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|Subject Name:||Individual Determinants of Health|
|Name of Document:||Enquiry 2 Poster|
|Signature of Student: (electronic signature is fine)|
|Action Example WORKI NG WITH ADOLESCENTS Explanation Showing empathy I recognize that you must be frustrated, Lauren. Rob acknowledges Lauren’s dissatisfaction at the resistance to change as a sign that he recognizes her feelings and respects her ambivalence. Patients will feel that you understand their specific experiences when you demonstrate empathy (Srivastava, 2014). Lauren is made aware of Rob’s sincere interest for her, and as a result, she will feel satisfied and get better treatment (Moudatsou et al., 2020). De-escalating the issue Why don’t we discuss this topic a bit later? Rob resolves the dispute around the consultation, lessening the possibility of further contention. This allows the participants to gather their composure (Drench, 2007, p. 49). To continue the session properly, Rob offers Lauren and her father some room to settle down and work with him. This is seen by Lauren’s display of gratitude to Rob as she thanks him. Active Listening “I recall you telling me about it the previous time, Lauren, you were playing netball at the time you damaged your medial ligament, right?” When experts use therapeutic listening to patients, it becomes possible to retrieve crucial information since it shows respect for the patients (Jagosh, 2011). Rob’s careful listening demonstrates to Lauren that he has her best interests in mind, which gives him the go-ahead to access any further information she chooses to share with him when she informs him of the ongoing ligament discomfort. Supporting self-efficacy “I believe we are headed in the right direction, and I am optimistic you resolve begin to feel well.” Lauren feels more confident in her ability to change once Rob expresses his belief in her. This kind of social support might imply to clients like Lauren that they are valued (Shumaker & Brownell, 1984). Lauren’s motivation and coping abilities will thus increase, leading to increased adherence to the program (Drench et al., 2017). Action Example Explanation Question 1c /Modifications Condemning Lauren’s routine choices “You tell Lauren, it’s not wise to confine your social circle too much at your age,” Lauren’s mental health may suffer if Rob doesn’t approve of the people she chooses. When their personal decisions are disapproved of, patients may lose motivation to engage in treatment, which can damage their therapeutic connection with the professional (Care, 2020). As a result, Lauren can stop speaking with Rob, rendering the consultation and treatment as a whole ineffective. Instead of removing their patients’ A technique called motivational interviewing (MI) includes evaluating and confidence in their ability to resolving the resistance to changing behavior (Hall, 2012). According to how eager a person is to change, the Transtheoretical Model (TTM), often known as change by negative remarks, “the phases of change model,” theorizes the process of altering performances doctors must encourage it in them. via 5 phases. Rob may adopt a more all- According to this paradigm, Lauren is in the pre-contemplation stage since she encompassing approach in his has no understanding of the negative effects that drinking alcohol and engaging in sedentary activity might have (Brinthaupt & Lipka, 1994). Lauren says, “I’m conversations with Lauren, giving alright. It hasn’t had any effect on me,” ostensibly demonstrating her denial. Rob her reassuring words of calm should identify inconsistencies and inform Lauren on the harmful effects of support (Care, 2020). This may help alcohol and inactivity by getting her opinion on the positives and downsides so she may compare a healthy lifestyle to her existing lifestyle choices. This Lauren become more adaptive. enables Lauren to confront the discrepancy between who she is and what she Poor health communicatio n “These papers provide all the evidence you need to recognize.” Patients who lack health literacy—defined as the capacity to access, understand, and use basic health services and information in ways that are health-enhancing—brochures become unnecessary (Nielsen-Bohlman et al., 2004). Rob fails to look for alternatives that would have provided the necessary information in a format more suited to Lauren, despite Lauren’s obvious lack of health literacy as seen by her inability to retain the material on the brochures (NSW Health, 2020). More resistance results from this, which has an impact on Rob and Lauren’s therapeutic alliance. Rob must look for various options stands for (SAMHSA, 2012). The pondering stage hopefully follows fetching aware of the issue and having to deliver the material in the flyers the purpose to change (Drench et al., 2017). Here, Rob should try to understand in a way that is more convenient Lauren by addressing the challenges of change so that Lauren will feel unstated and utilized by her (NSW Health, by Rob. Lauren gets self-assurance to make the adjustment as a result of Rob’s 2020). This may be done directly, encouragement, and she will be more committed to sticking with the plan as a result (Drench et al., 2017). when the information is more Lauren is now prepared to help bring about change, and she works with Rob to straightforward. Plans for determine their strategy. In order to increase Lauren’s self-efficacy at this point, treatment must be adjusted to Rob should refer to her prior accomplishments at being motivated to change. However, it’s crucial that Rob rolls. Through active listening, Lauren may consider the specific patient being overcome obstacles and advance independently, staying committed to change treated (Australian Physiotherapy as a result (SAMHSA, 2012). Council, 2019). As she enters the implementation stage, Lauren makes changes and