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93 Cards in this Set
- Front
- Back
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Blue Zone
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regions where people live well past 100 years old
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OARS
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Top of the Motivational Interviewing pyramid; Open-ended question, affirmations, reflections, and summarizations
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REDS
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Middle of the Motivational Interview pyramid; Roll with Resistance, Express empathy, Develop Discrepancy, Support self-efficacy
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ACE
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Lowest part of the Motivational Interview pyramid; Autonomy, Collaboration, and Evocation
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Client vs. Provider centered...
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you need to...you have to...I'm the expert
vs addressing the patients concerns |
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Okinawa, Japan
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One of the 5 blue zones; highest percent of centenarians in the world; exercise and work well into older age; old people respected; eat low calorie diets; diet is rich in vegetables that they grow themselves; highest rate of obesity and are dying younger; builds lower body strength;
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Ikigai
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Reason for living, purpose for life
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moai
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close-knit social groups
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hara hachi bu
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eat till you're 80% full
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reflections
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mirrors or reflects back to the client the content, feeling, or meaning of the communication. Validates what clients are feeling and communicates understand/empathy.
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orientating statements
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reduces anxiety, behaviors that help the patients want to change
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Loma Linda, California
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One of the 5 blue zones; outlive people in their country by 10 years; religion reinforces positive healthy behaviors; only one not losing its longevity edge; eat breakfast like a king, lunch like a prince, and dinner like a pauper"; 24-hour sabbath; many vegetarians;
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ambivalence
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conflicting feelings about change; kinda wanna change, but kinda not really (think of the two arrows going in opposite directions, against change and towards change)
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Slow down
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Step 1; let the patient determine the amount of time spent with them, don't let the visit be rushed.
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Use Non-Medical Language
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Step 2; not everyone is a doctor, and doesn't understand terminology of a doctor. Use words like "bleeding" instead of "hemorrhage", or "broken" instead of "fracture".
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Use Pictures
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Step 3; enhances understanding by giving a visual to help patients understand. They are able to remember better, increase understanding of what they need to do, and the most effective pictures are simple ones.
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Limit Information
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Step 4; The most important things a patient needs to know at the time of the visit may be just 1-2 things. It should be given to them in smaller pieces so it is better remembered and easier to act upon.
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Use the Teach-Back method
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Step 5; Refrain from saying "do you understand?", rather "I want you to explain to me how you will..." and if they explain it to you incorrectly, assume you have not provided adequate teaching.
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Create a Shame-Free environment
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Step 6; Normalize, make them feel like they are in a comfortable place that they can openly talk about their issues.
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Ask me 3
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every time you talk with a doctor, nurse, or pharmacist, use this method and ask 1. what is your main problem 2. what do you need to do 3. why is it important for you to do this
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Sardinia, Italy
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One of the 5 blue zones; men usually reach 100 because they are less stressed, women usually do all the work and men relax; eat pecorino cheese that is filled with omega 3's and drink cannonau wine and eats fava beans;
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dual expertise
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both the provider and the client are experts. The provider is the expert in professional knowledge and experience and the client is the expert in knowing the whys and hows of their behavior
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Sitting vs standing
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standing makes them feel inferior, sitting makes the patient feel more comfortable
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listening vs speaking
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slowing down makes the patient feel like you are listening more and giving them more time
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develop discrepancy
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helps clients see that their goals aren't lining up. "You want your son to grow up in a healthy environment, but you also don't want to quit smoking"
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teach back method
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Have the client teach you back what you have directed them to do
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Power 9
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principles taken from the blue zones to enhance longevity
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Move naturally
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principle 1; there is no need to be a marathon runner or do triathlons to be active, you just need to walk more everyday and stay consistently active.
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Plant based diet
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principle 2; eat more leafy veggies and fruits and eliminate processed foods and meats
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Know your purpose
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principle 3; wake up each day with goals and a purpose in mind, helps you be happier as well
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RIght Tribe
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principle 4; have a good group of friends
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Downshift
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principle 5; live stress free
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Religion
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principle 6; having a religious mindset will give you goals in life and make you a happier, more grateful and loving person
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80% full rule
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principle 7; only eat until you are 80% full at mealtimes, never till you are absolutely stuffed
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Loved Ones First
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principle 8; make sure your family and loved ones come first in your life
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Wine at 5:00
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principle 9; a small amount of wine each day provides a good amount of antioxidants and provides good health
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expert trap
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provider has the best answers so the client will stop listening. Like when your parents lecture you
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macular degeneration
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the progressive deterioration of the macula, the small central area of the retina. Usually develops in patients over 55.
