Facilitating the Genetic Counseling Process Practice-Based Skills, Second Edition

146 Importantly, however, you should always consider individual differences in patient needs and preferences and proceed accordi ...

147 Goals of Reciprocal-Engagement Model (REM) of Genetic Counseling Factor I: Understanding and appreciation Counselor and pati ...

148 6.2.4 Characteristics of Effective Goals Greenberg et al. ( 2006 ) note that “... people will strive toward a goal, as long ...

149 6.2.5 Strategies for Setting Goals and Attaining Goals Setting Goals Be responsive to the patient’s concerns. Levack et al. ...

150 nity.” Sometimes patients express doubt in their ability to make a good decision. It can be helpful to ask patients to talk ...

151 6.3 Obstacles to Goal Setting and Goal Attainment Tryon and Winograd ( 2011 ) assert that, “Patients, particularly those who ...

152 The patient may be trying to set goals that actually belong to someone else (e.g., “My doctor wants me to have this test”; ...

153 What are the chief problems that the sickness has caused? What do you fear most about the sickness? (p. 217) Cultural dif ...

154 When your patients are couples or families, you must simultaneously take into account several individuals’ wishes, desires, ...

155 clinic schedule. For example, in prenatal genetic counseling sessions that precede a scheduled ultrasound, it is appropriate ...

156 Be sensitive to patient emotional state. If patients are crying and/or otherwise visibly distraught, allow them a few minut ...

157 conversations to terminate quickly, Deaf clients, may find this rude and often prefer a more prolonged good-bye. The genetic ...

158 they varied in their comfort. This variation was partly due to level of familiarity with perinatal hospice services. They st ...

159 6.5.2 Points to Consider When Making Referrals Consider your patient’s resources before making a referral. For example, be ...

160 Common Referral Sources Support groups (genetic condition) Bereavement groups Agencies (SSI, medical assistance, WIC, social ...

161 How much welcoming should you do? Should you engage in chitchat? Should you go to the waiting room to get your patient? Wil ...

162 in front of you will be like. What are her/his credentials? How can you be sure that s/he will be helpful? You are here to ...

163 Genetic Counselor Options Patient Options Resist ending Resist ending Encourage ending Encourage ending Uncertain about endi ...

16 4 Instructor Note Observers can use Appendix 3 , Observer Checklist for Making Referrals. Activity 8: Goal-Setting (Think-P ...

165 “I was hoping there was some research that could help my daughter with this disease.” “I don’t want to have any test that’s ...