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klyn skyllz 1

Counseling and patient education

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