Plus, it is free. What's the catch? too good to be true? Ok, this might be an experiment or a research indeed. But I'd sure benefit from attending something like this.
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| yep...that me 3 from the bottom |
They proved me wrong -it was even more interactive than most of Real Life (RL) 's symposium I've been attending all this time..
The presentation was by voice and a small amount of slides
While the slide showed upone by one, we -the participats at the audience bench - are interactively involved in texts, responding to the presenter's questions..
And these are some of the responses from the docs:
'"I usually ask them if they have thought about it and whats their motivation scale"
At work, mostly get these reasoning from their own patients about to or not to quit smoking:
- I know it's bad for me but this is not I am here for
- i'll quit after I graduate
- I enjoy smoking
- I will quit when I'm ready
- I'm healthy.
- I tried before
- it's too hard
- I'll gain weight if I quit
- it relaxes me
- It helps me manage stress
Case study 1: Asthma
Most of the participants agree, that this was a case of resistance
Where each one have had an experience at work and here how they respond to the situation:
- Is th3e asthma the only thing you are concerned about
- You must really care about your daughter if you go outside to smoke- Are you willing to have a conversation?
- That's great that you don't smoke in the house but....here's how you can make it even better. You have shown her the mirror
Then we were presented by a brieft role play (links coming up) which lead to some more discussion with the participants:
- obviously, she is unaware of that smoke sticks to her clothes
- asks for permission to discuss
- I feel like he is tip toeing around the real issue, I find we have to be blunt sometimes
- You cant wait for the patient to come to realization, you're putting patient at risk
- She is a concerned mother already, just acknowledge that
- The 5A's call for "Advise" cessation- how do we reconcile that with equipoise?
- I agree with this, but we have to set up a time specially for the mother..so to do further counselling
- develop rapport.....change doesn't happen overnight. her focus is "the docs aren't using the right meds". if she doesn't believe her daughter has appropriate medical treatment, she is going to be too stressed to even think about behavior change.
EMPATHY
case2 (pics coming up)
- you're afraid you might feel left out if you quit
- So you are concerned that if you stop smoking, it will impact your friendships.
- it's great that you know that it;s bad for you, what are some other things you can do with your friends
DEVELOP DISCREPANCY
- So on one hand you see some value in quitting but it sounds like you have a lot of stress in your life right now
- sounds like you would like to quit smoking but you feel that there are benefits as well
- how important is it for you to try to quit right now?- beating themselves up because they've not been successful;
- maybe we can look at those failures and turn them into success by working together
- you seem stressed about quitting smoking yet feel that smoking helps relieve your stress
- quitting smoking is important to you, but you are worried it might increase your stress levels
- so you have tried quitting. What are some things you've tried? Are there any other things to lower your stress?
- so on one hand, you feel smoking helps manage stress, but on the other, you see that quitting smoking is something you would like to do.
SUPPORT SELF-EFFICACY (..to be continued..).
