Amada Presentation

1. AMADA
SENIOR
CARE
CARE TRANSITIONS & MOTIVATIONAL
INTERVIEWING
PRESENTED BY:
SANDRA M. SCHIFF, PH.D.
CERTIFIED CARE TRANSITION COACH
WWW.SMS-COACHING.COM
Amada Senior Care
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2. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
"Care transitions is a team sport, and
yet all too often we don't know who
our teammates are, or how they can
help."
~ Eric A. Coleman, MD, MPH
Amada Senior Care
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3. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
How will Care Transition services work at Amada?
• Patients will be assessed to determine if they are
appropriate for transition coaching based on their illness,
their support system and the willingness to manage their
own health. (cognitive awareness)
• Care transition coaching supports patients and families
and provides a continuity of health care as patients
transfer between different locations or different levels of
care within the same location.
Amada Senior Care
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4. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
• The patient and family/other support systems are
empowered to advocate on their own about their health
concerns.
• Red flags/warning signs of their illness are discussed.
• Medication reconciliation is examined (discharge papers
are compared to current meds in the home- these are
often different and creates confusion for the patient)
Amada Senior Care
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5. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
• Assurance of the physician follow up appointment within
48 hours(post facility) (Research has shown that once
past the 48 hour window, readmission is likely to occur)
• Community resources are offered for non medical
needs/requests, ie. support groups, medication
assistance, referrals to area agencies on aging.
Amada Senior Care
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6. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
Questions about Care Transition
Services?
Amada Senior Care
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7. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
Motivational Interviewing – what is it?
Motivational interviewing is a form of collaborative
conversation for strengthening a person's own motivation
and commitment to change. It is a person-centered
communication style for addressing the common problem of
ambivalence about change by paying particular attention to
the language of change. (Using the patients language and
level of education)
Amada Senior Care
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8. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
Statements for Reflective Listening (Express Empathy):
"You're feeling uncomfortable with your _______."
"You are angry with/about ___________."
"You've tried to do _______ before and it has not worked for
you." "You are frustrated with trying to _________."
"So, if I understand you so far, you _____________."
"You are wondering if you should do something about
____________."
"I can see how you might feel ______ at this point."
Amada Senior Care
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9. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
Statements and Questions to Develop Discrepancy
"You have said that you know _______ is the best choice, but
that it won't fit with your lifestyle. What are some of your
concerns about fitting ________ into your current lifestyle?"
"What is it about your ___________ that others may see as
reasons for concern?"
learning about ___________.
Why do you want to learn about __________?”
Amada Senior Care
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10. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
"How has __________ stopped you from doing what you want to
do?"
"How do you feel about ___________?
"The fact that you are sharing with me indicates that you are
interested in ___________________?
"What makes you think that you need to make a change?"
Amada Senior Care
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11. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
"If things worked out exactly as you like, what would be
different?"
"If you decided to make health change, what do you think
would work for you?"
"What concerns do you have about making health changes?"
"What things make you think that this is a problem?"
"What difficulties have you encountered trying to change
your __________?"
Amada Senior Care
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12. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
Statements and Questions for Reinforcing Positive Change-
talk and New Behaviors
"That sounds like a good idea."
"That's a good point."
"You are very considerate of how your decisions affect other
people.”
"I can see that it's important to you to be a good parent."
"You've really changed the way you ____________. How do
you feel about that?"
Amada Senior Care
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13. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
Questions about Motivational
Interviewing?
Amada Senior Care
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14. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
Thank you from Amada Senior Care
Contact Information:
Kevin Manuel
248.237.6377
kevin.m@amadaseniorcare.com
Amada Senior Care
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15. CARE TRANSITIONS &
MOTIVATIONAL INTERVIEWING
APRIL 9, 2015
References
The concept of motivational interviewing evolved from
experience in the treatment of problem drinkers.
Miller (1983) & Rollnick (1991)
WIC Learning Online
www.sms-coaching.com
Amada Senior Care
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