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35 Cards in this Set
- Front
- Back
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What is the goal of the dental hygienist in terms of preventive or management counseling |
Behavior Change in relation to needed change to oral health |
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Is it sufficient for the dental hygienist to depend only on explaining the rationale behind homecare instructions to the patient for improvements of health |
NO |
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What is the to different types of patients |
Un-educated patient Educated patient |
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Is taking the role as a persuader necessarily a positive technique when it comes to promoting behavioral change in a patient |
NO |
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Define Motivational interviewing |
A patient centered method for enhancing a patient's motivation for behavior change by exploring the patients mixed feelings about change |
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Describe patient centered motivational interviewing |
Patient perspective is considered Clinician suggestions or explanations are held at a lower value based on their own reasons for needing to continue or discontinue a behavior The patient does not have total control of the conservation, but instead is allowed/assisted in being active in the conversation Knowing the whole story regarding a behavior is important to having more options or angles to use when counseling a patient |
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Describe the guiding style of motivational interview |
Is used to compare the pros and cons of the suggested change that the patient sees Targets the patients internal/intrinsic motivation, which is what influences tendencies towards positive change |
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Motivational interviewing is under the assumption of what |
Most people will want to be healthier |
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What are the factors that may conflict with the patient 's intentions towards health |
Time Personal capability cost Physical ability |
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A guidining technique is used for what |
To identify variables that are preventing or making the change difficult The intent is to increase the motivation internally towards positive change |
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How much time should be used for motivationa interviewing |
as little as 15 minutes |
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What are 3 major approaches of motivational interviewing |
C0llaboration Elicit Autonomy |
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Describe Collaboration |
Focus of commincating as equals |
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Describe Elicit |
The patient should feel encouraged to explain his or her logic in terms of why the behavioral change can be accomplished or not |
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Describe Autonomy |
Effectiveness of motivaitonal interviewing increased when a patient is the one to voice the need for a change Place the responsibility to make a change into the patient's hand |
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What are the principles of motivational interviewing |
Empathy Develop Discrepancy Roll with resistance Support Self Efficacy |
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Describe Empathy |
Our ability to put ourselves in their shoes Requires focusing on the patient's perspective Allowing/Assisting the patient to verbalize his oe her view |
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What are the clinician requirements for empathy |
Non judgemental Comminicate with warmth Communicate with acceptance |
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Describe Develop Discrepancy |
Illustrating the contradicting factors that are present |
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What is an example of develop discrepancy |
Patient wants healthy gums, but will not adhere to brushing and flossing regularly |
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What are the clinician requirements for develop discrepancy |
Use open-ended questions or guided conversation avoid judgemental tones while speaking Communicate with the consistent theme of wanting to understand what the patient is having trouble with |
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Describe Roll with resistance |
Can be met in the form of an assertive opinion or belief from the patient When the patient sees/ hears the clinician understanding they are more likely to consider change or evaluation of their viewpoint |
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Describe open-ended questions
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Aviod yes/ no answering Encourage patient participation More is gained about the patients perspective |
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Describe Reflective listening |
Listening and then paraphasing what has been said by the patient Opportunity to express empathy Encourage the patient to elaborate |
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Describe Support self Efficacy |
What the patient thinks they are able to do as an individual Change/ setting of goals are sometimes avoided to avoid failure |
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What is crucial to the success of Motivational interviewing |
Support of Self Efficacy |
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What is the clinicians requirements for the Support Self Efficacy |
Verbally communicate the confidence that the clinician has towards the patient in regards to behavioral change |
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What are the METHODS of motivational interviewing (3) |
Affirm Summarize Eliciting Change Talk |
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Describ Affirm |
Should be done to acknowledge what is focused on and what is being worked on to improve Builds a relationship just as self efficacy and empathy does The more the patient observes a positive development in the relationship= the more that the patient will collaborate and engage with the counseling |
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Describe Eliciting Change Talk |
Described as Eliciting, Evoking, facilitating, and strengthening the patient's desire for change |
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What is the motivational ruler |
Assist the clinician with understanding exactly how ready a patient is for behavioral change |
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Why should the Expert Role be avoided |
Reduces autonomy, support of self efficacy, and distractions from the patient's perspective |
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When information is requested, the expert role can be avoided by using similar phrases such as (4) |
Research suggest Many patients have told me A journal article i have read My studies have taught me |
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The Elicit- Provide-Elicit Method does what |
Allows the patient to drive the direction of the conversation while the clinician still has opportunities to give feedback or give direct information. |
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What are some examples |
What have you heard about electric toothbrushes (Elicit) Yes, you are absolutely right, they do make it easier to brush in some areas (Provide) Do you think that they would be beneficial towards your dental needs (Elicit) |