maintains her attention to prevent relapsing to her old habits (Miller & Rollnick, 2004). Here, Rob may once again think about boosting her self-efficacy by praising her for recent accomplishments in order to keep her motivated (SAMHSA, 2012). The maintenance stage of TTM effectively facilitates change, making the Breaching confidentiality “I want to talk about Lauren’s drinking as well.” Rob comes seem as unreliable since he didn’t heed Lauren’s demands and respect her privacy. Lauren decides she no longer wants to share information with Rob as a result of losing faith in and respect for him (Ellis et al., 1998) It is crucial that authorities engage in active listening in order to earn the trust of their clients, and one way to do this is by granting requests made by the client (Kornhaber et al., 2016). possibility of reversion rare. Rob may keep Lauren’s self-efficacy high by It would take been improved if Rob praising her accomplishments and appreciating her efforts in order to prevent had respected Lauren’s wishes, as any chance of a relapse and guarantee termination is finally achieved (Miller & this would show that he values her Rollneck, 2004). independence (Braunack-Mayer et Australian Physiotherapy Council. (2019). Do’s & Dont’s of Clinical Assessment. https://physiocouncil.com.au/dos-donts-of- al., 2003). Confidential information clinicalassessment/. Braunack-Mayer, A. J., & Mulligan, E. C. (2003). Sharing patient information between professionals: Confidentiality and ethics. Medical enclosed may increase confidence Journal of Australia, 178(6), 277-279. https://doi.org/10.5694/j.1326-577.2003.tb05195.x Brinthaupt, T. M., & Lipka, R. P. (Eds.). (1994). Changing the self: Philosophies, techniques, and experiences. SUNY Press between the two parties and Care, H. (2020). How to Provide Nonjudgmental Holistic Care. Arkansas State University. https://degree.astate.edu/articles/nursing/provide-nonjudgmental-holistic-care.aspx create a secure atmosphere for the Derksen, F., Hartman, T. C. O., van Dijk, A., Plouvier, A., Bensing, J., & Lagro-Janssen, A. (2017). Consequences of the presence and absence of empathy during consultations in primary care: A focus group study with patients. Patient education and counseling, 100(5), 987-993. patient to voluntarily divulge more Drench, M. (2007). Psychosocial aspects of health care (2nd ed.). Upper Saddle River, N.J.: Pearson Prentice Hall, 3. https://www.pearson.com/us/highereducation/program/Drench-Psychosocial-Aspects-of-Healthcare-3rd-Edition/PGM207892.html. (Luepker, 2012). Ellis, L., & Gesten., & Kremer., & Thomas, G. (1998). Confidentiality limits of managed care and clients’ willingness to self-disclose. American psychological association, 29(6), 553-558. https://psycnet.apa.org/buy/1998-11734-005 Dismissal of concern However, it stayed only a minor rip, wasn’t it? You ought to consume moved past it by knows Rob doesn’t really take Lauren’s inner feelings into account; instead, he tells her how she should be feeling. This shows how uninformed Rob is about Lauren’s situation and, consequently, his lack of expressed empathy, both of which can be harmful to the relationship Rob and Lauren have established. Lauren could eventually lose drive to pursue her own rehabilitation and lose interest in taking care of her general health as a consequence of this (Derksen et al., 2017). Rob might show Lauren greater 660-667. https://www.racgp.org.au/download/documents/AFP/2012/September/201209hall.pdf. Jagosh, J., Donald Boudreau, J., Steinert, Y., MacDonald, M., & Ingram, L. (2011). The importance of physician listening from the patients’ compassion by verbalizing his perspective: Enhancing diagnosis, healing, and the doctor–patient relationship. Patient Education and Counseling, 85(3), 369-374. https://doi.org/10.1016/j.pec.2011.01.028 agreement with her painful Kornhaber, R., Walsh, K., Duff, J., & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review. Journal of Multidisciplinary Healthcare, 9, 537-546. https://doi.org/10.2147/jmdh.s116957 sentiments. A collaborative and Luepker, E. T. (2012). Record keeping in psychotherapy and counseling: Protecting confidentiality and the professional relationship. Routledge. trustworthy atmosphere where Miller, W. R., & Rollnick, S. (2004). Talking oneself into change: Motivational interviewing, stages of change, and therapeutic process. Journal of Cognitive Psychotherapy, 18(4), 299-308. https://doi.org/10.1891/jcop.18.4.299.64003. open and honest communication is Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020, March). The role of empathy in health and social care professionals. In Healthcare, 8(1), p. 26. https://doi.org/10.3390/healthcare8010026. more prominent is created by using Nielsen-Bohlman, L., Panzer, A., Kindig, D. (2004). Health Literacy: A Prescription to End Confusion. Institute of Medicine (US). https://doi.org/10.17226/10883 a more patient-centered strategy in NSW Health. (2020). Requirements for consent. Consent to Medical and Healthcare Treatment Manual. https://www.health.nsw.gov.au/policies/manuals/Documents/consent-section-4.pdf. which the patient feels more SAMHSA (Substance Abuse and Mental Health Services Administration). (2012). Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series. 35. https://www.ncbi.nlm.nih.gov/books/NBK64968. understood and valued (Drench et Shumaker, S., & Brownell, A. (1984). Toward a Theory of Social Support: Closing Conceptual Gaps. Journal of Social Issues, 40(4), 11-36. https://doi.org/10.1111/j.1540-4560.1984.tb01105.x al., 2017). Srivastava, S. (2014). The Patient Interview. https://books.google.com.au/books?id=r- 4xBNa57WkC&pg=PA1&source=gbs_toc_r&cad=3#v=onepage&q&f=fals|
Hall, K., Gibbie, T., & Lubman, D. (2012). Psychological strategies: Motivational interviewing techniques. Ausralian Family Physician. 41(9),
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