Table 2.
Example Text for Information Goals Relevant to Adherence
Information Goals | Text |
---|---|
What is new with the patient? | “He was supposed to go to event name. So I want to ask him how that went for him.” |
“Like I need to know what she’s avoiding, what she’s been experiencing, what else is she avoiding” | |
Who else is seeing the patient? | “Looking for an initial assessment by his prescribes…but it’s finally notated in here who that person is” |
“He presented for PTSD assessment and I want to know who did the assessment” | |
How is the patient doing? Is he improving or getting worse? | “Some violent urges. Has noted that PTSD therapy is helping him, good.” |
“Has he seen any improvement or any side effects?” | |
“He doesn’t have any suicidal thoughts or any homicidal ideation tells me that he’s doing well” | |
Is the patient going along with treatment? | “I wanted to go check what meds he was prescribed (by a provider outside the VA) and I want to ask him about all of these today” |
“I'm going to go to my last note and confirming treatment clinic, she’s going to do PE, motivated” | |
What is the plan of care? | “We sort of reviewed therapy goals and he wanted to focus on decreasing anger at home and focusing on behavioral activation, and exploring more leisure activities in his life.” |
“Looking at the plan to see if there’s other stuff in there I need to follow up on” | |
Is this patient appropriate for therapy X? | “I need to know this because if she’s taking a benzo, that’s really important to know for PE (prolonged exposure therapy).” |
“Why else was he referred for a motivational interview?” |