ENC Exam 1
Paradigm Shift - ANSWER-patient and health professional have shared expertise
trust - expertise based on self
empathy - expertise on evidence-based care
how many pts do not take their meds as prescribed? - ANSWER-50-75%
what are modifiable health behaviors that account for nearly half the "premature" deaths
in the US? - ANSWER-smoking, poor diet, lack of exercise, alcohol
what do we want pts to comply with? - ANSWER-- taking meds
- returning for f/u visits
- honest reporting
- listening to our advice, e.g.
- lifestyle alterations - exercise, stop smoking, reduce alcohol, lose weight and other
dietary changes
why don't pts comply with medical/health advice? - ANSWER-- understanding
- misperception
- cost
- psychology
understanding issues - ANSWER-often not a conscious decision, e.g. forgetfulness,
poor communication with a health professional, misunderstanding directions
misperception issues - ANSWER-may be based on a perception; e.g. fear of side
effects of medication, cultural beliefs
cost issues - ANSWER-cost may be a factor
psychology issues - ANSWER-we may not be aware of our reasons for non-compliance
listening skills - ANSWER-let the pt talk - reflect, be curious, use non-verbal techniques
and body language to show attention
OARS - ANSWER-open-ended - no 1 word
affirmations - reinforce positive, empathize difficult
reflections - mirror/repeat/paraphrase
summaries - give an overview of whats been said
Paradigm Shift - ANSWER-patient and health professional have shared expertise
trust - expertise based on self
empathy - expertise on evidence-based care
how many pts do not take their meds as prescribed? - ANSWER-50-75%
what are modifiable health behaviors that account for nearly half the "premature" deaths
in the US? - ANSWER-smoking, poor diet, lack of exercise, alcohol
what do we want pts to comply with? - ANSWER-- taking meds
- returning for f/u visits
- honest reporting
- listening to our advice, e.g.
- lifestyle alterations - exercise, stop smoking, reduce alcohol, lose weight and other
dietary changes
why don't pts comply with medical/health advice? - ANSWER-- understanding
- misperception
- cost
- psychology
understanding issues - ANSWER-often not a conscious decision, e.g. forgetfulness,
poor communication with a health professional, misunderstanding directions
misperception issues - ANSWER-may be based on a perception; e.g. fear of side
effects of medication, cultural beliefs
cost issues - ANSWER-cost may be a factor
psychology issues - ANSWER-we may not be aware of our reasons for non-compliance
listening skills - ANSWER-let the pt talk - reflect, be curious, use non-verbal techniques
and body language to show attention
OARS - ANSWER-open-ended - no 1 word
affirmations - reinforce positive, empathize difficult
reflections - mirror/repeat/paraphrase
summaries - give an overview of whats been said
