Week 2: Intro Flashcards
4 Steps for Interviews
- Preparation
- Initiation
- Exploration
- Termination
Interview Step 1: Preparation
-Sit comfortable space away, slightly lower if possible (less intimidating, make client feel comfortable; they may be nervous about appointment)
-Review background info about client if applicable/when possible, Get Active Questionnaire
-Acknowledge if you’re in an open clinic and recognize limitations, explain that you’ll try to keep my voice low and make it as private as possible
-Limit distractions
-Explain when making notes, or when you need to write something down on computer
Interview Step 2: Initiation
-Use full legal name
-Make hand sanitizing visible
-Asking how you would like to be addressed or what name they’d like to be called? Pronouns?
-Shake hand?
-Explain your role “as a kinesiologist I work to get people active or back to being active after being injured, I work with…”
-Today I’m going to be doing a clinical interview, we’ll talk about different activities and your history, if there’s ever a time you have questions or don’t feel comfortable talking about it just let me know, interrupt me, there’s no problem with that at all
-There are no risks of doing our activity together, it’s an opportunity to learn more about each other and be able to help you progress
-If you don’t feel comfortable let me know at any time, you can always talk to someone else at the clinic or be referred somewhere else, but I’m looking forward to helping you
Interview Step 3: Exploration
-What do you think is the most important thing I should know about your health or what brought you in today?
-Let them tell the story
-Questions about MOI, timeline, progress that she’s made
-What activities make the pain worse? What specifically is bothering you?
-Have you hurt this area before?
-How active are you? Find out what bothers it, what intensities, specific movements
-Do you go to the gym and lift weights/do resistance training?
-Do you warm up or do dynamic work/stretching/yoga
-Do you have any other issues going on or health problems that you are currently going to doctor for?
-Can’t diagnose as a kinesiologist
-Sounds like you have this, refer to physician or for imaging if needed
Interview Step 4: Termintation
-Ask about her schedule, what she can fit in for making plan or program
-Make a list of priorities you want to focus on
-Determine short and long term goals
-Agree on a plan
-Is there anything else you’d like to add?
-It was great talking with you today, my name is __, thank you for taking the time to talk to me and I look forward to helping you reach your goals.
SOAP Notes
-Subjective
-Objective
-Analysis/Assessment
-Plan
Analysis Statement- Components (5)
- Client profile/summary
- Present condition/diagnosis
- Any risks
- Prognosis and rationale
- Potential for kinesiology or referral to other services
Problem List
-A list of problems that are amenable to kinesiology (within the scope of practice)
-Forms the basis of your treatment plan (next step)
-Problems can be function, impairments, activity or participation limitations
-Problems can be actual or potential (at risk for)
-Relate to the underlying cause or treatable issue
Examples:
-Decreased cardiovascular endurance secondary to a sedentary lifestyle
-Decreased range of motion secondary to general deconditioning
-Decreased motivation for exercise secondary to lack of social support
Goal Setting
-Made in collaboration with the client
-Based on:
-Client’s stated goals and the problem list
-Prognosis, which is based on:
-Nature, acuity/chronicity of illness/injury
⁃ Prior and current level of function
⁃ Social supports, living environment, apparent motivation
*Must be client-driven/person-centered
Goals should be SMART
⁃ Specific
⁃ Measurable
⁃ Achievable
⁃ Relevant
⁃ Time-bound
Short-term vs Long-term goals
Short-Term Goals:
-Steps or milestones along the way to achieving long-term goals (outcomes)
-Short-term goals typically address:
-Function
-Impairments
⁃Education
Example:
⁃Client will be confident in her walk/run program at a moderate intensity by
the end of week two
Long-Term Goals:
-Outcomes
-Often linked to resolving the problem list and returning to performing a meaningful activity/role and/or optimizing health and well-being
-Should be prioritized by importance
Example:
-The client will be able to complete three weekly high-intensity interval training
(HIIT) running sessions consistently within six months.
Informed Consent
- A client can withdraw their consent at any time
- Clients must have enough information to make an informed decision and be given an opportunity to ask questions
- Consent must cover the following:
-Nature of assessment/intervention
-Benefits
-Risks
-Alternatives
-Consequences
Cardiovascular disease (CVD) risk factor assessment
-Age (men >=45, women >=55)
-Family history
-Cigarette smoking
-Physical inactivity
-Obesity (BMI= 30+, or WC >102cm or 40in (men) and >88cm or 35in (women)
-Hypertension (systolic >= 130 and/or diastolic >= 80mmHg)
-Dyslipidemia
-Diabetes
-Negative risk factor:
HDL-C >=60mg x dL-1
