Kupu Whakamārama mo ngā Tuhipoka Rongoā: Puka, Ngā Momo, me ngā Tikanga Pai

Ka mutu te hui. Ka wehe atu tāu kiritaki, me te tumanako kua mā te iti ake te taumaha me te mārama ake ki a ia. Engari kāore anō kia oti tāu mahi. Inaianei, ko koe anō me tō rorohiko, kei te tū koe ki te tuhi i ngā meneti 50 kua pahure. Mō te tini o ngā tohunga rongoā, ko te tuhituhipoka rongoā ka rite ki te mahi whakatārewha, he ara pūtaiao i roto i te mahi tangata hōhonu nei.

Engari pēhea mehemea ka hurihia te tirohanga? Pēhea mehemea ka kite tātou i te tuhi tuhipoka ehara i te taumahatanga, engari he taputapu nui e whakapai ana i tā tātou mahi rongoā, e tiaki ana i tā tātou mahi, me te whakanui i ngā haerenga a ā tātou kiritaki?

Ko te tuhi tuhinga pai te pūtake o te rongoā pai. E kōrero ana i te pūtake o te anga whakamua a tō kiritaki, e whakarite ana kei te pai te tiaki e whakaratohia ana e koe, me te mahi hei mahara tohunga mō koe. A kōkē tātou ki ngā mea katoa e hiahia ana koe kia mārama, kia whai hua, kia tere hoki te tuhi tuhipoka rongoā.

He aha ngā Tuhipoka Rongoā, Āna?

Mā ngā kupu mātau, ko ngā tuhipoka rongoā te rekoata mana o tētahi hui rongoā. He wāhanga ēnei nō te kōnae rongoā a te kiritaki, ā, hei tuhinga ture e whakaahua ana i te tiaki i whakaratohia.

He mea nui kia mārama ki te rerekētanga i waenga i ngā momo tuhipoka e rua:

• Tuhipoka Anga whakamua: Koinei te mea e kōrero ai te nuinga ina mea ai rātou, "tuhipoka rongoā." He wāhanga ēnei nō te rekoata hauora o te kiritaki, ā, e whakaahua ana i te āhua o te kiritaki, te mate, te mahere rongoā, me te anga whakamua. E hiahiatia ana ēnei mō te pire inihua me te ture. E arotahi ana ki te "aha" o te hui.
• Tuhipoka Rongoā Hinengaro (arā, Tuhipoka Tukanga): Koinei ngā tuhipoka tūmataiti a te tohunga rongoā, e wehewehe ana i te kōnae mana o te kiritaki. Ka taea e ēnei te whakauru i ngā whakaaro o te tohunga rongoā, ngā whakaaroaro whaiaro, me ngā taipitopito motuhake o te kōrero. E āta tiakina ēnei tuhipoka i raro i te HIPAA, ā, kāore e whakawhitia i te nuinga. Puna.

Mō te toenga o tēnei tuhinga, ka mea ana tātou ki te tuhipoka rongoā, ka aro tātou ki ngā tuhipoka anga whakamua mana kei roto i te rekoata o te kiritaki.

He aha te take nui ai ngā Tuhipoka Rongoā?

Ko te whakapau wā ki te tuhi tuhipoka kounga teitei he haumi e whai hua ana i ngā huarahi maha.

• Aroturuki i te Anga whakamua o te Kiritaki: Ka hangaia e ngā tuhipoka tētahi hōtuku, ka taea ai e koe te kite i ngā tauira, te aroturuki i ngā whakapainga, me te kite i te wā ka mau te kiritaki.
• Whakarite i te Hononga Tiaki: Ki te mate koe, kei te hararei rānei koe, ā, me whakawhiti rānei tētahi kiritaki, ka taea e ngā tuhipoka mārama te haere tonu o te tiaki.
• Tiaki Ture me ngā Tikanga: Ki te puta he whakawhiwhinga, he amuamu rānei ki te poari, ko ngā tuhipoka tō rongoā pai rawa atu, e whakaatu ana i tō whakaaro rongoā me te kounga o te tiaki i whakaratohia e koe.
• Ngā Whakaritenga Inihua me te Pire: E hiahiatia ana e ngā kaiutu te tuhinga hei whakamana i te tino tika o te rongoā. Ko ngā tuhipoka tō kōhapa e hiahiatia ana mō te utu.
• Tautoko i te Whakatau Rongoā: Ma te arotake i ngā tuhipoka o mua ka āwhina koe ki te whakarite mō ngā hui, te maumahara ki ngā taipitopito nui, me te whakatau i ngā whakatau mārama mō te mahere rongoā.

