Health Coaching 1 Flashcards
What is the definition of health coaching
Facilitating the patients active participation in managing their own health
What is the definition of motivational interviewing
A collaborative person centred approach based on eliciting and strengthening motivation to change
How does health coaching relate to MI
Health coaching is aid to have adopted the spirit of MI
Why do we need health coaching
Health coaching allows us to advocate for systemic change, as well as addressing inequity in health and the wider determinants of health. In turn, we can empower patients to make good decisions regarding their health choices in order to prevent the onset of disease
What accounts for 70% of the worlds deaths
CVD Stroke Diabetes Chronic lung diseases Cancer
What is the preventability of the top 5 diseases
Around 80% of heart disease and strokes are preventable, and around 30-50% of cancer cases have preventable factors
What is health influenced by
Health is influenced patient behaviours, genetics and quality of care. It is also influenced by the wider determinants of health, the socioeconomic and environmental factors which in turn are influenced by the local, national and global allocation of resources
What is the spirit of MI
CAPE: Compassion Acceptance Partnership Evocation
What is compassion
Desire to support ones wellbeing
What is acceptance
Respectful, non judgemental approach whilst affirming autonomy and worth
What is partnership
Working with the patient who is resourceful and an expert in their own situation
What is evocation
Identify the patients own perspectives and their own motivation to change
What is wrong with using the word problem?
It identifies something that can change however does not go about identifying any of the steps needed to take in order to deal with the issue. Furthermore, it may add to any stress of anxiety the patient is having by making them feel at fault for their situation
What is better about using the word issue over the word problem
Assumes there is a solution and that the patient can self identify what this may be, therefore you are facilitating the patient and helping them consider what they can do about their health
What are 3 core principles of health coaching
- The patients assumed resourcefulness
- A relationship based on mutual trust and respect
- Coaching is about change and action
What is an issue to consider with assuming patient resourcefulness
A patient may not be able to retain, understand and weigh up pros and cons therefore take responsibility for themselves and their choices. For example, someone with end stage dementia would not be able to identify issues therefore it would be difficult to facilitate patient participation
What is an issue to consider with needing a mutually trusting and respectful relationship
If the patient is manipulative or dishonest, or they believe that you as the doctor are the same, then there will be no progress and the process cannot take place
What is an issue to consider with needing change and action
The patient needs to have a baseline level of motivation and sense of where they want to be - you need to be non judgemental and let the patient want to make change in their own time
