The First Minutes Flashcards
(48 cards)
Establish a good relationship to: 3
-improve care and compliance
-enhance patient and physician
satisfaction
-prevent litigation
Early interruption leads to?
incomplete data
Cartesian thought of mind and body
They are completely separate, and body is a machine to be fixed when broken. No psychological connection.
Percentage of non elderly people with employer provided insurance?
About 55%
Percent of non-elderly that are uninsured?
18%
Percent of non-elderly that are using medicaid/other public insurance?
About 21%
What percent of diagnoses are from the interview?
85%
BPS model (biopsychosocial) focuses on?
Osteopathic ideals. Encouraged.
What percent of health outcomes is related to health behavior? What about to medical care?
80% to health behaviors, 10% to medical care
4 lifestyle changes that are first step in treating mild-moderate hypertension?
- salt restriction
- weight reduction
- stress reduction
- exercise
what is the most effective thing in treating type 2 diabetes? Modest weight loss can greatly affect health. This percent of loss is?
Exercise.
7% weight loss huge help, considered moderate weight loss.
What motivation model is based on partnership, and is linked with stages of change model?
Transtheoretical model
What is pre-contemplation?
No consideration of change
what is contemplation?
potential for change
what is preparation/determination? (stage of change)
taking steps, build confidence and conviction
What is the termination step in stages of change?
Patient identifies with new, fixed behavior. final step.
“Change” for behavior should be planned within what time period?
One month.
Stage-appropriate interventions for the “pre-contemplative” stage?
Develop discrepancy between current behaviors and desires
a. bring future to present
b. double sided reflection
Stage-appropriate interventions for the contemplative stage? 2
- explore ambivalence
2. elicit “change talk”
What are evocative questions? What can they be used for?
Used to get ‘change talk’
Using open questions to ask directly for the kind of change talk you want. Some examples are:
“Why would you want to exercise?” (evoking desire talk)
“How do you know that you could do it if you tried?” (evoking ability talk)
“Tell me more about how you overcame difficulties in the past.”
“What were things like in your life before you started using drugs?”
“What are some of your goals for the future?”
When should you enhance self-efficacy to evoke change?
If the patient isn’t confident
1 in how many men/women are the victim of severe physical violence in an intimate relationship within their lifetime? (U.S.)
1 in 4 women
1 in 7 men
1 in how many women across the globe are the victims of physical/sexual assault within their lifetime?
1 out of 3
Common presenting complaints in abused women?
Injury and pain- 32% Mental health- 19% Upper respiratory infec- 19% Gyn/pregnancy concerns- 16% HTN- 15%
