Module Four Flashcards
(29 cards)
What is person-centred communication
Respectful and responsive to client’s needs, values and preferences
Attentive to developing interpersonal relationships
Culturally sensitive
Empowering
What are key areas for effective communication
Best practice assessment
Education
Advocacy for client’s wants
Reflection
Define cultural awareness
understands there are difference in beliefs and practices and may have an understanding of specific rituals and practices of one or more cultures
Define cultural sensitivity
health professional is aware of differences and is able to reflect on the influences of their own life experience and how this may impact on their interactions with others
Define cultural safety
achieved when a client perceives their healthcare was delivered in a manner that respected and maintained their cultural integrity
Define interpersonal communication
Professional and personal
- Professional are therapeutic relationships
- Personal includes friendships, intimate or romantic
- Language should be appropriate for the relationship
Define power imbalance
the health professional may be perceived as the expert, however, the client must feel comfortable and be aware that they are an equal partner – use of skills of engagement, communication helps to even power balance
Define professional boundaries
relaxed dress codes can blur boundaries, inviolable boundaries include physical, verbal and sexual abuse (boundaries to never be broken) and grey areas are requests for information from client about the health professional e.g. marital status
Define self-disclosure
giving personal information – the context (respectful of confidentiality, but aware of mandatory reporting)
Define collaborative approach
promotes empowerment and control over health issue – a vital step towards wellbeing in those living with a chronic disease
Why should client be used instead of patient
Patient implies imbalance of power
What is another term for non-compliant
Reinforces unequal power relationship and can contribute to lack of investigation into reasons a person is refusing a treatment
There are many reasons that could affect a person - side effects, poor communication on benefits and risks, costs, belief that they are better
Alternatively, ‘non-concordance’ could be used to respect the collaborative process of the professional-client relationship
Can person-centered care be applied at individual and organisational level
Yes
Organisational includes policies, procedures, care planning
Person’s needs at heart of the system
What principle underlies person-centred practice
Holistic approach - empowers client
Describe origins of person centered partnership
Derived from client-centered approach and was based on living with dementia – based on empathy
Describe origins of recovery-orientated practice partnership
Developed in mental health context in recognition of limitations of curative approach of medical model
What are the aims of recovery orientated practice
Listen Prioritise goals Believe in clients Shift focuses from the sick role Encourage self-help Offer options in treatment Provide ongoing support
What are challenges for health professionals giving chronic disease management
Client’s don’t always follow advice
Client’s can know more about their condition than health professional
How does the health belief model influence partnerships
Provides insight to how people make decisions about their health and includes:
- Perception of threat to their health (severity and susceptibility)
- Belief that the health measure will reduce the threat
- Moderated by demographics: education, gender, age
How does theory of planned behaviour influence partnerships
attitudes about behaviours, subjective norms and control, influence behavioural intention and subsequent behaviour
How does health locus of control influence partnerships
Is useful in understanding whether client believes their health is controlled by internal factors (belief in themselves) or external factors (belief in fate or doctors/health professionals)
Describe multidisciplinary approach
Team utilises skills and experience of individuals from different disciplines, approaching the patient from their own perspective. Involves separate individual consultations
- Often team leader e.g. medical specialist, makes decision make on team findings
- Requires clearly established channels of communication e.g. team meetings, documentation in language that spans different disciplines
Describe interdisciplinary approach
Integrate separate discipline approaches into a single consultation. Mutually shared patient-centred goals are established by team, together with patient, at the one time
- Draws on knowledge from a range of disciplines to provide holistic care
- Interprofessional education (IPE) – promotes greater understanding and appreciation of the skills in the health care team and the benefits of an interprofessional understanding
What is a functional analysis of behaviour
THE ABC MODEL provides structure for identifying potential causes or external factors contributing to behaviour changes