He aha te Mea Kia Whakaurua ki ngā Tuhipoka Rongoā?

Ko te tuhipoka rongoā pai he taurite i waenga i ngā taipitopito e hiahiatia ana me te poto tohunga. Anei tētahi rārangi takitaki o ngā wāhanga matua:

• Ngā Mōhiohio Whaiaro o te Kiritaki: Ingoa katoa, rā whānau.
• Ngā Mōhiohio Hui: Rā, te wā, me te roa o te hui.
• Ngā Take i Tae Mai: He aha ngā take i kōreroa? Whakaurua ngā kupu kiritaki, ngā tohu rānei.
• Ngā Tāwharautanga i Whakamahia: He aha tāu i mahia? (hei tauira, "Whakaakorohia te mahi manawa hōhonu," "Whakamahia te CBT hei wero i ngā whakaaro he," "Tirohia ngā tauira whānau o te takenga mai").
• Ngā Whakautu me te Anga whakamua o te Kiritaki: Pēhea te urupare a te kiritaki ki ngā tāwharautanga? Kōrero mō ngā māramatanga, ngā huringa o te kare-a-roto, me te anga whakamua ki ngā whāinga.
• Arotake Tūponotanga: Ki te puta ngā take haumaru (ngā whakaaro whakamomomori, ngā whakaaro kohuru, te whara i a ia anō), me tuhia ēnei, me ngā mahi i mahia e koe.
• Mahere: He aha te mahere mō te hui e whai ake nei? Kua tukua rānei he mahi kāinga? Kua puta rānei he huringa ki te mahere rongoā?

He aha te Mea Kaua Kia Whakaurua ki ngā Tuhipoka Rongoā?

He rite te nui o te mōhio he aha te mea ka waiho atu. Ko ngā tuhipoka tō tuhinga tohunga, rongoā. A ape i te whakauru:

• Ngā Manaakitanga Kaiwhiwhi o te Tohunga Rongoā: Ko ngā kare-a-roto whaiaro mō te kiritaki mō tō tino rangatiratanga, mō tō ropu korerorero rānei, ehara mō te rekoata mana.
• Ngā Taipitopito Tōtohu: Kaua e whakauru i ngā kōrero kōrero, i ngā mōhiohio mō ngā tuatoru kāore e whai pānga ki te rongoā.
• Ngā Whakatau Tūmatanui: Kia mau ki ngā mahi e kitea ana me ngā pūrongo a te kiritaki. Kaua e kōrero, "Kua uaua te kiritaki," engari tuhia, "Kua whakaatu te kiritaki i te riri ki te mahere rongoā, ā, i kōrero kāore ia e pai ana ki te whakaoti i te mahi kāinga.""
• Ngā Mōhiohio Ka taea te Whara i te Kiritaki: Kia mārama ki ngā mōhiohio tairongo, ki te puta ēnei i roto i tētahi whakawā ture, ka taea te whara, te whakama rānei i tō kiritaki.

Me Pēhea te Tuhi i ngā Tuhipoka Rongoā Pai: He Aratohu Taahinga-taahinga

1. Tuhia Tere: Kia roa koe e tatari ana, ka maha ake ngā taipitopito ka wareware i a koe. Whakamātauria kia oti ngā tuhipoka i roto i te 24 haora o te hui.
2. Whakamahia te Reo Pūmau, Tohunga: A ape i ngā kupu o te tinana, ngā kupu uaua, me ngā kupu tino aroha. Whakaahuatia ngā mahi, kaua e whakaingoatia ngā tangata.
3. Kia Potopoto engari Kia Whakakī: Whakaurua ngā mōhiohio katoa e hiahiatia ana me te kore e tuhi i tētahi pukapuka. Ka taea e ngā pene poto te hoa pai mō koe.
4. Whaia Tētahi Puka Paerewa: Ko te whakamahi i tētahi puka rite tonu pēnei i te puka SOAP, i te puka rānei DAP ka whakarite kia taupokina e koe ngā wāhi katoa ia wā.
5. Arotahi ki te Pānga Rongoā: Pātai ki a koe anō, "He aha ai te take o tēnei taipitopito mō te rongoā o te kiritaki?" Ki te kore e taea e koe te whakautu, kāore pea e tika ana.
6. Arotake: Ko ngā hapa taatai me ngā hapa reo ka puta te ahua kāore i te tohunga, ā, i ētahi wā ka taea te whakarerekē te tikanga o tētahi rerenga kōrero.

