Difference between revisions of "Behavior Determinants"

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Patients have behavior determinants that may have not only contributed to the clinical condition, they may have caused it. These behavior determinants may need to be addressed for the clinical treatments to be effective. The behavior determinants include being willingness to change, stress, physical activity and nutrition behaviors.(See: [http://www.health3-0.com/reimbursement/addressing-social-and-basic-needs/ ''Improving Clinical Outcomes By Addressing Social And Basic Needs''])
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Patients have [[Behavior Determinants|behavior]] [[determinants]] that may have not only contributed to the health conditions, they may have caused it. These behavior determinants may need to be addressed for the clinical treatments to be effective. The behavior determinants include being willingness to change, stress, physical activity and nutrition behaviors.(See: [http://www.health3-0.com/reimbursement/addressing-social-and-basic-needs/ ''Improving Clinical Outcomes By Addressing Social And Basic Needs''])
  
 
These [[Behavior Determinants|Behavior]] [[Determinants]] can decisively affect [[Patient Well-Being|patient well-being]] and [[Patient Recovery|patient recovery]].
 
These [[Behavior Determinants|Behavior]] [[Determinants]] can decisively affect [[Patient Well-Being|patient well-being]] and [[Patient Recovery|patient recovery]].
 
  
 
==[[Activity Determinants|Activity]]==
 
==[[Activity Determinants|Activity]]==
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* Diet and Nutrition
 
* Diet and Nutrition
 
* Nutrition (Fast Food, Take Out, Home cooked meals)
 
* Nutrition (Fast Food, Take Out, Home cooked meals)
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===Self-Care===
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* Adherence to the Care Plan – take prescribe medicines, keep physician appointments
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* Timely Address Issues
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* Adherence to recommended activities - walking, nutrition, etc.
 
===Social Interactions===
 
===Social Interactions===
 
* Engagement with others
 
* Engagement with others
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===Adverse Behaviors===
 
===Adverse Behaviors===
 
* Adverse Behaviors (use of alcohol, drugs, gambling, unprotected sex, smoking)
 
* Adverse Behaviors (use of alcohol, drugs, gambling, unprotected sex, smoking)
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* Jail involved - history of jail or prison time
 
===Social Activities===
 
===Social Activities===
 
* Family Activities (dinners, youth sports)
 
* Family Activities (dinners, youth sports)
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* Read, knit,etc.
 
* Read, knit,etc.
 
* Hobbies
 
* Hobbies
===Volunteering===
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===Community Activities===
 
* Youth Coaching
 
* Youth Coaching
 
* Social Service
 
* Social Service
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===Responsibilities Activities===
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* Caregiver to child, sick parents or friend
 
===Travel Activities===
 
===Travel Activities===
 
* Snowbird (summers in the North, winters in the South)
 
* Snowbird (summers in the North, winters in the South)
 
* Visits
 
* Visits
 
* Vacations
 
* Vacations
===Jail Involved===
 
* History of jail or prison time
 
  
 
==[[Resilience Determinants|Resilience]]==
 
==[[Resilience Determinants|Resilience]]==
 
[[Resilience Determinants|Resilience determinants]] are elements of [[Behavior Determinants]] in [[Patient Recovery|patient recovery]].
 
[[Resilience Determinants|Resilience determinants]] are elements of [[Behavior Determinants]] in [[Patient Recovery|patient recovery]].
 
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===Psychologically Fit===
 
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* Emotional fitness
 
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* Social fitness
==[[Purpose & Meaning Determinants|Purpose & Meaning]]==
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* Family fitness
[[Purpose & Meaning Determinants|Purpose & meaning determinants]] are elements of [[Behavior Determinants]] in [[Patient Recovery|patient recovery]].
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* Spiritual fitness
===Authorizations===
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===[[Stress Factors]]===
* Privacy and HIPAA
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* Recent Stressful Events
* Advanced Beneficiary Notice
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* Ongoing Stressful Challenges
* Recovery Team Access to Electronic Medical Records
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* Potential Stressful Events
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===Sentiment===
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* Upbeat, depressed
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===[[Support System]]===
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* Care Giver
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* Emotional and physical Support from family and friends
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* Trust in peoples opinions
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* Influencers (people) that could impact patient decisions
 
===Change Acceptance and Determination===
 
===Change Acceptance and Determination===
 
* Acceptance to '''change''' to Behavior, Lifestyle, address Problem (Stress), Patient Activation, Patient Technology Adoption  
 
* Acceptance to '''change''' to Behavior, Lifestyle, address Problem (Stress), Patient Activation, Patient Technology Adoption  
 
* Determination to make '''change''' happen
 
* Determination to make '''change''' happen
 
* University of Rhode Island Change Assessment Scale (URICA)[http://www.umbc.edu/psyc/habits/content/ttm_measures/urica/  '''(URICA)''']
 
* University of Rhode Island Change Assessment Scale (URICA)[http://www.umbc.edu/psyc/habits/content/ttm_measures/urica/  '''(URICA)''']
===Living Will===
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* Advanced Patient Directives
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==[[Purpose & Meaning Determinants|Purpose & Meaning]]==
===Treatment Preferences===
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[[Purpose & Meaning Determinants|Purpose & meaning determinants]] are elements of [[Behavior Determinants]] in [[Patient Recovery|patient recovery]].
* Home Based
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===[[Goals]]===
* Recovery Team
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* Ability to ....
* Technology Use
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* Palliative Care and End of Life preferences
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===Perspectives===
 
===Perspectives===
 
* politics  
 
* politics  
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* Religious beliefs  
 
* Religious beliefs  
 
* Yoga, etc.
 
