Resiliance Flashcards
What is burnout?
2) What 4 challenges contribute to burnout?
emotional and physical
exhaustion resulting from a
combination of exposure to
environmental and internal
stressors and inadequate coping and adaptive skills. In addition to signs of exhaustion, the person
with burnout exhibits an
increasingly negative attitude
toward his or her job, low selfesteem, and personal
devaluation.
2) • Emotional (dealing with anxious patients).
• Cognitive (complex treatment decisions).
• Physical (maintaining difficult postures).
• Quantitative (short time allocated for
patients).
applying the biopsychosocial model
thinking about the dentist
1) what social factors do they deal with?
2) how to challenge
1) Psychological issues seen by colleagues and seniors as weak, stigmatised. Culture does not support self-care. Lack of strong role models
2) Supportive and open work / study culture. Psychological issues seen as normal. People openly talk about difficulties they have experienced and look out for each other
what 3 things does pyshcological break down into?
thoughts, feelings, behaviours
applying the biopsychosocial model thinking about the dentist 1) what pychological factors do they deal with: a) thoughts b) feelings c) behaviours 2) how to challenge a) thoughts b) feelings c) behaviours
1) a) Thoughts: I’m weak, everybody else copes better, Ican’t show how I feel in case it affects my career.
b) Feelings: Anxious, depressed, afraid, ashamed,
distressed, overwhelmed. Feelings are magnified
c) Behaviours: Avoid situations, withdraw, keep quiet, poor attendance and timekeeping, disorganisation,
arguments.
2) a) Thoughts: This is tough, how can I get through, do I need
support, who should I speak to, what might help me?
b) Feelings: Anxious, depressed, afraid, distressed. Feelings are
more contained and less overwhelming.
c) Behaviours: May vary between a range of strategies, eg seek
support (from friends or professionally), adopt more healthy behaviours, express feelings, follow the advice you would give to a friend.
According to NICE’s guidline for behaviour change, what are the 3 aims of practioners:
- design valid and reliable interventions and programmes, that take account of the social, environmental and economic context of behaviours
- Identify and use clear and appropriate outcome measures to assess changes in behaviour
- employ a range of behaviour change methods and approaches, according to the best available evidence
What is the stages of change model?
- precontemplation (not thinking about changing)
- contemplation (thinking about changing behaviour)
- Preparation/determination (wants to change, does research on how)
- action ( we do it)
- Maintance (keep it up, a few one-off is ok)
- relapse ( try to stop them feeling guilty, from here go to pre contemplation (no longer care) or contemplation ( still care just fucked up)
A) when discussing change, should we 1) argue across points for change or 2) have a convo about it . WHY?
B) what does having a convo consist of in this context?
C) What is B channeling at a low intensity?
D) what sort of approach is this? who as the choice?
E) what is the role of the professional in C:
A) 2 not 1, as argueing for change is a waste of time they know the facts and can trigger patient to voice arguments for other side.
B) What are their opinions for and against change? (there opinion has more weighting in their mind) , what is their confidence level (scaling questions for both how important is it to change and how confident))?, “roll with resistance” if all else fails,
C) the spirit of motivational interviewing
D) Collaborative approach – choice
remains with patient.
E) Role of the professional is to help patient to explore their choices in relation to the behaviour.
Give age of child at this stage of development:
Wary of strangers.
Startled by loud or sudden noises.
Highly attuned to the facial expression and
feelings of their caregivers and other people.
May rely on comfort objects.
Enjoy playing with or exploring objects.
Will usually bring objects to their mouth.
From 6 months to 3 years or older children
will become highly distressed if separated
from their primary caregiver in an unfamiliar
situation.
up to 1yr
How do you treat a baby?
Don’t scare them. Involve the parent / carer. Signal safety / fun with body language tone of voice
Give age of child at this stage of development: • Children often develop new fears (as they are more capable of pretending and imagining). • Illness may be seen as magical or a punishment for breaking rules. • Children tend to believe that rules are fixed and cannot be challenged. • Children may be very strong willed – parents will benefit from good advice given by an authority figure.
about 3yrs
Give age of child at this stage of development: • Good sense of past, present and future. • Enjoy jokes and riddles. • Starting to understand more complex concepts, for example something that tastes good might not be good for your teeth. • Often eager to please.
about 5yrs
Give age of child at this stage of development: Children enjoy learning about how things work. • They are more likely to be able and willing to speak up for themselves at the dentist. • May be ready to take over brushing their own teeth.
about 7 years
Give age of child at this stage of development: • Increased planning ahead. • May be easily embarrassed or discouraged. • Increased understanding that things are not always as they seem. • Preference for unimodal explanations – eg illness is caused by germs and you will be ill if germs are present.
8-9
Give age of child at this stage of development:
Increasingly self-aware and selfconscious.
• Sensitive to criticism.
• Highly influenced by peers.
• More nuanced understanding of
rules, may not comply if they
don’t agree with them.
10-11
Give age of child at this stage of development:
More independent.
• Responsible for many of their own decisions.
• Sophisticated capacity for understanding.
• Highly influenced by peers.
• Want to be accepted and liked.
12yr+
Give the don’t for parents when taking child ages 0-8 to dentist:
• You need to be brave / be a big boy or girl. • Don’t be scared / they won’t hurt you / it will be over in 5 minutes. • They’ll think you are naughty / you need to sit still. • I have going to the dentist, but you will be fine.
Give the do’s for parents when taking child ages 0-8 to dentist:
Have normal conversations
while waiting, such as about a holiday, hobby, school or
nursery.
• Play music
• Play with a toy
• Say they are doing a good job or being clever.
If a child has atypical development e.g. autism, how should you treat them?
Children may have many and varied additional needs. • Take advice from their parent or carer. • Often they will need additional time to familiarise themselves with surroundings. • DO NOT make assumptions about what any child is or is not capable of
What are the models of behaviour change?
- theory of planned behaviour
- Protection motivation theory
- self-efficacy theory
- health belief model
What 4 factors effect the self-efficacy theory:
- performance accomplishments e.g. the tracker ,past experiences
- vicarious experiences
- social persuasion (e.g. coaching)
- physiological and emotion states
What does the theory of planned behaviour tell us?
somebody’s intention to perform a behaviour is effected by their attitude towards the behaviour, the subjective norm (if others they value the opinion of are) and the persons perceived behavioural control ( if they think they are in control of that behaviour-the more they think they are in control of that behaviour). this feeds into their intention and can result in the behaviour
What is COM-B model?
capability and opportunity can increase motivation. All 3 of these things feed into where a behaviour occurs. A behaviour occurring effects these 3 things as well.
Why do we use this framework?
Assess the potential needs of individuals or communities in each area. • Plan interventions designed to address these needs. • Evaluate and learn from the results of an intervention.