He aha ngā Momo Puka Tuhipoka Rongoā?

Ko te nuinga o ngā tohunga rongoā ka whakamahi i tētahi puka paerewa hei hanganga i ā rātou tuhipoka. Ka hangaia tēnei i te orokohanga me te ngāwari ki te arotake. Anei ngā mea tino rongonui:

Puka SOAP

Ko te puka SOAP he mea matarohia, he mea whānui te whakamahi i roto i ngā wāhi hauora.

• S (Subjective): Ko tā te kiritaki e kōrero ai. Kei roto ko ōna kare-a-roto, ngā take, me ngā kupu tika. (hei tauira, "Kua kōrero te kiritaki, 'Kua tino taumaha ahau i te wiki katoa.'")
• O (Objective): Ko tāu e kite ai. Kei roto ko te āhua o te kiritaki, te ahua, me te reo tinana. (hei tauira, "Kua ahua ngenge te kiritaki, ā, he āhua papatahi tōna.")
• A (Assessment): Tō whakamaoritanga rongoā me te wetewete i ngā mōhiohio pūtake me te whai kiko. (hei tauira, "Ko ngā tohu o te kiritaki e rite ana ki te mate pouri. Ka anga whakamua mā te puhoi ki te whāinga rongoā nama 2.")
• P (Plan): Te huarahi mahi. (hei tauira, "Haere tonu ki ngā tāwharautanga CBT mō te kōrero kino ki a koe anō. Ka mahi te kiritaki i te mahi whakaaroarohanga i ia rā. Ka hui i te 28/9.")

Puka DAP

Ko te puka DAP he whakakapinga i āta hangaia e mōhio ana ētahi he ngāwari ake.

• D (Data): Ka whakaurua e tēnei wāhanga te "S" me te "O" mai i te SOAP. Kei roto ko ngā mea katoa i kōrero ai te kiritaki me ngā mea katoa i kitea e koe.
• A (Assessment): Tō wetewete rongoā, rite tonu ki te puka SOAP.
• P (Plan): Te mahere mō te rongoā kei te heke mai, rite tonu ki te SOAP.

Puka BIRP

He noa ngā tuhipoka BIRP i ngā wāhi e whakanui ana i ngā tāwharautanga whanonga.

• B (Behavior): Ka aro tēnei ki te take i tae mai ai, tae atu ki ngā pūrongo tūmatanui me ngā mātakitanga mātakitanga.
• I (Intervention): Ngā tikanga motuhake i whakamahia e koe i te hui.
• R (Response): Pēhea te urupare o te kiritaki ki āu tāwharautanga.
• P (Plan): Te mahere mō ngā taahinga e whai ake nei.

Ngā Tauira Puka Tuhipoka Rongoā

A ka ora ai ēnei puka me tētahi kiritaki pakiwaitara, a Jane D., e rapu rongoā ana mō te manukanuka.

Tauira 1: Puka SOAP

S: E kōrero ana a Jane, "I tērā atu te taumaha o te hokomaha. I puta te ahua kāore e taea te manawa, ā, me waiho taku kaata." E kii ana ia ko tōna taumata manukanuka he "7 i te 10" mō te nuinga o te wiki.

O: I tae mai te kiritaki i te wā. Āhua manukanuka ia, ā, ka tere tōna kōrero. Āhua ngenge ia.

A: Ko ngā tohu e whakaatu ana a Jane e rite ana ki te Mate Parehe. Kei te uaua ia ki te whakatinana i ngā pukenga whakahaere i roto i ngā āhuatanga tino taumaha engari kei te pai te mārama ki ana take.

P: I whakaurua he tikanga manawa 4-7-8 mō te whakanoa i te wā o te parehe. I tukua he mahi kāinga kia mahi i te tikanga kia rua i ia rā. Ka tirohia tōna whai hua i te hui e whai ake nei. Ka hui i te 5/10.

Tauira 2: Puka DAP

D: I pūrongo a Jane i tētahi parehe i te hokomaha, e whakaahua ana i ngā tohu o te manawa poto me te hiahia kia rere. I whakatauria e ia tōna manukanuka i te wiki ki te 7/10. I puta te kiritaki hei tangata manukanuka, ā, he tere tōna reo kōrero me te ngenge kitea.

A: Ko ngā pūrongo a te kiritaki me te manukanuka kitea e rite ana ki tōna mate parehe. Kei te hiahia tautoko tonu ia ki te whakamahi i ngā rautaki whakahaere i roto i ngā āhuatanga o te ao tuuturu.

