{"id":1169,"date":"2025-10-22T11:42:34","date_gmt":"2025-10-22T09:42:34","guid":{"rendered":"https:\/\/www.moodbites.eu\/lesson\/2-analyse-the-clients-needs-plan-intervention-actions-in-accordance-with-ebm-principles\/"},"modified":"2026-01-15T09:02:30","modified_gmt":"2026-01-15T08:02:30","slug":"2-analyse-the-clients-needs-plan-intervention-actions-in-accordance-with-ebm-principles","status":"publish","type":"lesson","link":"https:\/\/www.moodbites.eu\/lt\/lesson\/2-analyse-the-clients-needs-plan-intervention-actions-in-accordance-with-ebm-principles\/","title":{"rendered":"2. I\u0161analizuoti kliento poreikius, planuoti intervencinius veiksmus pagal \u012ePV principus."},"content":{"rendered":"\n<p class=\"sensei-content-description has-text-color has-link-color has-medium-font-size wp-elements-9eed9f5ac24ee2ccc4897393bdc2dfca\" style=\"color:#e4493e\"><strong>2.1.<\/strong> <strong>Mitybos intervencijos tikslo apibr\u0117\u017eimas<\/strong> <\/p>\n\n\n\n<p class=\"sensei-content-description has-ast-global-color-3-color has-text-color has-small-font-size\">Nors mitybos tema socialini\u0173 darbuotoj\u0173 profesiniame \u0161vietime ilg\u0105 laik\u0105 buvo ignoruojama, \u0161iuolaikiniai po\u017ei\u016briai \u012f pagalb\u0105 \u017emon\u0117ms, atsid\u016brusiems sunkiose gyvenimo situacijose, rodo, kad mityba vaidina pagrindin\u012f vaidmen\u012f klient\u0173 psichinei sveikatai, socialiniam funkcionavimui ir kasdienei gerovei. Kayla Harter (2017) \u012frodo, kad mityba tur\u0117t\u0173 b\u016bti vertinama kaip neatsiejama \u201e\u017emogus aplinkoje\u201c po\u017ei\u016brio dalis \u2013 holistin\u0117s perspektyvos, kurioje klientas vertinamas atsi\u017evelgiant \u012f jo biologin\u012f, socialin\u012f ir emocin\u012f kontekst\u0105.  <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-f3a7b5cc alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\"><\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"sensei-content-description\">Harterio tyrimas atskleid\u017eia, kad net 68,2 % socialini\u0173 darbuotoj\u0173 savo praktikoje nagrin\u0117ja mitybos klausimus, nors dauguma j\u0173 (77 %) niekada n\u0117ra lank\u0119 joki\u0173 su mityba susijusi\u0173 mokym\u0173, o 89 % toki\u0173 kurs\u0173 nelank\u0117 socialinio darbo magistro studij\u0173 metu (Harter, 2017). <\/p>\n\n\n\n<p>Tai rodo, kad mitybos tema yra svarbi ir b\u016btina, ir kad socialiniai darbuotojai da\u017enai veikia intuityviai arba remiasi pagrindin\u0117mis bendrosiomis medicinos \u017einiomis. Jie taip daro, nes pripa\u017e\u012fsta ry\u0161\u012f tarp maisto, nuotaikos, sveikatos ir kliento kasdienio funkcionavimo.  <\/p>\n\n\n\n<p>Dirbant su psichikos ligomis sergan\u010diais asmenimis, mitybos tema da\u017enai i\u0161kyla kaip antraeilis klausimas \u2013 \u201eka\u017ekas valgo per daug\u201c, \u201eka\u017ekas beveik visai nevalgo\u201c. Lengva manyti, kad pakaks pasi\u016blymo ar informacinio lapelio. Ta\u010diau jei tikrai norime poky\u010di\u0173, mums reikia gerai apgalvoto veiksm\u0173 plano \u2013 o jo pagrindas \u2013 ai\u0161kus tikslas.   <\/p>\n\n\n\n<p>Intervencijos tikslo nustatymas n\u0117ra tik formalumas \u2013 tai procesas, padedantis organizuoti veiksmus, apibr\u0117\u017eti bendradarbiavimo su klientu krypt\u012f ir sustiprinti jo motyvacij\u0105. Tur\u0117damas ai\u0161kiai apibr\u0117\u017et\u0105 tiksl\u0105, klientas gali matyti poky\u010dio prasm\u0119 ir jausti, kad j\u012f pasiekti \u012fmanoma \u2013 \u017eingsnis po \u017eingsnio.  <\/p>\n\n\n\n<p class=\"sensei-content-description\">B\u016btent tod\u0117l verta naudoti SMART metod\u0105 \u2013 \u012frank\u012f, kuris padeda suformuluoti tikslus ai\u0161kiai, realisti\u0161kai ir prakti\u0161kai. