WEEK TWO Flashcards
What are the objectives of the model of care?
Ensure right care is provided at right time with the right team at the right place
What is Axis 1 model of care?
Stages of a condition, injury or event
What is Axis 2 model of care?
Details of activites and services that should be provided
What is Axis 3 model of care?
Component levels of the health care systems
Self management is defined as?
“The active participation of people in their own health care”
WA Chronic Conditions self management strategic is?
Framework provides direction for referral, capacity of the work force and programs to assit individuals with chronic illness
Self Management 2003:
Individualised with education/training
- Readiness to change
- motivational interviewing techniques
- setting goals and action plans
- building self effiacy
Self management support is defined as?
“Individuals ability to manage symptoms, treatment, physical and physcosocial consequences and lifestyle changes inherent in living with a long term disorder”
Models to change behaviour include?
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
Stages of transtheoretical model
Pre contemplative (before recognise problem) Contemplative (thinking about change) Preparation (action plan) Action (making changes) Maintenance (tracking well)
possible relapse
Motivational interviewing is ?
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.
what are the 4 phases of MI
Engaging
Guiding
Evoking
Planning
MI engaging phase consists of?
Clinicians Role (CR) O: Open ended questions A: Affirmations R: Reflections S: Summaries Identify stage of change
MI guided phase consists of?
CR Develop discrepancy
Explore values/attitudes
Identify measurable goals
Identify benefits and costs
MI Evoking phase consists of?
CR Goal identified & motivated Reflect on meaningful statements Do not argue Summarise conversation Affirm individuals statements
MI Planning phase consists of?
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
Define self efficiacy?
“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”
The 5 A’s framework consists of?
- 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)
Different types of pain include:
- 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.
Pain Coping is defined as?
“purposeful, cognitive and behavioural efforts to manage or negate the negative impact of pain.”
What is adaptive coping?
- Making effort to function in spite of pain
- Distracting oneself from the pain
- Re-interpreting the pain
This will increase ones mood.
What is maldaptive coping
- Withdrawal
- Hoping or wishing for improvement
- Surrendering control
Increases pain, depression and dysfunction
What are the risks associated with self management?
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
Flagging risk for prolonged disability
- 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