P: I ako, ā, i mahi i te mahi manawa 4-7-8 i roto i te hui. I whakahaua te kiritaki kia mahi kia rua i ia rā me te whakamahi i te timatanga o te piki o te parehe. Aroturuki a tera wiki.

Tauira 3: Puka BIRP

B: I tae mai te kiritaki me te manukanuka, ā, i pūrongo i tētahi parehe tata nei. I whakaahua ia i te taumaha me te kore e taea te whakahaere i roto i ngā wāhi tūmatanui.

I: I whakaratohia he mātauranga pāwhiri ki te huringa tinana o te parehe. I whakamahia he tāwharautanga rongoā hinengaro mā te ako i te tikanga manawa 4-7-8 hei taputapu whakanoa.

R: I taea e te kiritaki te whakaatu angitu i te tikanga manawa i roto i te hui. I pūrongo ia kua "iti ake te mārama" i muri i te mahi, ā, i kupu te whakaae kia whakamātau hei mahi kāinga.

P: Ka mahi te kiritaki i te tikanga manawa kia rua i ia rā. Ka tirohia ngā tikanga rongoā whakakite atu anō mō ngā wāhi tūmatanui i te hui e whai ake nei.

Ngā Hapa noa hei Apea i te Tuhi Tuhipoka Rongoā

• Kia Poto rawa, kia Taipitopito rawa rānei: He kore hua te "I whai hui pai." He kore tika te whakawhiti kōrero katoa. Rapua te waenganui.
• Te Whakamahi i te Reo Nui kaore he Whakamārama: Tuhia me te mea ka taea e tētahi kaiwhakawa, tētahi atu tohunga rongoā rānei te pānui i āu tuhipoka.
• Te Wareware ki te Tuhituhi i te Tūponotanga: Ki te kōrero te kiritaki mō tētahi tūponotanga whara i a ia anō, i te tangata rānei, me tuhia e koe tō arotake me ngā mahi i mahia e koe. Ko te kore e pērā he nui te kino.
• Te Tuhi Tūrua: Whakamahia te puka taua me te taumata taipitopito rite mō ngā tuhipoka katoa.
• Te Tuhi Tuhipoka i muri i ngā Rā: Koinei te tere rawa ki te tuhi tuhipoka kāore e tika ana, kāore rānei i oti.

Kia Pēhea te Roa o te Pupuri i ngā Tuhipoka Rongoā?

Ko ngā ture pupuri rekoata ka rereke nui i te kawanatanga me te mahi. Ko te tikanga whānui ko te pupuri i ngā rekoata kiritaki pakeke mō te 7 tau i muri i te mutunga o te ratonga. Mō ngā tamariki, me pupuri pea koe i ēnei mō ngā tau maha i muri i te whakatutukitanga o te pakeketanga.

E hiahiatia ana e te HIPAA kia pupuritia ngā rekoata mō te ono tau. Heoi, ka taea e te ture o tō kawanatanga, ngā ture a tō poari raihana rānei te roa ake, ā, me whai koe ki te mea tino kaha rawa. Tirohia tonu ngā ture o tō rohe kia whakaritea ai te whai tikanga. Puna.

He aha ngā Taputapu Pai mō te Whakahaere Tuhipoka Rongoā?

He maha āu kōwhiringa, ia āna ngā pai me ngā kino.

• Ngā Pūnaha Rekoata Hauora Hiko (EHR): Koinei ngā pūtea rorohiko i hangaia mō te hauora.
  • Pai: E rite ana ki te HIPAA, whakauru pire me te whakariterite, ngāwari ki te toro atu i hea, ngā tauira i hangaia.
  • Kino: Ka taea te utu nui, ka taea te whai akoranga.
• Rorohiko Whakahaere Mahi: Ko te nuinga o ngā pūnaha EHR hou he wāhanga o tētahi huinga whakahaere mahi nui ake e whakahaere ana i ngā mea katoa mai i ngā tuhipoka ki ngā tomokanga kiritaki.
• Ngā Tikanga Pepa Tauhiko: Te kōpae tawhito.
  • Pai: Iti te hangarau, kāore he utu ā-marama.
  • Kino: Ka pāngia e te ahi/tāwhanga, uaua ki te whakahoki, uaua ki te pānui me te rapu, ka nohoia te wāhi tinana.

Me Pēhea te Pupuri i te Mātāpono Whaiaro o te Kiritaki ki ngā Tuhipoka Rongoā

Ko te mātāpono whaiaro o te kiritaki te pūtake o te hononga rongoā. Ko te tiaki i āu tuhipoka he mahi matatika me te ture nui.

