Instruction: Watch the video transcript of Motivational
interviewing (link: https://www.youtube.com/watch?v=XsmY1VVxUIE
). Write an analysis/ Critique the Motivational Interview role play video,
addressing the following components:
Introduction: Overview of Motivational Interviewing:
Begin your paper by providing an overview of motivational
interviewing (MI). Summarize the main components of MI, integrate MI principles
important to building rapport, and analyze the use of MI to support coping
across the lifespan.
Assessment Process:
Using the key components of MI, examine the role-play videos
for successful or unsuccessful integration of MI skills by critiquing the
stages of conversation between provider and client.
Coping and Strengths:
Identify positive coping mechanisms and strengths. How could
you use MI to support coping? Provide rationales.
Discriminatory Analysis Section:
What would you do differently or similarly to the provider
in the video? Discuss age appropriateness of MI interventions used. Provide
specific rationales in detail.
Summary and Plan Development, and Conclusion:
Base your plan of care on the case in the video. Integrate
evidence-based interventions in your plan and summary of the scenario. How does the concept of coping play out in the
scenario you watched? Integrate coping psychotherapeutic skills. Discuss the
role of teaching and education in MI in your plan and summary.
The paper should be 4 pages, in APA 7 format, containing at least five scholarly articles that have been published within the last three years. Use
APA formatting for all components of the paper.
Some example resources
Lim, D., Schoo, A., Lawn, S.,
& Litt, J. (2019). Embedding and sustaining
motivational interviewing in clinical environments: A concurrent iterative
mixed methods study (PDF). BMC Medical Education, 19,
164–176.
Lewis, T.F., Larson, M.F., & Korkuska, J.S. (2017). Strengthening the planning process of motivational interviewing using goal attainment scaling. Journal of Mental Health Counseling, 39(3), 195–210.
Motivational Interviewing Role Play Video Transcript:
Nurse: Hi Steven. I’ll be
one moment.
Hi. Good to
see you.
Steven: Hi.
Nurse: I’m glad you
came in. So I understand you’re here to talk about getting a new prescription
for the oxycodone. So is there anything else you were hoping to discuss today?
Steven: The pain in my
ribs is, is still too much for me. Every time I take a deep breath or even just
bend down to feed my dog or something. It’s miserable.
Nurse: Sounds like you’ve
been in a lot of pain and it’s made it pretty difficult to do some of the
things you normally do. So tell me a little bit about your routine and what
your pain is like.
Steven: Well, I used to be
able to go outside and jog around. I play some sports with my friends every so
often but I can’t do anything now besides just lay in my bed.
Nurse: Sounds like you
were really active before and this pain is really causing a lot of problems for
you.
If you would
rate your pain on a scale of one to 10 where would you say your level is?
Steven: On average, an
eight usually. Sometimes less. Sometimes more.
Nurse: Okay. So pretty
high levels of pain.
Steven: Yeah and nothing
makes it better except when I take Oxy and smoke some weed.
Nurse: What kinds of
things have you been doing to manage your pain?
Steven: Just taking the
Oxy you prescribed and the smoking some weed every now and then, again to just
ease the pain.
Nurse: Okay. So you’re
taking the Oxy. You’re smoking some weed. Can you tell me a little bit how
you’ve been taking your medications and how often you’re smoking?
Steven: I mean I’m taking
the Oxy just as you prescribed; one every four hours just as the bottle says.
Smoke weed maybe three or four times a day, just to take the edge off.
Nurse: What other kinds
of things have you been trying to manage your pain right now?
Steven: That was the hot
and cold treatment, but that just felt like a waste of time. So did the topical
cream. It’s just a waste of money.
Nurse: Okay. So the hot
and cold didn’t seem to work. The topical cream didn’t seem to work and it
sounds like you’ve been taking the Oxy and smoking some weed and that’s been a
little bit helpful. Tell me what else you’ve tried for your pain.
Steven: Nothing else
besides that really, and like I said, the Oxy and the weed. It’s hard for me
to… It was hard for me to even to walk here.
