PMHP-Changing behaviour

Question 1

Compare the three types of consultation styles?

Answer 1

Directing- Delivery of expert advice

Following- Listening to the patient to get the full picture & providing support and encouragement

Guiding-Helping the patient decide what they want/ identifying patient goals and how they could be achieved.

Question 2

Discuss OARS?

Answer 2

1. Open question s
2. Affirmation (Demonstrate an appreciaton of the patient’s efforts)
3. Reflective listening (listen to what has been said and repeat it back)
4. Summary

Question 3

List the important factors in a consultation?

Answer 3

• Inviting the patient to talk about the behaviour change.
• Gather information about what is affecting the change.
• Provide support
• Convey your understanding
• Get information across.

Question 4

What are the 3 types of patient’s you will come across?

Answer 4

Those that want to quit now.

Those that want to quit in the future

Those who never want to quit.

Question 5

Explain the steps of behaviour change counselling

Answer 5

1-establish rapport (by asking questions to understand the patient better)
2-Set an agenda (decide what you are aiming to change)

3-work out their readiness to change.

4-Exchange information.

5-Reduce resistance.

Question 6

How do you work out the patient’s readiness to change?

Answer 6

It needs to be Important to the patient to want to change.

The patient needs to be confident in their abilities to change.

Question 7

How do we reduce resistance?

Answer 7

Emphasise the personal choice and control of the patient & back off if neccesary for the patient.