Feeling stuck with a client's slow progress?

Quickly assess the issue and gather the healthcare team. Prioritize patient safety by implementing emergency protocols and clear communication. Delegate tasks based on team members' expertise, consult specialists if necessary, and document all actions. Ensure continuous coordination and support among team members for effective patient care.

Best practices for reflective listening can be aided with the OARS acronym. Open-ended questions for clarification or to deepen understanding Affirmations of the client's difficulties and/or of the client's resilience in navigating those difficulties Reflections to make sure the client feels heard and understood Summarizing to make sure you're capturing the important elements of the situation or experience Beyond the direct verbal communication, it's important to make note of the impact of your paraverbal and nonverbal communication. This relates not as much to the words we use but elements of speech such as tone, body language, and eye contact that enhance the feeling for the client that you're really there in it with your clients.

For the client seeking transformation, the choice is between what is currently working minimally and what only offers the promise of working well. As an effort to join in with the client in their ambivalence, we have to recognize the costs of change which are often equal in measure against the expected benefit. Truly applying the skill of compassion to that dilemma allows for effective exploration of the client's dynamic state of ambivalence. Also relevant is the timing of that exploration. In applying a stage-wise model, and understanding the nature of the spectrum of precontemplation-contemplation, motivational interviewers are timing the exploration of ambivalence in concurrence with peak contemplation.

Calculate what you want to yield from your client. People are different in grasping values and the process of change is incremental from unconscious to several steps to taking action and evaluating of development achieved. Contemplation and intention to do contradict and may be repeated several times before acting on change to fast or slow laggers. Patience is expected from the provider to give supportive care or intentional behaviour change.

Create space for clients to explore their own insights and solutions, allowing them to take ownership of their progress. Use reverse engineering techniques to help the client break down their goals into smaller, manageable steps. This can help reduce overwhelm and make progress more tangible, increasing their engagement and commitment to the process.

I absolutely agree with the speaker and I can only add the salutation that should include appreciating the client for meeting me as his consultant. It acts as though you have already started supporting him or her. All other appraisals will add to the first remark as you take the journey together.

There is often a parallel process that is normal and, when attended to, quite useful. If I'm feeling stuck, as the provider, maybe that is reflective of the client's experience as well. Since defining success is an ongoing process, it can be useful to step back from time to time to reorient the work towards that evolving definition. Person-centeredness plays a role in ensuring the goal we're working towards is really relevant and meaningful for the client, not just the provider. These kinds of challenges don't represent failure of motivational interviewing but, in fact, are part of the process. Being flexible includes meeting the client where they're at, reflecting on their stage of change readiness, and adapting.