Health Coaching Conversation Flashcards
What are the four main components for motivational interviewing?
Compassion
Acceptance
Partnership
Evocation
What is compassion in regards to motivational interviewing?
The healthcare practitioner acts from a desire to support the patient’s wellbeing
What is acceptance in regards to motivational interviewing?
The healthcare practitioner takes a respectful, non-judgemental approach, and values and affirms the patient’s autonomy and worth
What is partnership in terms of motivational interviewing?
The healthcare practitioner works in partnership with the patient, recognising that the patient is resourceful and an expert in their own situation
What is evocation in terms of motivational interviewing?
The healthcare practitioner helps a patient to identify their own perspectives and motivation for change.
What types of questions can be asked in health coaching?
o What’s the issue?
o What do you want ideally around this issue?
o What part of this do you have control over?
o What are your options going forward?
o What is your next step?
What are three coaching principles?
1) The patient’s assumed resourcefulness
2) A relationship based on mutual trust and respect
3) Coaching is about change
In what two ways can health coaching help a patient?
1) Develop new perspectives about their health issue
2) Plan how to best achieve their health behaviour goals
What is the practitioner’s role in health coaching?
Broadens from expert to enabler.
By recognising that the patient is resourceful, and an expert in their own life situation, the practitioner’s role broadens from expert to enabler, supporting the patient’s own thinking about the goals they want to set for themselves and how best to achieve these goals.
What are the 5 expectations to consider in a healthcare setting?
A) Practicalities
2) Approach to confidentiality
3) Expectations of the roles of practitioner and patient
4) Boundaries of work
5) Keeping a record
What are practicalities in terms of healthcare setting expectations?
It’s important to agree practical details about the location and timing of consultations
What is the approach to confidentiality in terms of healthcare setting expectations?
Maintaining confidentiality is an important aspect of constructing trust in the relationship, and thus essential to discuss your approach to confidentiality from the outset - including discussing that confidentiality may need to be broken down in certain circumstances (risk of harm to patients)
What are the expectations of the roles of practitioner and patient?
Being clear from the start about what to expect from the health coaching relationship can reduce misunderstanding later one.
Sometimes there might be an expectation on both sides that the practitioner is there to provide the answers for the patient and to fix their issue. Remember that in health coaching, the practitioner’s role shifts from expert to enabler, helping the patient to set their own health behaviour goals and identify their own solutions.
What are the boundaries of work in a healthcare setting?
It is important to clarify the boundaries of work, including the limits of your competence, and who else you may need to signpost your patient to.
What is the advantages of keeping a record in a healthcare setting?
It can be helpful to have a written record of what has been discussed and agreed for you. and the patient to refer to this when needed as you progress with the health coaching, to help you both keep track./