Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

C - NUTRITION: TERM 5 > Readiness to Change > Flashcards

Readiness to Change Flashcards

1
Q

“Poor health or disabilities are not

inevitable consequences of ______

A

aging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Helping patients change behavior is an important role for the provider

1—_________ modification for disease prevention,
and disease management

2—Exercise programs, stress management and
dietary changes represent some common
interventions that require _______ __________.

A

Lifestyle

patient motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

_________ ___________ is rarely a single event.

A

Behavior change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Studies of human behavioral changes suggest it takes

____ days to change a habit or incorporate a new one

A

45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Stages of Change: Transtheoretical Model of Health Behavior Change

Derived from integration of different theories of human
behavior and views of how people make change
—A dominant model of health behavior change

• Model of _____________change
—Focuses on the decision making of the individual

• Describes how people MODIFY a problem behavior
or _________ a positive behavior

• Behavioral change is a PROCESS that unfolds over time
through a sequence of stages

A

intentional

acquire

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

5 Stages of Change

  1. P re-contemplation
  2. C ontemplation
  3. P reparation
  4. A ction
  5. M aintenance
A

“OH LOOK….IT’S PC PAM!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Not always in a __________ progression…
• Can move backwards or stay in one stage for long time
Goal: Take steps to get back into Action and Maintenance

A

linear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Research has generated a rule of thumb for at-risk
populations:

1—40% in pre-contemplation
2—40% in contemplation
3—20% in preparation

****Aim for ________-________ interventions

A

stage-matched

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q 
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Stage
Patients Position:
• “Ignorance is bliss”
• Lack of information
• Demoralization from past attempts
• Ex.: Patient with high cholesterol levels may feel “\_\_\_\_\_\_\_” to the health problems that strike others

Clinical Goal:
• Move patient from “NO!” to “I’ll think about it…”

A

Pre-contemplation

immune

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pre-contemplation Stage

Goals:

  1. Help patient develop a reason for changing
  2. VALIDATE the patient’s experience
  3. _____________ further selfexploration
  4. Leave the DOOR OPEN for future conversations
A

Encourage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

___________________ STAGE
Patients Position:
• “Sitting on the fence”
• Possible intention to change in the near future
• Assess barriers (e.g., time, expense, hassle, fear, “I
know I need to, doc, but …”) and the benefits of
change
Clinical Goal:
• Provide direction and support

A

Contemplation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

_______________ STAGE

Patients Position:
• “Testing the waters”
• Intention to take action in the immediate future
• Preparing plan of action
• May experiment with small change
—— i.e. sampling healthier foods may be an experimentation or a move toward greater dietary modification.

Clinical Goal:
• Provide direction and support

A

Preparation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

_________ STAGE

Patient’s Position:
• Overt action has been taken
–working towards goal

Clinical Goal:
• Provide direction and support
• Guide patient in the creation of a specific action plan

A

Action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Set S.M.A.R.T. goals

• Agreed on by doctor and patient
1—Short term goals spanning ____-____ weeks are generally more effective than long term goals over months

2–_______ _________ are a great tool
– commitment to change

A

1-2

-Self contracts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SMART =

S PECIFIC
M EASUREABLE
A TTAINABLE
R ELAVANT
T IME BOUND
A

KNOW THIS D.U.M.B. A.S.S!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q 
\_\_\_\_\_\_\_\_\_\_\_  STAGE
Patient’s Position:
• Working to prevent lapse
– Temporary fall or reemergence of an old habit
• Working to prevent relapse
– Resuming an unwanted habit
• Less temptation and more confidence

Clinical Goal:
• Continue to provide direction and support

A

Maintenance

17
Q 
Needs:
Empathy,
Acceptance,
“Plant Seeds,”
Information/
Education  = ??
A

PRECONTEMPLATION

18
Q 
Needs:
Information,
“Baby steps”,
Develop
relationships,
Review barriers/
obstacles =??
A

CONTEMPLATION

19
Q 
Needs:
Investigation,
Specifics,
Plan,
Scheduling = ??
A

PREPARATION

20
Q 
Needs:
Inspiration,
Analyze
Challenges,
Rewards,
Support =??
A

ACTION

21
Q 
Needs:
Role-model,
Rewards,
Creativity,
Relapse
Prevention =??
A

MAINTENENCE

22
Q

Assessing IMPORTANCE
Today, on a scale of 1 – 10, how important is it
to _____________?

Assessing CONFIDENCE in
ability to change
Today, on a scale of 1 – 10, how confident are you
that you will be able to ________________________?

A

KNOW

23
Q

Motivational Interviewing (MI)

O A R S:

  1. O PEN ended questions
  2. A FFIRMATIONS
    – Help pt feel change is possible - explore past successes
    – Focus on positive aspects of changing
  3. _________ Listening
    – Repeat or rephrase what the pt says - Listen to pt - they
    will tell you what worked and what did not
  4. Summarization
    —- Announce you are going to summarize, list selected
    points, invite the pt to correct anything missed
A

Reflective

24
Q

Resistance to change

Shift topics to reduce resistance
—- Do NOT respond to resistant statements

—Help pt develop new insights on situations

—Establish a no-fault policy

—-Demonstrate empathy

A

XX

25
Q

Most important part of
motivational
interviewing… =???

A

Talk less than the patient and listen more.

26
Q

Motivational Interviewing

  1. Assess and Personalize Patient’s Risk Status
  2. Stages of Change Evaluation
  3. Educate About ______ & Advise About Weight Goal
  4. Assess Patient’s Understanding and Concerns
A

Risks

27
Q

When a patient is ready to change:
Help provide supportive tools and create a plan of
action
• ________ _________ is key to success

A

Goal setting

28
Q

Cultural Sensitivity

• Respecting and understanding attitudes, values, and
beliefs of others

• __________ to use cultural knowledge while interacting with patients

• Considering cultural preferences and customs during
discussions and with regard to recommendations for
treatment

A

Willingness

29
Q

Diet is often a significant aspect of cultural identity

• Select cultures perceive excessive body weight as
desirable
—Helpful to reassure patients that they need not achieve
a BMI of

A

fat loss

5%-10%

30
Q

Patients may perceive attempt to change a lifelong habit
or practice s/he enjoys or is comfortable with as a
potential threat
• May become defensive
• Can be prevented or minimized by using _______
communication

***Describe behavior rather than evaluating it

A

supportive

31
Q

Avoid using medical terminology – make sure the
patient understands
• Allow them time to ask questions
– without
______________
• Listen – analyze and understand the patient verbal and
non verbal messages

A

interruption

32
Q

Reflection Technique:

If patient makes a statement: i.e. “I feel depressed
about my lack of progress” then,
________ patient’s words: “You say you feel depressed”

A

Restate

33
Q

Recognize your ___________ and when you need to REFER a patient in need of more experienced help
• Despite best efforts, some patients may not be willing
or ready to change

A

limitations

34
Q

Don’t just talk the talk…..
• BE a role-model of good health habits

Healthier Doctors Have Healthier Patients

A

KNOW THIS

C - NUTRITION: TERM 5 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions