week 10 Flashcards
what are the contradictions to massage
acute injury within the last 48 hours
cancer
unstable fractures
presence of foreign bodies eg glass and dirt
Precautions to massage
allergies
* Diabetes
* Epilepsy
* Hypertension/ hypotension
* Haemophilia
* Skin disease- psoriasis
* Kidney disease
* Osteoporosis
* Poor communication
* Cognition issues
Physiological effects 1
- Blood and lymph flow
- Skin and subcutaneous tissue * Metabolism and healing
- Muscle
- Nervous system
- Hormones
- Pain relief
- Immune system
Psychological effects
- Relaxation
- Range of emotions
The purpose of interviewing
- Inform decision making
- This includes:
➢Understanding the needs, requirements and health literacy of the patient ➢Diagnosis (hypothesis development)
➢Treatment planning and goal setting - The interview will help develop rapport as the foundation of the therapeutic alliance
Types of social power:
➢expert
➢information
➢legitimate
➢referent
➢reward
➢coercive
Phases of the interview
- Introductory
- Working Phase
- Termination phase
Phase 1: the Introductory Phase
Presenting problem
➢“What can I help you with today?
Patient narrative
➢Open ended question encouraging active participation
* Professional interview is a dialogue * Question selection
* Therapist response
➢Mirror responses (non verbal), further questioning for clarification, empathetic responses
* Cues
➢Patients provide you with cues- verbal, non verbal or emotional
Phase 2: The working phase of the interview
- Logical, systematic structure
- Clear and concise speech and
language - Open ended questions
- Closed questioning
- Prompts and directions
- Validation
- Time
CHx
Current History
PHx
Past History
SHx
Social History
Phase 3: Termination phase
- Wrapping up * Clarification
- Summarise
- Review goals
- Plan
➢Hypothesis generation
➢Physical examination
➢Treatment planning
➢Treatment/ Rehabilitation program
Motivational Interviewing
patient-centered approach to promoting changes in personal health behaviors
SMART goal setting
specific
measurable
achievable
relevant
timely