* Yoga, etc.
 
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===Treatment Preferences===
==[[Resilience & Stress Determinants|Resilience & Stress]]==
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* Home Based
===[[Stress Factors]]===
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* Recovery Team
* Recent Stressful Events
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* Technology Use
* Ongoing Stressful Challenges
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* Palliative Care and End of Life preferences
* Potential Stressful Events
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===Authorizations===
===Sentiment===
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* Privacy and HIPAA
* Upbeat, depressed
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* Advanced Beneficiary Notice
 
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* Recovery Team Access to Electronic Medical Records
==[[Support Determinants|Support]]==
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===Living Will===
* Care Giver
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* Advanced Patient Directives
* Emotional and physical Support from family and friends
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* Trust in peoples opinions
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* Influencers (people) that could impact patient decisions
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==[[Responsibilities & Purpose Determinants|Responsibilities & Purpose]]==
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===Care Giver Roles===
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* Kids, parents, friends
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===Support===
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* Support received from family and friends
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* Support provided to family and friends
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Latest revision as of 09:23, 3 April 2015

Patients have behavior determinants that may have not only contributed to the health conditions, they may have caused it. These behavior determinants may need to be addressed for the clinical treatments to be effective. The behavior determinants include being willingness to change, stress, physical activity and nutrition behaviors.(See: Improving Clinical Outcomes By Addressing Social And Basic Needs)

These Behavior Determinants can decisively affect patient well-being and patient recovery.

Activity

Activity determinants are elements of Behavior Determinants in patient well-being and patient recovery.

Physical Activity

  • Exercise and Activity Levels
  • Transportation (Always walks, always drive, always buses or subways)
  • Work (how active)
  • Sports Participation (Golf)
  • Sporting Events (enjoy race track, kids sporting events, etc.)
  • Home maintenance

Nutrition

  • Diet and Nutrition
  • Nutrition (Fast Food, Take Out, Home cooked meals)

Self-Care

  • Adherence to the Care Plan – take prescribe medicines, keep physician appointments
  • Timely Address Issues
  • Adherence to recommended activities - walking, nutrition, etc.

Social Interactions

  • Engagement with others
  • Engagement with Caregivers, others
  • Organized Communities - like PatientsLikeMe
  • Socially Isolated

Career/Vocation

  • Work activities
  • Type of work
  • Number of hours

Adverse Behaviors

  • Adverse Behaviors (use of alcohol, drugs, gambling, unprotected sex, smoking)
  • Jail involved - history of jail or prison time

Social Activities

  • Family Activities (dinners, youth sports)
  • Other Activities (Social Organizations, frequent bars, etc.)

Sedentary Activities

  • Television (Watch Baseball, Drama series, News - Favorite programs)
  • Read, knit,etc.
  • Hobbies

Community Activities

  • Youth Coaching
  • Social Service

Responsibilities Activities

  • Caregiver to child, sick parents or friend

Travel Activities

  • Snowbird (summers in the North, winters in the South)
  • Visits
  • Vacations

Resilience

Resilience determinants are elements of Behavior Determinants in patient recovery.

Psychologically Fit

  • Emotional fitness
  • Social fitness
  • Family fitness
  • Spiritual fitness

Stress Factors

  • Recent Stressful Events
  • Ongoing Stressful Challenges
  • Potential Stressful Events

Sentiment

  • Upbeat, depressed

Support System

  • Care Giver
  • Emotional and physical Support from family and friends
  • Trust in peoples opinions
  • Influencers (people) that could impact patient decisions

Change Acceptance and Determination

  • Acceptance to change to Behavior, Lifestyle, address Problem (Stress), Patient Activation, Patient Technology Adoption
  • Determination to make change happen
  • University of Rhode Island Change Assessment Scale (URICA)(URICA)

Purpose & Meaning

Purpose & meaning determinants are elements of Behavior Determinants in patient recovery.

Goals

  • Ability to ....

Perspectives

  • politics
  • lifestyle,
  • culture

Spirituality

  • Religion
  • Religious beliefs
  • Yoga, etc.

Treatment Preferences

  • Home Based
  • Recovery Team
  • Technology Use
  • Palliative Care and End of Life preferences

Authorizations

  • Privacy and HIPAA
  • Advanced Beneficiary Notice
  • Recovery Team Access to Electronic Medical Records

Living Will

  • Advanced Patient Directives