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klyn skyllz 1
Counseling and patient education
| Question | Answer |
|---|---|
| What percent of moralities have to do with patient behavior | 50% |
| 5 steps of transtheoretical model of change | Precontemplation, contemplation, preparation, action, maintenance |
| Precontemplation | People are not intending to take action in the foreseeable future, and can be unaware that their behavior is problematic |
| Contemplation | People are beginning to recognize that their behavior is problematic and start to look at the pros and cons of their continued actions |
| Preparation | People are intending to take action in the immediate future, and may begin taking small steps toward behavior change |
| Action | People have made specific overt modifications in changing their problem behavior or in acquiring new healthy behaviors |
| Maintenance | People have been able to sustain action for awhile and are working to prevent relapse |
| Keller/White model of change has to do with | Conviction and confidence |
| According to the Keller/white model of change, these patients have the hardest time changing | Low conviction and low confidence |
| Major Coronary heart disease Risk factors | high LDL, Cigarette smoking, hypertension, low HDL, Family Hx, Age, Obesity, physical inactivity, impaired fasting glucose |
| A personal action plan includes... | Collaborative goal setting, identification of personal barriers and support, problem solving, assessment of beliefs behavior knowledge and health literacy |
| The 5 A's for promoting behavior change | Assess, advice, agree, assist, arrange |
| How do you "tailor" counseling | match goals and strategies to readiness, conviction and confidence |
| Counseling tactics for low conviction | Provide information and feedback, explore ambivalence, provide a menu of options and support choice and autonomy |
| Counseling tactics for low confidence | Review successful past experience, teach problem solving and coping skills, encourage small steps |
| 4 levels of reaching agreement and partnership planning | 1.Do this, 2.Do this okay?, 3.Do this. Do you seen any problems or obstacles to carrying out this plan, 4. What do you think you should do |
| How to utilize the EHR with a patient | Use the "therapeutic triangle" aka include patient in view on computer and use open communication |
Created by:
mcasto
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