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-4de69eca alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-e25af383\">\n<p><strong>SMART metodas \u2013 kaip i\u0161sikelti veikian\u010dius tikslus<\/strong><br><br> SMART yra akronimas, apib\u016bdinantis penkias pagrindines gerai suformuluoto tikslo charakteristikas. Kiekvienas elementas padeda i\u0161vengti neai\u0161ki\u0173 teigini\u0173 ir paver\u010dia tiksl\u0105 strukt\u016brizuota veiksm\u0173 strategija.  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-589676f9\">\n<figure class=\"wp-block-table alignwide is-style-stripes\"><table class=\"has-background has-border-color has-ast-global-color-4-border-color has-fixed-layout\" style=\"background-color:#ddeaca;border-width:2px\"><tbody><tr><td><strong>Abatas.<\/strong> <\/td><td><strong>Reik\u0161m\u0117 <\/strong> <\/td><td><strong>K\u0105 tai rei\u0161kia prakti\u0161kai?<\/strong> <\/td><\/tr><tr><td><strong>S<\/strong> <\/td><td><em>Specifinis<\/em>  <\/td><td>Tikslas tur\u0117t\u0173 b\u016bti <strong>ai\u0161kiai apibr\u0117\u017etas <\/strong>\u2013 be neai\u0161ki\u0173 frazi\u0173, toki\u0173 kaip \u201esveikiau maitintis\u201c. <\/td><\/tr><tr><td><strong>M ( Measurable)<\/strong> <\/td><td><em>I\u0161matuojamas<\/em> <\/td><td>Tur\u0117t\u0173 b\u016bti \u012fmanoma patikrinti, <strong>ar tikslas pasiektas<\/strong>. <\/td><\/tr><tr><td><strong>A<\/strong> <\/td><td><em>Achievable (Achievable)<\/em>  <\/td><td>Tikslas <strong>turi b\u016bti pasiekiamas<\/strong> \u017emogui jo konkre\u010dioje situacijoje. <\/td><\/tr><tr><td><strong>R<\/strong> <\/td><td><em>Aktualu ( Relevant)<\/em>  <\/td><td>Tikslas tur\u0117t\u0173 <strong>b\u016bti svarbus ir susij\u0119s<\/strong> su kliento problemomis. <\/td><\/tr><tr><td><strong>T<\/strong> <\/td><td><em>Laiku apribotas (Time-bound)<\/em>  <\/td><td>B\u016btina nustatyti,<strong> kada<\/strong> norime to pasiekti. <\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>Kai socialinis darbuotojas ir klientas suformuluoja tiksl\u0105 naudodami \u0161\u012f model\u012f, tampa lengviau ne tik planuoti konkre\u010dius veiksmus, bet ir vertinti pa\u017eang\u0105 bei reaguoti, jei ka\u017ekas nevyksta pagal plan\u0105. <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-159ff17e alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-2aed7f69\">\n<p><strong>Teisingo SMART tikslo mitybos kontekste pavyzdys:<\/strong><br>\u201eJanas (gyvenantis su ilgalaike depresija, i\u0161sek\u0119s, besiskund\u017eiantis nuovargiu ir energijos stoka) per ateinan\u010dias dvi savaites valgys bent vien\u0105 kar\u0161t\u0105 patiekal\u0105 per dien\u0105 su dar\u017eov\u0117mis, kurias jis nusipirks arba paruo\u0161 su glob\u0117jo pagalba.\u201c<br>\u0160is tikslas atitinka visus SMART modelio elementus:<br>\u2022 <strong>S<\/strong> (Specific \u2013 Konkretus): mes tiksliai \u017einome, k\u0105 klientas turi daryti \u2013 valgyti kar\u0161t\u0105 patiekal\u0105 su dar\u017eov\u0117mis.<br>\u2022 <strong>M<\/strong>(Measurable \u2013 I\u0161matuojamas): vienas patiekalas per dien\u0105 \u2013 tai galima lengvai sekti.<br>\u2022 <strong>A <\/strong> Pasiekiamas (Achievable \u2013 Pasiekiamas): tik vienas patiekalas, galima glob\u0117jo parama \u2013 realus.<br>\u2022 <strong>R <\/strong>(Relevant \u2013 Aktualus): tikslas skirtas konkre\u010diai problemai \u2013 nepakankamai mitybai, energijos tr\u016bkumui.<br><strong>\u2022 T<\/strong> (Time-bound \u2013 Laiku apribotas): nustatytas ai\u0161kus laikotarpis \u2013 dvi savait\u0117s. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-147fd2a3\">\n<div class=\"wp-block-uagb-image alignwide uagb-block-b0b3ce9f wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-wide\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/www.moodbites.eu\/wp-content\/uploads\/2025\/10\/pexels-photo-8507675-8507675.jpg ,https:\/\/www.moodbites.eu\/wp-content\/uploads\/2025\/10\/pexels-photo-8507675-8507675.jpg 780w, https:\/\/www.moodbites.eu\/wp-content\/uploads\/2025\/10\/pexels-photo-8507675-8507675.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/www.moodbites.eu\/wp-content\/uploads\/2025\/10\/pexels-photo-8507675-8507675.jpg\" alt=\"Casual dining scene with a fresh salad and white wine on a wooden table setting.\" class=\"uag-image-1027\" width=\"640\" height=\"427\" title=\"pexels-photo-8507675-8507675\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>Norint suprasti, kod\u0117l SMART metodas yra toks naudingas, pravartu pa\u017evelgti \u012f pavyzd\u017eius, kurie \u0161io metodo nenaudoja: <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-ea81aa17 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-7ced35fe\">\n<p> <strong>Jan tur\u0117t\u0173 sveikai maitintis.\u201c<\/strong><br>\u0160is tikslas skamba pagr\u012fstai, bet yra pernelyg miglotas. K\u0105 rei\u0161kia \u201esveikai\u201c? Ar tai rei\u0161kia vengti cukraus, valgyti dar\u017eoves, reguliariai maitintis? Jam tr\u016bksta i\u0161matuojamumo, laiko ir konkre\u010di\u0173 veiksm\u0173. Toks tikslas nesuteikia ai\u0161kios krypties nei klientui, nei darbuotojui.     <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-2a61d3d5\">\n<p><strong>\u201eJan visam laikui nustos valgyti nesveik\u0105 maist\u0105.\u201c<\/strong><br>\u0160is tikslas yra pernelyg ambicingas, miglotas ir galiausiai nerealus. \u201eAm\u017einai\u201c yra did\u017eiulis reikalavimas, ypa\u010d \u017emogui, turin\u010diam psichikos sveikatos problem\u0173. Jam tr\u016bksta konkretumo, i\u0161matuojamumo ir laiko apribojim\u0173. Be to, jis gali sukelti nes\u0117km\u0117s baim\u0119 ir atgrasyti klient\u0105 nuo pat prad\u017ei\u0173.    <\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>Kaylos Harter (2017 m.) atlikti tyrimai rodo, kad net 68 % apklaust\u0173 socialini\u0173 darbuotoj\u0173 \u012ftraukia mitybos tem\u0105 \u012f savo pokalbius su klientais \u2013 da\u017eniausiai paprastai, kasdieni\u0161kai, pritaikytai prie kliento situacijos ir galimybi\u0173. Jie pirmiausia kalba apie sveikos mitybos pagrindus. Kalbama ne apie sud\u0117tingas mitybos \u017einias, o apie paprastas gaires, tokias kaip:   <\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>\u201eStenkit\u0117s kart\u0105 per dien\u0105 suvalgyti k\u0105 nors \u0161ilto.\u201c <\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>\u201eB\u016bt\u0173 gerai \u012f savo pietus \u012ftraukti dar\u017eovi\u0173.\u201c <\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>\u201eVanduo vietoj saldinto g\u0117rimo gali pad\u0117ti jums jaustis geriau.\u201c <\/li>\n<\/ol>\n\n\n\n<p>Tai ne teorijos \u2013 tai ma\u017ei poky\u010diai, kuriuos klientas gali suprasti, prisiminti ir \u012fgyvendinti, net jei jam sunku atmintis, motyvacija ar kasdien\u0117 organizavimo veikla. <\/p>\n\n\n\n<p>Kita da\u017enai keliama tema \u2013 \u201enesveiko maisto\u201c \u2013 saldumyn\u0173, tra\u0161ku\u010di\u0173, greito maisto ir gazuot\u0173 g\u0117rim\u0173 \u2013 ma\u017einimas. Socialiniai darbuotojai nekelia ultimatum\u0173 ir nesmerkia, o u\u017eduoda tokius klausimus:  <\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>\u201eO k\u0105 j\u016bs paprastai valgote, kai jau\u010diat\u0117s li\u016bdnas?\u201c <\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>\u201eKai kurie \u017emon\u0117s jau\u010diasi irzlesni i\u0161g\u0117r\u0119 saldaus g\u0117rimo \u2013 kaip jums?