• Ngā Ture HIPAA: Kia mārama ki ngā Ture Mātāpono me te Haumarutanga a te HIPAA. Whakamahia ngā kupuhipa kaha, ngā taputapu kua whakakikikihia, me te rorohiko haumaru.
• Rokiroki Haumaru: Me noho ngā kōnae pepa ki roto i tētahi rūnanga raka i roto i tētahi rūma raka. Me whakakikihia ngā kōnae mamati, ā, me rongo ki tētahi pūtea hotaka hotaka, e rite ana ki te HIPAA.
• Mana Uru: Ko ngā tangata whai mana anake kia uru ki ngā rekoata kiritaki.
• Te Whakahaere i ngā Tono Ture: Ki te whiwhi koe i tētahi piira mō āu tuhipoka, kaua e tukua tonu. He tikanga pai ki te whakapā atu ki tētahi roia, ki tō inihua nama rānei kia rite ai tō urupare ki te ture me te tikanga.

Tohutohu mō te Tuhi Tuhipoka Rongoā kia Tere ake

• Whakamahia Ngā Tauira: Kaua e hanga anō i te wīra ia wā. Hangaia he tauira i roto i tō EHR, i te kaitohu kupu rānei.
• Whakaritea Tētahi Tikanga: Whakamahia te 10 - 15 meneti i muri i ia hui ki te tuhi i tō tuhipoka. He nui ake te tere i te ngana ki te whakaoti katoa i te mutunga o te rā.
• Whakamahia te Reo ki te Kuputuhi: Kua tino tika te rorohiko whakawhiti reo, ā, ka taea te tere ake i te patopato.
• Hangaia he Poto Tuhituhi: Hangaia tētahi pōti tuhituhi whaiaro, rite tonu mō ngā kupu noa (hei tauira, "S/I" mō te whakaaro whakamomori, "Tx" mō te rongoā).
• Kohikohia Ngā Mahi Rite: Ki te kore e taea e koe te tuhi tuhipoka i muri i ia hui, poraka te wā kia rua ngā wā i te rā ki te whakaoti i roto i tētahi kohinga.

Ngā Pātai Auau mō ngā Tuhipoka Rongoā

Ka taea e ngā Kiritaki te Toro atu ki ā rātou Tuhipoka Rongoā?

Āe. I raro i te HIPAA, he tika tā ngā kiritaki ki te toro atu me te tirotiro i ā rātou rekoata hauora, tae atu ki āu tuhipoka anga whakamua. Kāore ō rātou tika ki te toro atu ki āu tuhipoka rongoā hinengaro/tukanga motuhake.

Kia Pēhea te Taipitopito o ngā Tuhipoka Rongoā?

Kia nui te taipitopito hei kōrero i tētahi kōrero mārama o te rongoā o te kiritaki, hei whakamana i āu whakatau rongoā, me te whakatutuki i ngā whakaritenga ture me ngā inihua. A ape i te taipitopito nui kāore e pā ana ki te rongoā.

Me Pēhea Ki Te Wareware Koe ki te Tuhi Tuhipoka i muri i Tētahi Hui?

Mahia tonu i te wā e mātau ana koe. Tuhia ngā mea e mātau ana koe, ā, tāpirihia he tāpiri "roto āta, " me te tuhituhi i te rā e tuhia ana e koe te tuhipoka me te rā pono o te hui. Ko te pono me te māramatanga te mea nui.

Ka taea te Whakauru ngā Tuhipoka Rongoā ki te Kooti?

Āe, ka taea te tono tuhipoka anga whakamua mā te piira, ā, ka taea te whakamahi hei kōhapa i roto i ngā whakawā ture. Ko tētahi take matua tēnei kia mau tonu koe ki ngā rekoata tohunga, whai kiko, me te tika. Puna.

Whakamutunga

Ko te tuhi tuhipoka rongoā kounga teitei he nui ake i te whakaritenga - he pukenga rongoā. He mahi tiaki tohunga e whai hua ana ki āu kiritaki, e tiaki ana i tāu mahi, ā, ka mutu ka pai ake koe, ka nui ake te whakariterite o te tohunga rongoā. Mā te whakatūtū i tētahi tikanga rite tonu me te whakamahi i ngā taputapu me ngā puka tika, ka taea e koe te huri i te tuhinga tuhi mai i tētahi mahi whakamataku ki tētahi wāhanga ngāwari me te whai hua o tāu mahi rongoā.