Health Models Flashcards
(39 cards)
- establishes a partnership among practitioners, patients, and their families (when appropriate)
- ensure that decisions respect patients wants and needs
- preferences and solicit patients’ input on the education and support they need to make decisions and participate in their own care
Patient- Centered care
- *partner
- *respect wants and needs
- *educate
Although a physician might know the scientific way, or ‘truth” about how to treat a specific disease or condition, what is the KEY to PROVIDING COMPETENT CARE!!
learning the PATIENTS TRUTH
“truth” as reformed by culture, language, experience, history, power differentials, alternative sources of care
A competent physician must address both a patients disease and illness. What is the difference between diseases and illness?
disease - physiological and psychological process
illness - patients meaning and experience of the a perceived disease
what elicits the patients explanatory model for his or her illness?
effective medical interviewing
What model suggests a framework for medical interviewing - PRINCIPALSl for effective communication?
LEARN MODEL = PRINCIPALS OF EFFECTIVE COMMUNICATION
What does LEARN stand for in the learn model for essential effective communication?
L- Learning - w/ sympathy and understanding to the patients perception of the problem
E- Explaining - your perception of the problem
A- Acknowledging - and discuss differences and similarities and discuss differences and similarities
R- Recommending - Treatment; and
N- Negotiating - agreement
Which model provides a useful mnemonic for eliciting the psychosocial context of the patients experience with illness through asking simple questions about back ground, affect, trouble, and handling, and expressing empathy.
BATHE MODEL
what does BATHE in Bathe Model stand for?
*psychoscoial context of pat
B- Background - “What is going on with your life”
A- Affect- Asking “How do you feel”“What is your mood”
T- Trouble: “what about the situation troubles you”
H- Handling: “How are you handling that”
E- Empathy - “that must be very difficult for you”
Bathe Model:
elicits the context of the patients visit
Background
Bathe Model:
Allows the patient to report and label the current feeling of state
Affect
Bathe Model:
helps the nurse and patient focus and may reveal the symbolic significance of the illness or event
Trouble
Bathe Model:
gives an assessment of functioning and provides direction for an intervention
Handling
Bathe Model:
recognizes the patients feelings and provides psychological support
Empathy
most influential and motivational factor in behavioral changes
Patient-Care-Provider contact
- develop a common, understanding of the problem or illness
- address the patients feelings, beliefs, expectations and concerns,
- know patient, family, social context
- collaborate to choose treatment options
PATIENT - CENTERED - APPROACH to EFFECTIVE COMMUNCATION
Patient Centered approach promotes what?
patient activation and self management skills
Which theory states that behavior change and maintenance are a function of behavior capacity, efficacy expectations, and outcome expectations?
Social Cognitive Theory
having the skills necessary for the performance of the desired behavior?
Social Cognitive Theory : Behavioral Capacity
belief regarding ones ability to successfully carry out a course of action or perform a behavior?
Social Cognitive Theory: Efficacy Expectations
Belief that the performance of a behavior will have the desired effects or consequences
Social Cognitive Theory: Outcome expectations
which theory describes autonomy vs. controlled motivation- patients given autonomy in their decision making tend to do better with adherence to behavior changes. improved adherence and improvements in diabetes care, offers advice and treatment options; WITHOUT DEMAND OR PRESSURE via patient internal motivation
Self Determination Theory
which model describes- individuals go through stages when making lifestyle changes…Precontemplation,contemplation, preparation, action, and maintenance.
Transtheoretical model for change
In the Transtheroretical model for change - interventions should be tailored to which stage?
the stage an individual is currently in. Most patients are often just contemplating change, so in the contemplation stage of the transtheoretical model. Don’t force action or the plan will backfire. Remove your own frustrations and consider success as moving the patient through the different stages
defined by miller and rollicks as “a direct, client-centered counseling style for electing behavior change by helping clients to explore and resolve
Motivational interviewing
