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