PPCC MOD 4

motivational interviewing

PT CENTERED

active listening

building rapport

addressing issues

BEHAVIOR THAT WE WANT TO POSITIVELY GUIDE!!!

ambivalence

pt is feeling two ways about things

ON DA FENCE

resistance

pt is not ready to make a change

DONT TELL ME WHAT TO DO

change talk

pt talks themselves into making a change

YK I THINK IM READY TO MAKE CHANGE

FACE-LOSS

FAILURE/LOSS IN CONFIDENCE

shaming/blaming are feelings perceived by pt due to face loss

how the pt feels when they are corrected or told their thoughts/beliefs

MI principles

express empathy-

develop discrepancy- between pt goals & current behavior

roll w/resistance- pt not ready to make change

support self-efficacy looking @ small success

MI technique

elicit, provide, elict

-found out what the pt already knows or has tried before giving new info

-ask the pt permission to provide new or clarify information

-ask pt what they think of the info provided

-teach back method

BRAIN MI

limbic system- EMOTIONAL CENTER, “ME centered

prefrontal cortex- THINKING BRAIN responsible for EMPATHY good for MI

competence face loss

correcting the pt in a humiliating way that implies the pt is wrong

TALKING DOWN

autonomy face loss

disregards the pts right to choose

TAKE AWAY DECISION MAKING

take home MI

MI is non-judgmental approach to helping pts find their own motivation for making change

MI fits into multiple phases of the RPh-pt care process