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Tools for the Dig:

Tools for the Dig:. Using GTHM and Your D Assessment. Find YOUR Exit. Keep the Purpose in Mind Remember human nature Choose Wisely Think about what each tool might offer Your Words are Your Shovel The right invite = a deeper dig. Remember the Purpose. Choose the Best Route.

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Tools for the Dig:

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  1. Tools for the Dig: Using GTHM and Your D Assessment

  2. Find YOUR Exit • Keep the Purpose in Mind • Remember human nature • Choose Wisely • Think about what each tool might offer • Your Words are Your Shovel • The right invite = a deeper dig

  3. Remember the Purpose

  4. Choose the Best Route “How do you feel about…” “Pick a picture that says how you feel about..”

  5. How?

  6. Project

  7. Use of Projective Tools • People are more likely to tap into feelings, motivations, drivers when they are projecting them onto something else • People are more likely to emotionally regulate/protect their emotions with direct (even open-ended) questions

  8. Digging Deep • Caregiver’s needs and feelings • How to tailor the message you offer • Learn if she’s in “traffic” • Family’s • Culture • Beliefs • Knowledge • Feelings Use the tools to help you tailor/offer exits and detours for a mom

  9. Iceberg Digging

  10. Make the Tools WOrk

  11. Keep It Clean • The Projective Technique is the START of your D Assessment. • Don’t bring up “D” questions in the lab or before you’re ready

  12. Frost a Cake Before it Cools?

  13. Step 1: Keep it Clean • Set yourself up for success • Keep ABC(E) “clean” • Avoid discussion of D in the lab or before you plan the tool • Makes bringing a tool out later…weird • Summarize ABC(E) • “Its good to hear that he’s been growing well and that the doctors say he’s healthy.”

  14. Put it in Context

  15. Step 2: State the Purpose • Give the client a quick “clue” as to why you’re bringing these out “I’m wondering how feeding time is going for you...” “Now, I’d like to get a better sense about how you feel about how he eats.”

  16. Choosing Wisely • The “right” tool • The “right” words

  17. Step 3: Give a Proper Invite • “Pick a [picture/texture/color] that best describes how you feel about…” • Make the…SPECIFIC • How you feel about your baby’s appetite • How it feels to breastfeed • How you feel about other people breastfeeding • How you feel about how your baby tells you he is hungry

  18. Picking the “Right” Tool • Tools can be used with everyone • Certain tools might be better paired with various subjects • For example: • The wand might not be great for “what you would change about…a not so great experience like a high risk pregnancy.”

  19. Magic Wand • Helps you identify the biggest priority or barrier for mom/caregiver • “What is one thing about breastfeeding you wish was easier.” • “What is one thing about bottle feeding you wish was easier.” • “What is one question about feeding that you’d like answered.”

  20. Faces and Metaphors • Helps mom visualize/connect with an emotion • Gives her permission that various emotions are ‘OK’ • The best invites help her tie emotions to a specific aspect of feeding • How do you feel about your breastfeeding experience? What about when you offer a bottle?

  21. Colors and Textures • True Projective Techniques • Fabric also adds sense of touch • Great for breastfeeding discussions “Pick a texture that says how you feel right before baby latches. What about after baby is done?”

  22. Doors • Helps you identify mom’s motivators for baby (not necessarily nutrition) • Connect motivators to the nutrition discussion • Great technique for “anticipatory guidance” • Connect tips for the future with her goals

  23. Card Sort

  24. Remember: • Tool is the START of your D Assessment, not the whole D Assessment • Not the end • Why use the projective first?

  25. What Would You Do? • Mom with a 5 day old infant. IPN. Mom is here with her husband and mother. During ABC, she tells you she’s tired. When you were doing her intake she told you that she was breastfeeding but also giving formula. Her little one is 5 days old and has regained birth. What Tool? What transition and invite?

  26. Faces • “Its good to hear that he’s gained so well! You mentioned that you were both breastfeeding and bottle feeding and I’d like to talk more about that. I have these faces lined up, pick one that best describes how you feel when you breastfeed. What about when you bottle feed?”

  27. Your Turn! • In your tables you will: • Be given a “secret scenario.” • Read the scenario • Pick a note-taker and reporter • Share with the group and use your worksheet to record ideas!

  28. Part A • Pick your tool – think about which one you think would be best • Discuss an invite (plus transition) that you think would be the best dig! Stop Before Probing!

  29. You ask your question and…

  30. Part B • What Baby Behavior Do You Hear? • What Probes Do You Still Need to Ask? • Hint: Use ABCDE

  31. Take Home • The tool is how you start your D • It is the opening of your D assessment – not the whole thing! • Set your tool up for success • Keep ABC clean • Make your invite deep!

  32. Exits? Concerns?

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