provider challenges?

A

Providing check ups
Monitoring lifestyle
Addressing concerns

19
Q

What are the four themes

A
  1. Framing the topic in terms of “being healthy”
  2. Motivating the patient
    • cognitive restructuring
  3. Partnering with the patient to achieve weight loss
  4. Handle challenges that arise as a part of weight loss
20
Q

What is the role of the provider?

A

Meal planning
Physical activity planning
Short term, realistic goals

21
Q

What are the benefits to lifestyle modifications

A

Increased physical activity
Reduced caloric intake
Decreased BMI
Increased self-efficacy

22
Q

What are the effects of smoking behaviors?

A

Increases blood pressure
Decreases exercise tolerance
Increases tendency for blood to clot
Decreases HDL cholesterol levels

23
Q

What are the patient challenges in smoking behavior?

A

Difficult to focus on long term consequences
Stress in present lifestyle
Determining readiness to quit

24
Q

What are the provider challenges?

A

Create presuppositions
Judge patient on lifestyle behaviors
Build a rapport

25
Q

What is involved in MI for smoking?

A 
Successful
length of MI sessions
5 As
5Rs
Involving multiple media (in person, telephone, commmunicty sessions)
26
Q

What are the 5 A’s?

A 
Ask
Advise
Assess
Assist
Arrange
27
Q

How to apply MI?

A

Understand the moral issue that they experience
Understand their reasons for smoking
Keep assessing their readiness to quit
Use other methods

PPC Final (6 decks)

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