WEEK TWO

Question 1

What are the objectives of the model of care?

Answer 1

Ensure right care is provided at right time with the right team at the right place

Question 2

What is Axis 1 model of care?

Answer 2

Stages of a condition, injury or event

Question 3

What is Axis 2 model of care?

Answer 3

Details of activites and services that should be provided

Question 4

What is Axis 3 model of care?

Answer 4

Component levels of the health care systems

Question 5

Self management is defined as?

Answer 5

“The active participation of people in their own health care”

Question 6

WA Chronic Conditions self management strategic is?

Answer 6

Framework provides direction for referral, capacity of the work force and programs to assit individuals with chronic illness

Question 7

Self Management 2003:

Answer 7

Individualised with education/training

• Readiness to change
• motivational interviewing techniques
• setting goals and action plans
• building self effiacy

Question 8

Self management support is defined as?

Answer 8

“Individuals ability to manage symptoms, treatment, physical and physcosocial consequences and lifestyle changes inherent in living with a long term disorder”

Question 9

Models to change behaviour include?

Answer 9

Transtheoritcal model
-readiness to change
Motivational interviewing
-barries
-attitudes
Social cognitive behaviour therapy
-Individuals beliefs and behaviours that will assist them to become self efficient
5 A's
-Intervention program

Question 10

Stages of transtheoretical model

Answer 10

Pre contemplative (before recognise problem)
Contemplative (thinking about change)
Preparation (action plan)
Action (making changes)
Maintenance (tracking well)

possible relapse

Question 11

Motivational interviewing is ?

Answer 11

A process the nurse may undertake to support a change in the individuals behaviour.

Encourage the person to talk
Generate self-motivational statements
Dealing with resistance
Assisting individuals to develop a readiness to change Negotiating a plan
Developing actions.

Question 12

what are the 4 phases of MI

Answer 12

Engaging
Guiding
Evoking
Planning

Question 13

MI engaging phase consists of?

Answer 13

Clinicians Role (CR)
O: Open ended questions
A: Affirmations
R: Reflections
S: Summaries
Identify stage of change

Question 14

MI guided phase consists of?

Answer 14

CR Develop discrepancy
Explore values/attitudes
Identify measurable goals
Identify benefits and costs

Question 15

MI Evoking phase consists of?

Answer 15

CR Goal identified & motivated
Reflect on meaningful statements
Do not argue
Summarise conversation
Affirm individuals statements

Question 16

MI Planning phase consists of?

Answer 16

CR SMART Objectives
Specific -My goal is
Measurable - I will meet my goal when I am able to……
Achievable- I have removed the barriers to achieve this
Realistic- This goal is achievable by doing….
Timely- I will achieve this by….
Confidence Scale 1 2 3 4 5 6 7 8 9 10

Question 17

Define self efficiacy?

Answer 17

“is the belief in one’s ability to succeed at chosen tasks: to achieve set goals. It is the sense of confidence that one can effect change”

Question 18

The 5 A’s framework consists of?

Answer 18

• Assessment or identify the risk factors, beliefs, behaviours, and clinical data.
• Advise or offer information about health risks & benefits of changing.
• Agreement and set goals based on the person’s interest and confidence in their ability to change their behaviour.
• Assist Identifying personal barriers, strategies, problem solving techniques and social & environment support
• Arrange plan for follow up (visits, phone-calls etc)

Question 19

Different types of pain include:

Answer 19

• Acute pain: is time limited
• Subacute Pain: progresses from acute pain to chronic pain.
• Recurrent Pain: such as a migraine and is not on a daily basis
• Chronic pain: that is not related to cancer. Constant, daily, persistent pain for a period of three months or more in the last six months.
• Cancer pain greater need for control but is under treateed.

Question 20

Pain Coping is defined as?

Answer 20

“purposeful, cognitive and behavioural efforts to manage or negate the negative impact of pain.”

Question 21

What is adaptive coping?

Answer 21

• Making effort to function in spite of pain
• Distracting oneself from the pain
• Re-interpreting the pain

This will increase ones mood.

Question 22

What is maldaptive coping

Answer 22

• Withdrawal
• Hoping or wishing for improvement
• Surrendering control

Increases pain, depression and dysfunction

Question 23

What are the risks associated with self management?

Answer 23

Issues with management

• Individuals may have insufficient knowledge of how to manage their pain.
• Time constraints
• Differing goals and attitudes towards treatment
• Uncertainty of use of opioid use for managing their pain

Question 24

Flagging risk for prolonged disability

Answer 24

• Serious physical factors
• Psychiatric symptoms
• Psychological factors: beliefs /judgements /emotional responses /pain behaviour/ values
• Relationship between work and health
• System and contextual variables that may present -obstacles to overcoming pain and disability