Week 3 Objectives

Question 1

Common or Concerning Symptoms

Answer 1

Fatigue and weakness
Fever, chills, night sweats
Weight changes
Pain

Question 2

Adjusting appointments for older patients

Answer 2

Adjust the office environment.
Shape the content and pace.
Elicit symptoms.
Address cultural dimensions of aging.

Question 3

General Survey Component of Interview:

Answer 3

Apparent state of health.
Level of consciousness.
Signs of distress.
Skin color and obvious lesions.
Dress, grooming, and personal hygiene.
Facial expressions.
Odors of body and/or breath.
Posture, gait, and motor activity.
Height and Weight.
Calculate BMI.
Waist circumference.

Question 4

5 Stages of Change

Answer 4

Pre-contemplation
Contemplation
Preparation
Action
Maintenance

Question 5

Readiness Ruler and Confidence Ruler

Answer 5

How badly do they want something to change, and how confident are they that they can make that change?
1-10 scales, and follow up questions, used to build action plan.

Question 6

4 General Principals of Motivational Interviewing

Answer 6

Roll with resistance
Express empathy
Develop discrepancy
Support self-efficacy

Question 7

Tools in Interviewing

Answer 7

Elicit-provide-elicit.
Using graded responses.
Continuers.
Echoing.
Summarize.
Validation.
Reassurance.

Question 8

5 Components of MTM Documentation

Answer 8

Medication Therapy Review (MTR)
Personal Medication Record (PMR)
Medication-related Action Plan (MAP)
Intervention/Referral
Documentation