Week 12 Flashcards
Define Motivational Interviewing
A client-centered, directive method for enhancing internal motivation in patients to change their behavior as they explore and resolve their own ambivalence to change
Define Person-centered approach
Providing an interpersonal atmosphere in which patients increasingly become aware and accepting of their experiences and values and obtain a sense of self-direction
Spirit of MI
Collaboration
Evocation (acknowledge strength)
Autonomy (respect pt decision)
Change talk
Commitment language
Pros of changing
Specific plan
Positive feelings
Define Ambivalence
The state of having mixed feelings or contradictory ideas about something or someone
Motivational Interviewing Involves
Find internal motivators to change a certain behavior that may be contributing to a decline in health
Core concepts of Motivational Interviewing
Patient centered Directive process Counseling method Internal motivation Not coercive
Approach motivational interviewing
Caring, nonjudgmental, open-ended manner Cooperative relationship Careful listening Motivators and barriers or ambivalence Affirm change talk Respect autonomy
5 Principle of Directive Approach
Roll with resistance Express empathy Avoid argumentation Develop discrepancy Support self-efficacy
Righting Reflex
Desire to fix the problem by providing advice or resolution to ambivalence
Strategies
Talk about lifestyle and sources of stress
Explore how unhealthy behavior affects health
Use “a typical day” question
Ask about good things and less good things
Provide information if asked
Talk about the future and the present
Explore concern
help with decision making
Patient Centered Theory involves
People are trustworthy, resourceful, capable of self-understanding and making constructive changes to live productive and effective lives
Pt is expert on their life
Pharmacists guides the conversation
5 stages of Readiness to Change
Precontemplation Contemplation Preparation Action Maintenance
