Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). INSTRUCTIONS: Based on their replies, what did you learn from your experience with Motivational Int
POST # 2 BETHANNY
The purpose of this discussion is to present a 34-year-old female who has general complaints and is has a history of noncompliance with previous cardiac conditions. The patient is 36 weeks pregnant with a history of two pregnancies, one greater than 20 weeks so far, and no abortions. The patient presents with shortness of breath with speaking, ankle swelling, a recent history of the flu, chronic cough, and a previous diagnosis of hypertension. It is also concluded that the patient stopped taking her blood pressure medications when she found out she was pregnant, but she rarely took them beforehand either.
As the Advanced Practice Registered Nurse (APRN) caring for this patient, it is important to remain nonjudgmental and supportive of the patient in order to gain her trust and increase her chances of being compliant (Shute, 2019). There are several pros to this type of interviewing, often called Motivational Interviewing, which include increased patient and provider understanding and satisfaction, increased compliance and rehabilitation rates, and overall healthier life choices made by the patients. The only cons that exist in these scenarios are patients that are not ready or open to education and change and may present with resistance to any new information (De Chesnay, 2020).
Trialing new techniques helps providers to become experts in interviewing and educating individuals in a productive and constructive way (Westra et al., 2020). I practiced this technique with a family member and chose to address the subject of healthy exercise and eating habits. This is a very uncomfortable subject for many patients, and it is often a struggle with the patient becoming defensive. I tried to remain nonjudgmental and discuss what my sister felt like she was doing well and maybe what areas she thought she could improve on. We discussed the barriers that she is facing that is making it difficult to eat well and exercise every day and what solutions could help her overcome those barriers. We also identified her sources of support and activities that she enjoys that provide her with relief and self-care. Motivational interviewing is an extremely beneficial technique that leads to better patient-provider relationships, an increase in compliance, and healthy living choices for everyone.
References
De Chesnay, M. (2020). Caring for the vulnerable: Perspectives in nursing theory, practice, and research (5th edition).
Shute, D. (2019). Motivational interviewing: Benefits and advice for busy physicians. Contemporary OB/GYN, 64(10), 38–40.
Westra, H. A., Norouzian, N., Poulin, L., Coyne, A., Constantino, M. J., Hara, K., Olson, D., & Antony, M. M. (2020). Testing a deliberate practice workshop for developing appropriate responsivity to resistance markers. Psychotherapy. https://doi.org/10.1037/pst0000311