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Assessment/ Reassessment Goal Setting Counselling Tools (DEBRIEFING …

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        Use the Response to Open the Dialogue
        ASK: What would it take to increase the importance from 5 to 9?
        RESPONSE: The patient can openly express and explore their reasons.
        ASK: What would it take to increase your belief in your ability to change habits from 3 to 8?
        ASK: What can I do to help you go from 1-7?
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        BENEFITS OF STATUS QUO
        No need to hear anymore than I do now!
        Are there any situations you avoid because of your hearing difficulties?
        Have you considered that your communication partners may be unhappy or dissatisfied because you miss out on things?
        I do not have a hearing problem!
        You never find that people mumble? Have you experienced any situations in which it is difficult?
        COSTS OF STATUS QUO
        I can't really think of any
        You never feel exhausted when you are in group contexts?
        Would your communication partners agree with that?
        I feel excluded from social contexts
        In which situations do you feel excluded?
        I might lose my job!
        Is it only in job situations that you have hearing problems?
        THE POTENTIAL COSTS OF CHANGE
        Hearing aids whistle!
        Have you experienced that?
        Other people might not like me because hearing aids are unattractive!
        What do you think when you see hearing aid users?
        Have you considered that the relationship to other people might suffer if you can't hear them or you misunderstand eachother?
        THE POTENTIAL BENEFITS OF CHANGE I can participate more
        It will be less tiring for me if I don't have to pretend that I know what people are talking about.
        It will help me keep my job
        There will be less conflicts in the family.
        Acknowledge the response and ask if there are any other benefits - get as many benefits as possible on the list to keep them motivated.