Key Terms
COURSE
Public Health in Pharmacy Practice: A Casebook, 2nd Edition
Definition
A teaching tool developed to help incorporate a spiritual assessment into a patient interview.
Recommended by
Agency for Healthcare Research and Quality (AHRQ), Healthy People 2030
Origin
Anandarajah & Hight, American Family Physician, 2001.
R - Roll with resistance
Avoid argument and direct confrontation; adjust to patient's resistance rather than opposing it
E - Express empathy
Exercise reflective listening; acknowledge the patient's perspective without judgment
D - Develop discrepancy
Help the patient see the gap between their current behavior and their stated goals or values
S - Support self-efficacy
Actively listen for the patient's strengths and values; reflect these back in an affirming manner
Example
"What I hear you saying is..."
Example question
"Are there any specific practices or restrictions I should know about in providing your medical care?"
Prescribed medications
Naproxen 220 mg BID prn, Spiriva Respimat 2.5 mcg/actuation two inhalations daily, Amlodipine 5 mg daily
Only medication TS actually takes
Naproxen (for pain; "it's the only one that works")
Medications she does not take
Spiriva (says it doesn't help; not planning to quit smoking so sees no need) and Amlodipine (doesn't feel symptoms; attr
Smoking cessation stage
PRECONTEMPLATION
Approach
Engage spiritual beliefs as a source of motivation, not an obstacle to overcome. If her faith centers on caring for fami