Domain 2 Flashcards
Motivational Interviewing
Client centered approach to interviewing that focuses on helping the client discover their motivation for change
- Express empathy
- Support self-efficacy
- Roll with resistance
- Recognize discrepancy
OARS (acronym)
Approach used with motivational interviewing
O- Open-ended questions
A- Affirmations
R- Reflections
S- Summaries
Client Engagement
Client takes active role in care decisions
Client Activation
Describes knowledge, skills, ability, willingness, and confidence a person has to allow them to become engaged in managing own health/healthcare
6 Stages of Change
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintanence
- Termination
Client Empowerment
Roles and functions the case manager performs in supporting and educating
Health Literacy
Ability to obtain, communicate, process, and understand basic health information
Rancho Los Amigos Levels of Cognitive Functioning
Follows recovery of TBI
Dual Diagnosis/Co-Occuring Disorders (COD)
Behavioral/mental health disorder and a substance abuse disorder
Change Talk
Statements made by client that reveal motivation for/committment to change
Glasgow Coma Scale (GCS)
Measures level of a coma in acute phase of injury
Mini-Cog Test
3 item recall and clock drawing test
Mini-Mental Status Exam
11 questions, cognitive functioning test for presense of head injury or dementia
Hamilton-D
Measure level of depression
Minnesota Multiphasic Personality Inventory (MMPI)
Assesses for personality traits and psychopathology
Social Determinants of Health (5)
- Economic stability
- Education access and quality
- Health and healthcare access
- Neighborhood/built environment
- Social and community context
Self-Efficacy
One’s belief in their own ability to succeed
Conflict Resolution Strategies (in order, 5)
- Collaboration
- Negotiation
- Accomodation
- Competitive
- Avoidance
Health Coaching
Already suffers from chronic disease, goal to lessen impact of disease
Empathy vs. Sympathy
Empathy- experiencing someone’s feelings, drives connection
Sympathy- understanding someone’s feelings, drives disconnection
Spirituality vs. Religion
Spirituality- sense of connection with something bigger
Religion- community of people who share similar beliefs
1995-1997 Adverse Childhood Experiences Study (ACES)
Kaiser Permanente and CDC, 200 questions about childhood experiences/10 types of trauma, 4+ trauma=higher percentage of premature death and chronic illness
Chronic Conditions
Health conditions lasting 3+ months
Chronic Care Model (CCM)
World Health Organization (WHO), 6 essential elements: self-management support, community resources, health systems, delivery system design, clinical information systems, decision support
Elizabeth Kubler-Ross 5 Stages of Grief
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Death with Dignity (Good Death)
Dying free from avoidable stress and suffering
Bereavement
Effectively dealing with loss of a loved one
Cultural Competency
Behaviors ensure all clients recieve high quality, effective care regardless of language, culture, and socioeconomic status
Cultural Proficiency
Knowing how to learn about individuals and their cultures
Cultural Humility
Lifelong commitment to self-evaluation and self-critique
Cultural Sensitivity
Skills that enable learning and understanding that people are different, which assist in serving them better