\u201c <\/li>\n<\/ol>\n\n\n\n<p>\u0160ie pokalbiai susieja emocijas su valgymu, o j\u0173 tikslas \u2013 ne draudimas, o apm\u0105stymas, s\u0105moningumas ir nedideli poky\u010diai. <\/p>\n\n\n\n<p>Svarbi ir labai prakti\u0161ka tema \u2013 maitinimo planavimas turint labai ribot\u0105 biud\u017eet\u0105. D\u0117l \u0161ios prie\u017easties daugeliui klient\u0173 sunku reguliariai gauti maisto, o dar sunkiau \u2013 gaminti maist\u0105, planuoti apsipirkim\u0105 ar tiesiog organizuoti savo dien\u0105 pagal maitinim\u0105. \u010cia socialinis darbuotojas gali:   <\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>pad\u0117ti sudaryti pirkini\u0173 s\u0105ra\u0161\u0105, <\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>nukreipkite \u012f vietin\u012f maisto bank\u0105, <\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>kartu suplanuokite paprast\u0105 ir prieinam\u0105 valgiara\u0161t\u012f. <\/li>\n<\/ol>\n\n\n\n<p>Tai da\u017enai yra gyvybi\u0161kai svarbi kasdien\u0117s paramos dalis, ypa\u010d dirbant su benamyst\u0117s neturin\u010diais, ne\u012fgaliais ar psichikos sveikatos problem\u0173 turin\u010diais \u017emon\u0117mis. <\/p>\n\n\n\n<p>Kai kurie socialiniai darbuotojai taip pat pastebi valgymo elges\u012f, kuris gali rodyti valgymo sutrikim\u0105, pavyzd\u017eiui, obsesyv\u0173 maisto vengim\u0105, persivalgymo epizodus arba tokius teiginius kaip: \u201eA\u0161 nevalgau, nes nenusipelniau\u201c. <\/p>\n\n\n\n<p>Nors jie nenustato diagnozi\u0173, jie reaguoja su empatija ir \u017eino, kada nukreipti klient\u0105 pas specialist\u0105 \u2013 dietolog\u0105, terapeut\u0105 ar psichiatr\u0105. J\u0173 vaidmuo \u2013 pasteb\u0117ti pirm\u0105j\u012f po\u017eym\u012f ir pad\u0117ti klientui rasti tinkam\u0105 pagalb\u0105.  <\/p>\n\n\n\n<p>Kaip matome, socialini\u0173 darbuotoj\u0173 gvildenamos su mityba susijusios temos n\u0117ra atsitiktin\u0117s \u2013 jos kyla i\u0161 reali\u0173 poreiki\u0173, pokalbi\u0173 ir pasteb\u0117jim\u0173. \u0160ios temos da\u017enai yra tiltas kuriant santykius, pirmas \u017eingsnis poky\u010di\u0173 link ir b\u016bdas parodyti klientui, kad ka\u017ekas mato jo kasdienes problemas.  <\/p>\n\n\n\n<p>Svarbu, kad socialinis darbuotojas nepamir\u0161t\u0173, jog jo vaidmuo mitybos intervencijose turi savo ribas. Jis gali pad\u0117ti klientui atliekant kasdienius veiksmus, tokius kaip:  <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>skatinant ma\u017eus poky\u010dius, <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>padedant planuoti apsipirkim\u0105, <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>padeda formuoti paprastus \u012fpro\u010dius. <\/li>\n<\/ul>\n\n\n\n<p>Ta\u010diau daugeliu atvej\u0173, ypa\u010d kai: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>yra valgymo sutrikim\u0173 po\u017eymi\u0173 (pvz., anoreksija, bulimija); <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>klientas serga fizin\u0117mis ligomis, turin\u010diomis \u012ftakos mitybai (pvz., diabetu, nepakankama mityba), <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>arba klientas atsisako valgyti ir kyla pavojus sveikatai \u2013 b\u016btinas bendradarbiavimas su kitais specialistais, pavyzd\u017eiui, klinikiniu dietologu, gydytoju ar psichoterapeutu. <\/li>\n<\/ul>\n\n\n\n<p>Socialinis darbuotojas tur\u0117t\u0173 atpa\u017einti, kada savaranki\u0161k\u0173 veiksm\u0173 gali nepakakti, ir pasi\u016blyti klientui i\u0161or\u0117s profesionali\u0105 pagalb\u0105. <\/p>\n\n\n\n<p>Nesvarbu, ar dirbate ties nedideliu \u012fpro\u010dio poky\u010diu, ar padedate klientui, turin\u010diam rimt\u0173 sveikatos problem\u0173, jo gerov\u0117 ir