Case Study 1 A male patient who was recently diagnosed
Case Study 1 A male patient who was recently diagnosed with HIV presents for a follow-up visit after treatment for a mild respiratory infection. Before performing the physical exam, you ask the patient how he is feeling. He responds, “Physically I feel fine, but mentally I’m pretty all over the place.” The patient further explains that although he feels confident that his physical condition can be managed well, he is not sure what his future will look like, saying “I may be alive, but I sure can’t fully live.” The patient states that he has been drinking almost every night since being diagnosed to cope with his uncertainty and he knows the drinking needs to stop. Realizing that the patient needs assistance in making the necessary changes to support his physical and mental health, you choose motivational interviewing as a therapeutic technique.
Case Study 1
A male patient who was recently diagnosed with HIV presents for a follow-up visit after treatment for a mild respiratory infection. Before performing the physical exam, you ask the patient how he is feeling. He responds, “Physically I feel fine, but mentally I’m pretty all over the place.” The patient further explains that although he feels confident that his physical condition can be managed well, he is not sure what his future will look like, saying “I may be alive, but I sure can’t fully live.” The patient states that he has been drinking almost every night since being diagnosed to cope with his uncertainty and he knows the drinking needs to stop. Realizing that the patient needs assistance in making the necessary changes to support his physical and mental health, you choose motivational interviewing as a therapeutic technique.
Case Questions
What is the basis for choosing motivational interviewing (MI) for this patient?
What are the four principles or “RULE” of motivational interviewing that you will use with this patient?
What techniques should you use when using motivational interviewing with this patient?
Why is healthy stress management so important for this patient in particular?
How can social support affect this patient’s management of stress?
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