Language is important. So is communication. It is important to provide mom with P-R-D.
Plan - what you are going to do.
Rationale - why you are doing it
Duration - how long you are going to do it for

Even if it is something difficult, if you know you only need to do it for so long, it makes it more doable, and also easier to handle if you know why you are doing it.  (from last year's ILCA conference)

Gail Hertz
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On Apr 23, 2013, at 1:59 AM, Lara <[log in to unmask]> wrote:

> vgthorley <[log in to unmask]> wrote:
> 
>> My research examined mothers' experience of infant-feeding advice during a
>> period when advice was very prescriptive and, because mothers were
>> reluctant to admit to disagreeing, the health services and politicians
>> believed (incorrectly) that attendance equated with compliance. - Thorley
>> V. Accounts of infant-feeding advice received by mothers: Queensland,
>> Australia, 1945-1965. Nursing Reports 2012; 2(2). Available at
>> http//www.pagepressjournals.org/index.php/nursing/view/262
>> 
>> If anyone is looking for a research topic, perhaps you might consider
>> examining these issues in other settings. It would be interesting, for
>> instance, to see studies on lactation consultant (IBCLC) services, or on
>> counselling by mother-support groups such as LLL and ABA, or peer
>> counsellors. Studies such as these would give points of reference for
>> comparing and improving how we work with mothers and their babies.
> 
> 
> Aside: I think it is useful to move on from talking about "compliance",
> and toward talking about "adherence". "Compliance" entails hierarchy,
> and orders given from a superior to an inferior. "Adherence" is about
> sticking to a plan, and doesn't imply any authoritative commands. 
> 
> This little change can inflect the conversation quite differently: it
> stops being about obedience, and starts being about a whole lot of other
> things, like collaboration and autonomy and persistence. I think it's
> also all tied up with the difference between healthcare provider
> centrism and client centrism.
> 
> Lara Hopkins

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