Nurse: Now I’m curious,
if you had a magic wand and you were able to wake up tomorrow and your life was
different, what would it look like?
Steven: I’d be outside
again playing sports with my friends, just enjoying life, getting back to the
things that just haven’t been able to do.
Nurse: Steven, I think
those are really great goals and I think those are things we need to be working
towards. As your doctor, I also need to share with you that I’m concerned that
you’re still on the oxycodone six months out from your injury.
Steven: Six months really
isn’t that long and I’m still in pain. I mean, if I wasn’t in pain I wouldn’t
be taking it. It’s your prescription. I don’t know what else to do. I need
relief.
Nurse: Well, I’m not
trying to push you, but I do think it’s important for us to think about pain
management that is not going to cause you more problems and it’s going to allow
you to get you back to the lifestyle that you really want to be living.
What kinds of
things do you think would be helpful?
Steven: I really don’t
know. I’m out of ideas.
Nurse: Okay.
Steven: It’s not my fault
I’m in this much pain. You should have known if I was going to get addicted.
Why didn’t you tell me?
Nurse: Well, and I’m
sorry Steven, and I don’t mean to be pushing you, but I do want to talk about
maybe what the next steps would be to be helpful for you.
Steven: If you have any
recommendations I’d be willing to hear.
Nurse: I think it’s
really important that we choose a plan that you feel like you’re able to do
that works with you and you feel capable of following through with.
Now thinking
about what you’ve done already, what do you feel like would be helpful at this
point?
Steven: Really anything
that keeps me out of the pain. I mean, would you have any recommendations? I’d
be glad to hear them.
Nurse: Great. I do. I’d
actually love to share some information with you from the Center for Disease
Control.
They have
some guidelines about how we approach pain management and situations like this.
Would it be okay if I talk with you about that?
Steven: Yeah, I guess.
Okay.
Nurse: So what the
guidelines do say is that for people who have had injuries like yours, that we
want to be using prescription pain medications in a certain period of time
where it’s effective and that tends to be six weeks. So we’re beyond that at
this point.
Now from that
point, what we like to do is transition you to over the counter medication, so
taper off the Oxy and go to things like Tylenol, Aleve, and Motrin and do that
in combination with some holistic therapies like we’ve talked about before. You
know, when people on the Oxy for longer than six months, we put yet risk for
some opiate dependence and some other health concerns.
Nurse: I think that what
would make sense at this point is to think about transitioning you off of the
Oxy onto one of these over the counter medications and using some of these
other techniques to help you manage the pain.
What do you
think about those guidelines and maybe that plan?
Steven: I could agree with
them. It’s just this holistic therapies you talked about require a lot of
movement and without that pain relief, I don’t know how I would get through it.
Nurse: Yeah, I hear that
it’s scary to maybe do anything that might increase your pain. That makes a lot
of sense and I’m not opposed to prescribing you some other medications for pain
but as your medical provider, I also have to say that I don’t think smoking
marijuana is the best means to manage your pain right now.
I’m wondering
what you think about making some of these changes.
Steven: I’d be willing to
try anything to get rid of this pain and if you really think that’s the best
option, then I will listen to you.
Nurse: I do and I think
we need to think about what you’re willing to do, what you’re able to do and
what you feel like you can do most consistently.
So it sounds
like at this point we’re thinking about tapering off the Oxy, getting you on to
something like Tylenol and doing some exercise that you feel like you can do.
How do you
feel about this plan?
Steven: I’d be willing to
try the holistic exercises you were talking about, taking Tylenol, but if I’m
in pain then I’m going to call you.
Nurse: Absolutely and I
want you to call me and I think it actually makes sense for us to set a time
within the next week for us to talk. Maybe do a phone check in and see how
you’re doing and even if you’re not doing any better and then we can take it
from there and see what changes we need to make to the plan.
Steven: All right.
Nurse: Great. Well, I
have to say I’m really glad that you came in and I think it’s very courageous
to take the step and facing some of this pain as well to get you back to the
life that you really want to be living right now.
So I thank
you for coming in and I’ll see you. I’ll talk with you next week.
Steven: Thank you.
