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House Call Episode 1: Assessing Patient Readiness to Change

presented by Amanda Fay, MSN, RN and Tonya Miller, PT, DPT, PhD

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Disclosure Statement:

Financial: Amanda Fay receives compensation from MedBridge for this course. She has no other financial interests.

Nonfinancial: Amanda Fay is an employee of Visiting Nurse and Hospice for Vermont and New Hampshire.

Financial: Tonya Miller receives compensation from MedBridge for the production of this course. She is the owner of TYM Coaching. There are no other relevant financial relationships.

Nonfinancial: Tonya Miller has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Podcast Runtime: 14 Minutes; Learning Assessment: 4 Minutes

It is important for clinicians to understand patients' readiness for change. In this course, we explore the ways to assess a patient's readiness to change during a home health visit. Understanding when a patient is in the precontemplation stage of change and is not ready to change allows the clinician to gain insight into a patient's motivational level and potential barriers for positive health behavior changes. In this podcast, we examine the difference in patient outcomes when a clinician does not recognize when a patient is in the precontemplation stage of change versus when a clinician recognizes the patient's stage of change. The course highlights the importance of determining a person's motivations for change and incorporating patient goals into the treatment approach. At the end of the podcast, the listener will understand the ways to recognize a patient's readiness to change and strategies to support the patient in the health behavior change process.

Meet Your Instructors

Amanda Fay, MSN, RN

Amanda Fay is a clinical education and evidence-based practice educator, MSN, and RN with more than 21 years of nursing and education experience. She is an innovator with a passion for creating engaging, relevant programs that support individuals reaching their highest potential in both personal and professional domains. In Amanda's current role as a clinical…

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Tonya Miller, PT, DPT, PhD

Tonya Miller is a national speaker and founder of TYM Coaching. With more than 25 years of executive leadership experience and a PhD in leadership studies, Tonya combines real-world experience with academic expertise. From coaching frontline healthcare providers to educating others in her leadership academy, Tonya uniquely tailors her leadership coaching and educational programs to…

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Chapters & Learning Objectives

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1. Assessing Patient Readiness to Change

In this podcast, we take a look at a typical home health visit. During the visit, a nurse is providing education on healthy diet choices to a patient with diabetes, attempting to facilitate a health behavior change. In the first scenario, the nurse does not recognize that the patient is in the precontemplation stage of change and employs a directive approach to patient education. This approach increases the patient’s resistance to health behavior changes. In the second scenario, the nurse recognizes that the patient is in the precontemplation stage of change and uses strategies to help the patient move away from the precontemplation stage toward a positive health behavior.

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