Maintenance Strategies维护策略.pptVIP

Maintenance Strategies  Maintenance Strategies Relapse prevention Prepare client for relapses Identify those factors that account for relapses and seek solutions Behavior rehearsal Reinforcement Positive reinforcement is most powerful Tangible and intangible Tie reinforcements to accomplishments Each short term goal should have a reinforcement Maintenance Strategies Monitoring Keeping a log, assessment data, etc. Allows client to see progress Contracting Formalizes the agreement to exercise Contract includes goals Should be realistic and achievable Goals should be updated regularly Maintenance Strategies Essentials of the contract Agreement to exercise Times for exercise and agreements on missed sessions Agreement on monitoring and testing Long and short term goals Agreement to review goals and rewards regularly and to discuss problems related to exercise program A brief description of the exercise program Agreement on part of trainer to discuss problems and identify solutions Any other items considered essential to client-trainer relationship signatures Instructor Qualities Instructors are most effective if the client feels they are competent, likes them, and is interested in them Instructor’s greatest frustration is a client who is unwilling to change. Overpersistance on the part of the instructor plays against the instructor Attempt to be sensitive to the client’s needs and serve them as to the degree possible Informed Consent Important ethical and legal consideration Content and extent of consent forms vary but enough information must be present to ensure that the participant knows and understands purposes and risks. INFORMED CONSENT Most legal action results from a failure to obtain adequate informed consent Frequent complaint resulting in legal action Negligent in explanation of procedure including the risks Breach of confidentiality Health History Questionnaire Divided into three sections Known diseases Signs/symptoms Risk factors Assessment of risk is