Counseling / Lifestyle / HDV / Style de vie Flashcards
(9 cards)
From the objectives, when counselling a patient (6) GTSBBRR
GOALS: Set clear therapeutic goals with the patient
TIME: Allow adequate time
SKILLS: Evaluate your own skills (e.g., Does the problem exceed the limits of your abilities? Are you the right person and is this the right time to unpack the patient’s concerns?)
BOUNDARIES: Recognize when you are approaching or exceeding boundaries (e.g., transference, counter-transference)
BIASES: Recognize when your beliefs or biases may interfere with counselling
RISKS: Remain aware of the risks of offering advice versus providing options
RELATIONSHIP: Pay close attention to the quality of the therapeutic relationship and alliance
Pour un pt qui considère consulter pour psychotx clarifiez (1)
préoccupations
Pour un pt qui considère consulter pour psychotx, donnez des renseignements sur (7)
processus et les ressources offertes:
attentes,
moment
fréquence
coût, durée, devoirs, établir une relation thérapeutique
Demandez aux patients quels sont les comportements qui, s’ils
étaient modifiés, pourraient améliorer leur santé (6)
alimentation
exercice
consommation d’alcool
utilisation de substances
sexualité
prévention des blessures (ceintures de sécurité et casques protecteurs)
Readiness state - à quel le pt est prêt à faire des chgmts est à établir avant de …
donner des conseils
Readiness state - stade de prochaska
Readiness to change
1) Precontemplation (Not ready)
Highlight advantages for change and problems with current behaviour,
Harm reduction
2) Contemplation (Getting ready)
Weigh pros and cons, explore ambilance/alternatives, identify reasons for change/challenges, increase confidence
3) Preparation - Action (Ready)
Goal setting, start date and strategy for change, as well as address challenges
Support and praise, stress that episodes of relapse are normal
4) Maintenance (Sticking to it)
Help identify and use strategies to prevent relapse
5) Relapse (Learning)
Help renew process of contemplation and action without becoming demoralized
5 A(s) of Motivational Interviewing for Health Behavior Change Counseling
Ask, Advise, Assess, Assist, and Arrange
Ask “Would you mind if I talked to you about your smoking? How often do you smoke/exercise/wear a seatbelt?”
Advise “As your doctor, I strongly recommend that you ____. It is one of the most important things you can do for your health.”
Assess “Are you ready to quit smoking in the next 30 days?”
Assist “Quitting smoking can be a real challenge. I can help you with this change, as well as pharmacotherapy/community resources/spousal support may help.”
Arrange ‘I’d like to see you again/call you next week to see how the plan is going.”
Motivational interviewing for behaviour change: RULE
Resist the righting reflex
Understand the patient’s own motivations
Listen with empathy
Empower the patient
When uncovering a psychosocial problem, use the BATHE approach
Background “What’s going on in your life?”
Affect “How do you feel about this situation?”
Troubles “What bothers you most about the situation?”
Handling “How are you coping with the situation?”
Empathy “It sounds very difficult.”
