How you would use the motivational interviewing technique

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Reference no: EM133271633

Assignment - Answer the following questions after reading the case scenario.

1. Using the motivational interviewing technique of developing discrepancy how would you assist Emmanuel to develop discrepancy between his desire to drink and the detrimental effects drinking has on his life? Include a general description of the technique you chose, an example of how you would use it in the interview with Emmanuel.

2. Explain how you would use the motivational interviewing technique of rolling with resistance to assist Emmanuel in increasing his readiness for change.

Case - As his FNP you inquire more about Emmanuel for alcohol use. "Please tell me a bit more about what your drinking has been like over the past few years." Emmanuel points out that he had been a regular drinker since his teens. He reduced his alcohol consumption early in his marriage while his children were young at the request of his wife. He reports that after his two daughters left the house his drinking has increased to "more than when I was younger" he further explains that he has tried to cut back, but usually reverted to his typical pattern within a few weeks. You inquire about withdrawal symptoms. Emmanuel denies any s/s of withdrawal and reports "I never get shaky when I don't drink" He denies history of seizure, or complicated withdrawal and reports that he can see the benefit of cutting back he just isn't sure he wants to stop drinking all together.

You ask the following: Tell me more about what your pain is like and how you have been dealing with it? How has it affected you and your family? Emmanuel indicated that he has been feeling more discouraged by his back problems and wondered if he would ever feel like his old self again. In addition to general feelings of hopelessness, Emmanuel reported problems with sleep, poor concentration, irritability with his wife, and loss of appetite. He is also worried about money. He said "unless my back starts to get better soon, I don't seek how I'm going to be able to support my family. Thus far he had attempted to relieve his pain by increasing his alcohol consumption now using 5 - 6 beers per night and occasionally using Vicodin that he had obtained from a friend. Emmanuel has mixed feelings about asking for help and wonders if it is possible to feel better. He is also sensitive to the issue of his drinking and given the renewed request from his wife that he drink less. He reports that he has enjoyed drinking and felt it helped him manage the pain at night. However, he also said that he had been falling asleep in front of the TV and waking up feeling stiff and unrested.

As his provider you ask Emmanuel "Is it ok if I give you some information about the ways that alcohol can affect sleep?" Emmanuel consents, and you gently explain how alcohol can affect sleep quality. You continue to build rapport by asking about Emmanuel's values and goals while remaining mindful of his social context, saying "I wonder if you could tell me a little more about your family and what you hope to do over the next few years." Emmanuel indicates it is important for him to be a positive role model for his adult children and that he wants to provide financially for his family by continuing to work. He reports that he has been worried about his relationship with his wife and the amount of money he is spending on alcohol.

Reference no: EM133271633

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