NSE 11A/B Lecture Notes - Lecture 12: Shared Decision-Making In Medicine, Narrative, Long-Term Care

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Explore the roles / stresses of formal & informal caregivers. Explore the meaning of caregiver stress & its impact on health. Discuss caregiver strategies for alleviating stress & promoting health. The calgary family intervention model can be used as a guide for your intervention with the family. It focuses on promoting and improving family functioning in three domains: cognitive, affective, and behavioural. Interventive questions, validating emotional responses, encouraging illness narratives, supporting family caregivers, encouraging illness narratives, supporting family caregivers and encouraging respite (ill person may be encouraged to accept another person"s temporary assistance so the family member can take a break) Linear questions elicit information about a patient or family; explore descriptions or perceptions of an illness or life challenge. Circular questions help determine possible changes for a patient"s or family"s life; help you understand relationships between individuals, beliefs and events and elicit valuable information to help create change. A commendation is a controversial statement emphasizing family strengths and abilities.

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