Do you know about - 3. TEAMcare Program: Patients w/Complex Disease & Depression - Dr. Paul Ciechanowski (Univ. of WA)
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3. TEAMcare Program: Patients w/Complex Disease & Depression - Dr. Paul Ciechanowski (Univ. of WA) Video Clips. Duration : 18.58 Mins.We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Ehealth Insurance . TEACH THE PATIENT HOW TO PROBLEM SOLVE In order to address barriers to change in highly complex chronic disease cases, Group Health Cooperative's TEAMCare program uses specially-trained nurse care managers to coach patients on motivation, skill-building and overall activation. According to Dr. Paul Ciechanowski, one of TEAMcare's architects, a key is to use Motivational Interviewing (MI) to uncover and dialogue on what the patient says are the costs of changing current behavior as well as the benefits of sticking with it, however unhealthy the status quo might be. "We're not going to make any progress until we have had that discussion," described Ciechanowski, "and it helps us understand how to work with a specific person differently." Another tactic is to work on increasing problem-solving skills. "We have a structured way of working with patients to get them to brainstorm, think of solutions," explained Ciechanowksi, "and then we'll go over the pros and cons afterwards." Added Ciechanowksi, "that makes all the difference...because depressed people rule out everything before they even start to talk about it." TEAMCare's patients represent a growing segment of more than 75 million US adults with two or more chronic diseases and accompanying mental health issues. "We are in the era of the multi-condition patient," warned Ciechanowski, "and we have to adjust and just accept the fact that when we are treating people, we have to be treating a number of conditions at once ...
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