Patient Centered Care and Motivating the Older Adult

Question 1

What is the difference between motivation and compliance?

Answer 1

Motivation is intrinsic (the want to achieve goals and to have control of their circumstances)

compliance is Extrinsic (wanting to please someone else, the want for praise/attention, and the want to avoid punishment or negativity)

Question 2

What influences motivation in the aging population?

Answer 2

• Self efficacy expectations (belief in capabilities)
• outcome expectations (belief personal action will produce certain consequence)
• enhanced by successful performance, verbal encouragement, vicarious experience, and physiologic and affective states

Question 3

How can you enhance pts self efficacy beliefs?

Answer 3

• verbal encouragement of capability
• exposure to role models
• decrease unpleasant sensations associated with activity
• encourage actual practice
• educate on benefits and reinforce those beliefs

Question 4

What are some factors for individualized care?

Answer 4

• recognizing individual needs and differences
• using kindness and humor
• empowering to take active part
• gentle verbal persuasion
• positive reinforcement
• be genuinely interested

Question 5

What are the key aspects of patient-centered care?

Answer 5

• Patient’s values and references guide plan of care
• focus on the person, not the illness
• quality and value defined by respect for personal choices
• goals driven by the patient and their functional desires
• patient empowerment to take an active role in care plan

Question 6

What does people-first language mean?

Answer 6

emphasizes the person first, not the disability, by starting the phrase with words “person who” or “person with”

Question 7

What are 5 aspects of patient-centered goal setting?

Answer 7

• primary way of enhancing patient centeredness
• improves outcomes and satisfaction
• recommended and/or required in practice
• highly personal
• can be critical for motivation

Question 8

True or False: When setting goals you should make sure they are easily obtained and not challenging to help build patient confidence and buy in.

Answer 8

False, goals should be challenging but attainable, not too hard or easy

Question 9

What are two big challenges when motivating the older adult? How can you address these challenges?

Answer 9

• Overcoming fear (graded exposure and building on baseline tolerance)
• apathy (meds may be necessary first step but focus on activities that can be done successfully)