1) Minimum 5 pages  (No word count per page)-   Follow the 3 x 3 rule: minimum of three paragraphs per page ( minimum 300 words per page)

2)¨******APA norms

        The number of words in each paragraph should be similar

        Must be written in the third person

         All paragraphs must be narrative and cited in the text- each paragraph

         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 

         Bulleted responses are not accepted

         Don’t write in the first person 

  Do not use subtitles or titles      

         Don’t copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) No references

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

 Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Motivational Interviewing 

According to File Part 1

Patient position: She wants to change

*****The patient’s responses must be complete lines.*****

Create a script between health professional and patient that addresses the case, the purpose, principles, … expected outcomes of the interview (etc). You can add information that complements the case but you must not alter it.

Example:

Patient: “I wish I didn’t eat so much fast food.”

Doctor: “You eat fast food fairly often?”

Types of questions and interventions:

open-ended questions

Closed-ended questions

offer affirmations

Practice reflective listening

Summarize the visit

Empathy

Support autonomy

reflection

1. Introduction

a. patient identification

b. demographic data

c. Reason for consultation

d. Show empathy

2. Problem

a.  Beginning

b. Description

c. Current status

d. Precipitating factors

e. Triggering factors

3. Patient position

a. Current problem

b. Feelings

c. Failed strategies

d. Problem perception

4. Engaging

a. Patient goals

b. interview comfort

c. interview safety

d. Interview and professional health empathy

e. Patient engagement evaluation

5. Discord

a. Resistance to interpersonal factors

b. Patient perspective and concerns

c. Patient collaborative

6. Focusing

a. Finding a clear direction and goal (Should be specific enough)

b. Finding direction and patient goal (Should be specific enough)

c. Particular goal for change (Should be specific enough)

d. Evaluate patient mindfulness and focusing

e. Patient aspirations

f. Establish a common purpose (Professional and patient)

g. Honing in on a target behavior

h. exploring ambivalence

i. Exploring barriers

7. Evoking

a. Express how you can focus down and guide the client/offender towards a particular goal (identified in the focusing process)

b. Evoke the patient’s internal motivations for change

c. Express how to reinforce it to help build their motivation for change around the focused target behavior.

d. Express how to guide to strategic and directional parts of MI

e. Reinforce change talk

f. Express the patient change talk

g. Express the patient righting

8. Planning

a. Establish specific target behaviors

b. Helping the patient to build motivation towards these target behaviors

c. Establish specific patient skills and strategies

d. Establish goal-setting

e. Establish sorting options

f. Establish forming plans

g. building support

h. Time

9. Closing

to. Feedback (positive)

b. Summarize the case

c. Summarize the plan

d. Summarize goals

e. Establish the patient has clear all session

2

Motivational Interviewing

Motivational Interviewing (MI) focuses on patients redirecting their attention, behavior, feelings, and coping strategies. This type of interview prepares patients for the mobilization of their schemes and management of the disease to reinforce or promote change based on the affectation of the disease in their lives. Likewise, it allows patients to access the patient-centered counseling style from the humanistic and professional identification of the health professional. An important aspect is to facilitate in patients the self-disclosure of the problems, acceptance of them, and the approach to a favorable position focused on the resolution and adjustment.

Purposes

Motivate in patients the intention and need for change from self-discovery and disclosure of problems, needs, and resources to achieve change.

Motivate patients to identify the reasons for their problems, maintenance of problems, resistance to change, and intention to change.

Motivate patients to reduce resistance schemes and weaken the maintenance of problems.

Expected outcomes

Promote patient autonomy

Empower patients to make decisions

Reduce feelings of frustration, worry… etc

Increase patient confidence

Plan design with objectives and goals

Strengthen self-determination

Reduce or eliminate resistance

Case

A 23-year-old female patient attends a nutritional consultation. The patient has been diagnosed with bulimia for eight years. She attended the consultation because she has severe swelling in her throat and wear of her teeth, along with abdominal pain, irritability, and tiredness. She attended psychology therapy for the first three years, but after a love breakup, she stopped treatment and did not continue with the medical follow-up proposed by her doctor. She is currently a law student in final exams for university year promotion. The patient has a good weight for her height. However, she reported that the binge eating is so great that she does not have enough energy to vomit all her food. She describes feeling guilt, anxiety, and sadness when she plans to binge eat, but when she eats, she feels very calm, happy, and motivated to continue studying; finally, when she vomits, she feels tired, frustrated, and ashamed of her feeding habits. She tried to exercise and be more active, but her academic load prevented her from continuing, so she dedicated herself to studying. Her final exams cause her anxiety as she believes she does not have enough knowledge and skills to get good grades. However, her grades are above average, and she has a good reputation among her peers and teachers.

Motivational Interviewing