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HRA Counseling During the Periodic Health Assessment (PHA)

HRA Counseling During the Periodic Health Assessment (PHA). Engage—Educate—Empower. Objectives . Following the presentation, participants will be able to State two methods to engage the patient in the encounter

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HRA Counseling During the Periodic Health Assessment (PHA)

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  1. HRA Counseling During the Periodic Health Assessment (PHA) Engage—Educate—Empower

  2. Objectives Following the presentation, participants will be able to State two methods to engage the patient in the encounter Identify three approaches a provider can use to educate patients about their reducing their health risks Define empowerment and state at least two strategies by which a provider can empower the patient and transfer the responsibility for taking action to the patient Navy and Marine Corps Public Health Center

  3. Background of the PHA The Periodic Health Assessment (PHA) was to consolidate clinical preventive services, occupational health and risk screening services, health and dental Record review, specialty physical exams, deployment health assessments, and individualized counseling, testing, or treatment under an annual health assessment and replace the traditional physical exam. The PHA was to be based upon the member’s age, gender, family history, occupation, deployment history, health status, and behavioral risk factors. The PHA was to be implemented in 2006; birth month recall was the preferred method for scheduling the PHA. A health risk assessment (HRA) was to serve as the basis for prevention counseling. Navy and Marine Corps Public Health Center

  4. Fleet and Marine Corps HRA 22 questions 10 health categories Web-based Anonymous Personal report Command group report Navy and Marine Corps Public Health Center

  5. Engagement Introduce and orient the patient to the counseling session Give “permission” to actively participate Ensure patient maintains ownership of the problem and decision-making Navy and Marine Corps Public Health Center

  6. Educate Increase perception of risk and potential health outcomes Provide credible information Increase skills Physical Verbal Psychological Navy and Marine Corps Public Health Center

  7. Empower SMART goal setting Specific Measurable Attainable Realistic Timely Elimination or reduction of barriers to change Environmental Social Personal Ethnic Specific plan Support Navy and Marine Corps Public Health Center

  8. Limitations Time Complex problems Patient is not ready to change (precontemplation) Provider lacks counseling skills/interest Patient chooses not to disclose Navy and Marine Corps Public Health Center

  9. Conclusion Prevention counseling is a process by which the provider assists the patient in identifying his or her SMART goal(s) and designing a specific plan that includes not only the steps to carry out the plan but also specific techniques to overcome barriers to change. Navy and Marine Corps Public Health Center

  10. Resources Patient Centered Prevention Counseling DVD http://defenseimagery.mil/imagery.html#a=search&s=808850&chk=6cfc8&apid=999135601 Sexual Health and Responsibility Counseling http://www.med.navy.mil/sites/nmcphc/health-promotion/reproductive-sexual-health/Pages/sexual-health-resources.aspx Navy and Marine Corps Public Health Center

  11. Questions Navy and Marine Corps Public Health Center

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