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Transcript of Consultation Models
Helman's Folk Model:
What has happened?
Why has it happened?
Why to me?
What would happen if nothing was done about it?
What should I do about it?
Helman's Folk Model
Health Belief Model
(Ideas, Concerns, Expectations)
Heron's Six Interventions
Heron's Six Interventions:
Prescriptive - giving advice or instructions
Informative - imparting new knowledge
Confronting - challenging an attitude or behaviour
Cathartic - seeking to release emotion
Catalytic - encouraging the patient's own explorations
Supportive - offering comfort
actively gain rapport
be empathic, patient-centred
be valuing, curious and accepting
listen actively, pick up cues, clarify
Stott and Davis
(Physical, Psychological, Social)
Problem Based Interviewing
Effect on life
Understanding of experience
Integrate Both Frameworks
Disease-Illness Model: McWhinney 1972
Find out why the patient has come
Check how the problems affect them, their job, their family, etc
Explore the patient's ideas, concerns, expectations, and health beliefs
Examine: physical, mental
the problems ... then ...
Discuss management options
Seek the patient's preferences
Explain the chosen management plans, treatments, tests, etc
Check for drug allergies
Explain the problems or diagnoses, linking your explanation to the patient's ideas, and concerns
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