Interviewing Bob

Case Example: Bob (male, 65)

This interactive case study will provide participants with an opportunity to practice their OARS skills as they respond to a series of challenging issues during visits/discussions with Bob (the client).

Brief description of the patient:

Bob is a 65 year old client with chronic-obstructive pulmonary disease (COPD). His primary care practitioner has recommended that he attend a Pulmonary Rehab Program. Bob is quite sedentary but is fairly adherent to his medication regime. He has had 2 exacerbations in the last year, one of which hospitalized him for 3 days.

Presenting issues:

  • Bob sits in his apartment for days on end. His wife cannot get him to accompany her on outings such as shopping, visiting, and socializing.
  • He is becoming weaker, has decreased muscle mass, is experiencing more shortness of breath (SOB), and has become more anxious, leading to more SOB (vicious cycle).
  • Bob is becoming increasingly depressed as he is more dependent on his wife to do things for him.

Motivational Issues

  • Bob realizes that his isolation is increasing his loneliness.
  • He realizes that each hospitalization leaves him weaker (decreased lung function).
  • the less active he is, the more SOB

Bob's First Visit image

Bob's First Visit

Challenging Issue #1

Practice OARS (Sustain/Change Talk)

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Bob's Second Visit image

Bob's Second Visit

Challenging Issue #2

Practice OARS (Sustain/Change Talk)

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Bob's Third Visit image

Bob's Third Visit

Challenging Issue #3

Practice OARS (Sustain/Change Talk)

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