Motivational Interviewing
What does OARS stand for?
Open ended questions, affirmations, reflections, and summaries
Saying goodbye, holding the person's hand and speaking with them
No pulse or respiration, skin that is cool to the touch, and loss of bowel and bladder control are signs of what?
That the patient has died
Name one common goal of hospice care
pain management, comfort, quality of life, closure, etc
The type of coaching style that promotes partnership and collaboration
Guiding style
Who is the best person to get information from regarding the patient's pain?
The patient
What should you encourage the caregivers to do if the patient is unconscious?
Speak to them directly, assume they can hear what is happening
This type of breathing happens when there is pooling of secretions in the throat, and is usually more concerning to family members than the patient
Noisy respirations (death rattle)
What is a common urge you should avoid as a health coach?
The righting reflex, telling the patient what to do
Turn the following into an open ended question: Do you have pain today?
Tell me about what you pain is like today?
Increased sadness, lack of energy, and changes to eating and sleeping patterns are common symptoms of what?
Depression
Caregivers may worry a patient is "starving" as they near end of life because of this common symptom
What should you report to the care team?
New or worsening symptoms, any cultural or religious traditions/beliefs, concerns other members of the team could assist with
The advance directive that tells doctors and emergency workers not to revive the individual if their heart stops or if they stop breathing is known as what?
DNR
Give an example of an affirmation
You're doing great today!
Loss of memory, changes in mood and mobility, and increased confusion are symptoms of what?
Dementia
The combination of knowledge, attitudes, and skills that helps people better understand and interact with people who are different of them is known as what?
Cultural competence
During this stage of the 5 stages of death and dying, the person has worked through their emotions and are able to embrace the end of their battle
Acceptance
The advance directive that gives someone the power to make health care decisions on a person's behalf is known as what?
Health care proxy
The Spirit of Motivational interviewing involves what 4 concepts?
Partnership, acceptance, compassion, evocation
Name one way to address agitation/restlessness
Address the cause of the behavior, play soothing music or engage in a relaxing activity, contact the nurse, speak in a reassuring and calm way
Name one way you can support a caregiver during the dying process of a patient
Listen, be a caring presence, offer support, talk to them about the patient's status
This type of irregular breathing is a normal part of the dying process and often happens during the active dying phase
Cheyne-stokes breathing
The Philosophy of Motivation Interviewing includes which 3 concepts?
Collaboration, autonomy, and evocation