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Clin Skills block 2
| Term | Definition |
|---|---|
| Resist the Righting Reflex Understand your patient’s motivations Listen Empower | RULE |
| Open-ended questions Affirmations Reflective statements Summaries | OARS |
| Desire Ability Reason Need | Preparatory change talk: DARN |
| Precontemplation | Unaware or under-aware, not thinking about change |
| Contemplation | Aware, thinking about it, not yet made commitment to action |
| Determination/Preparation | Intending to take action in the next month |
| Action | Modifies behavior, experience or environment to overcome problem |
| Maintenance | Working to prevent relapse, consolidate gains |
| Setting up the interview | 1st S (SPIKES) |
| Perception of the patient - The patient's perception of medical situation | P (SPIKES) |
| Invitation - How patient would like to receive diagnosis and info | I (SPIKES) |
| Knowledge - Give patient the info | K (SPIKES) |
| Emotions/Empathy | E (SPIKES) |
| Strategy/Summary | last S (SPIKES) |
| Collusion | occurs when a physician somehow merges with their patient’s view of themselves and the world instead of helping their patient deal with it |
| There is a LACK OF CHALLENGE on more specific issues | type of Collusion: “Your coping strategy of having several glasses of wine, might seem useful to you in the short-term, but they are not truly effective for you in the long-term management of your diabetes.” |
| There is a RELUCTANCE to give rational feedback | Type of collusion: “I believe that we can work together to help you build up better coping strategies, at times when using wine is not the best option.” |
| “softening of accountability”. | Type of collusion: “Oh, that’s okay if you don’t want to do anything about it. I know it’s hard to deal with of all of this and to stop drinking the wine.” |
| Stress | A negative emotional experience accompanied by predictable biochemical, physiological, cognitive, and behavioral changes that are directed either toward altering the stressful event (i.e. the stressor) or accommodating to its effects. |
| Stressor | A real or imagined aversive or threatening event or situation. Note that a ______ can be a negative event (e.g. loss of a job) or a positive event (e.g. birth of a new child). |
| Primary appraisal | regarding the stressor – “Is this stressor something I need to worry about? Is it a threat? Does it matter?” |
| Secondary appraisal | assess the individual’s coping resources – i.e. “Given this stressor, do I have enough energy/support/resources to cope with it adequately?” |
Created by:
SzechuanSauceEPL
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