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normalizing
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communicating that having difficulties while trying to change is not uncommon and that they are not alone in their experience
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18 min vs 15 mins
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the time difference between a patient directed visit and a doctor directed visit
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glaucoma
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high pressure in the eye, makes the vision centered and very bright
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change rulers
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scale measuring someones readiness to change
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proprioception
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how someone perceives things
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presbyopia
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when the lens hardens and can't focus on things close up, quite common
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decisional balance
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goods and bads about changing, looking at both sides of an issue
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get up and go test
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they stand up from a chair and walk across a room
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presbycusis
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hearing loss through old age
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stop drop and roll
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when you encounter resistance from a patient, do these things (stop what you are saying, drop change talk, and roll with resistance)
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anti-coagulants
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when patients are on this drug they require special attention
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DARN-C
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using open-ended questions of evoke change through these methods
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desire
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"it seems everyone is telling you that you need to change. What do you want to do?"
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ability
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"how might you go about making this change, in order to succeed?"
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reasons
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"what are three reasons for you to make this change?"
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need
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"how important is it for you to make this change?"
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commitment
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"so what do you think you'll do?"
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kitchen and bathroom
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most common places where falls happen
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diabetic retinpathy
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a complication of diabetes that affects the eyes cause by damage to the blood vessel of the light -sensitive tissue at the back of the eye. Estimates that 40% of adults with diabetes have this condition, and the incidence increases with age.
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coming alongside
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talking negative as well, strategies in health counseling
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ask about once a year
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doctors asking about falls should occur...
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cataracts
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cloudiness of the lens; blurriness of vision; surgery to correct this is the most common surgery in the US
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agenda setting
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let the client decide what to talk about
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preventing falls
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exercise with balance and stability
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gerontology
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the study of aging, multi-dicinplinary
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query extremes
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asking extreme open-ended questions
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multi-faceted approach
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approaching a problem in many ways
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geriatrics
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a doctor who specializes in the study of older people
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looking forward
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asking about the future; evokes change talk
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Tai Chi
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moving for better balance (decreases falls by 55%); also improves depression;
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crystallized intelligence
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growing intelligence in older people, in things like math, vocabulary, general information, ability to evaluate experiences, and understanding social interactions.
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affirmations
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supporting self efficacy; positive reinforcement
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ophthalmologist
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doctor who deals with the anatomy of the eye, especailly surgical problems
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summaries
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summarizing the interview
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biggest issue facing elderly (according to the video)
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almost everyone loses function in some way or another
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cognitive declines with aging
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slower process of information, slower reactions and responses, rushing leads to stress, struggles with multi-tasking
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fluid intelligence
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decreases with age; abstract thinking, perceive relationships, reasoning, etc.
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asking permission
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respect for the client, they feel less like they are being lectured
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within the first 18 seconds doctors tend to...
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interrupt the patient
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change talk
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any statement that favors change
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not homogenous
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older adults are not all the same
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resistance and sustain talk
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pre contemplation
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traumatic brain injury
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46% in falls, alzheimers
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Besse Cooper
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born in 1896, lived 116 years, died December 2012, "I mind my own business and I don't eat junk food"
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Sarah Knauss
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lived to be 119, oldest american ever
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Jeanne Calment
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lived to be 122, and smoked
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Jireomon Kimura
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currently the oldest person living, is 115 and still alive
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tennis arguing
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yes but... (back and forth)
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Tau and Beta-amyloid
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types of proteins in alzhiemers
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righting reflex
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ambivilence
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context
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5 c's; means different things in different situations
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clusters
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5 c'; more than 1 sign that mean the same thing
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congruence
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5 c's; body matches what is verbally being said
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consistency
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5 c's; same reaction always given
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culture
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5 c's; where you are from will affect your body language
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