saugumas visada turi b\u016bti svarbiausi. <br>Reali\u0173, bendrai sutart\u0173 tiksl\u0173 nustatymas ne tik padidina intervencijos veiksmingum\u0105, bet ir ugdo pasitik\u0117jim\u0105 bei suteikia klientui kontrol\u0117s jausm\u0105 \u2013 o tai yra pagrindinis bet koki\u0173 poky\u010di\u0173 elementas, ypa\u010d psichikos sveikatos kontekste. <\/p>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"has-text-align-center has-ast-global-color-1-color has-ast-global-color-5-background-color has-text-color has-background has-medium-font-size\" style=\"padding-top:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40)\"><strong><strong>INTERAKTYVI VEIKLA 46<\/strong><\/strong><\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-588\" class=\"h5p-iframe\" data-content-id=\"588\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"46 PRATIMAS \u2013 Q1 \u2013 5 MODULIS\"><\/iframe><\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-f9576ee6\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-589\" class=\"h5p-iframe\" data-content-id=\"589\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"46 PRATIMAS \u2013 Q2 \u2013 5 MODULIS\"><\/iframe><\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-497f2b53\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><\/div><\/div>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-590\" class=\"h5p-iframe\" data-content-id=\"590\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"46 PRATIMAS \u2013 Q3 \u2013 5 MODULIS\"><\/iframe><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-958db721\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-f643d187 wp-block-uagb-separator--icon\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><div class=\"wp-block-uagb-separator-element\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path d=\"M381.2 150.3L524.9 171.5C536.8 173.2 546.8 181.6 550.6 193.1C554.4 204.7 551.3 217.3 542.7 225.9L438.5 328.1L463.1 474.7C465.1 486.7 460.2 498.9 450.2 506C440.3 513.1 427.2 514 416.5 508.3L288.1 439.8L159.8 508.3C149 514 135.9 513.1 126 506C116.1 498.9 111.1 486.7 113.2 474.7L137.8 328.1L33.58 225.9C24.97 217.3 21.91 204.7 25.69 193.1C29.46 181.6 39.43 173.2 51.42 171.5L195 150.3L259.4 17.97C264.7 6.954 275.9-.0391 288.1-.0391C300.4-.0391 311.6 6.954 316.9 17.97L381.2 150.3z\"><\/path><\/svg><\/div><\/div><\/div>\n<\/div>\n\n\n\n<p class=\"sensei-content-description has-text-color has-link-color has-medium-font-size wp-elements-bbbcb36a5c841cb545c01277032e0a4e\" style=\"color:#e4493e\"><strong>2.2 Kliento poreiki\u0173 ir i\u0161tekli\u0173 vertinimas kaip individualizavimo pagrindas<\/strong><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-c428dab0 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-15029e4c\">\n<p>Individualizuota intervencija yra b\u016btina, jei norime, kad parama b\u016bt\u0173 tikra, veiksminga ir priimtina klientui. Kiekvienas \u017emogus, net jei jis turi pana\u0161i\u0105 diagnoz\u0119 ar sveikatos problem\u0173, gyvena skirtingame kontekste \u2013 su skirtingais geb\u0117jimais, i\u0161\u0161\u016bkiais, \u012fsitikinimais ir tikslais.  <br><br>Poreiki\u0173 ir i\u0161tekli\u0173 vertinimas leid\u017eia mums: <\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>geriau suprasti, ko klientui i\u0161 tikr\u0173j\u0173 reikia (ne tik tai, kas mums \u201eatrodo\u201c b\u016btina), <\/li>\n\n\n\n<li>vengti klaid\u0173 ir perkrovos, kurios gali atgrasyti klient\u0105 nuo bendravimo, <\/li>\n\n\n\n<li>u\u017emegzti pasitik\u0117jim\u0105 ir ry\u0161\u012f, nes klientas jau\u010diasi i\u0161girstas ir \u012f j\u012f atsi\u017evelgiama. <\/li>\n\n\n\n<li>pasirinkti realius ir veiksmingus paramos metodus, <\/li>\n<\/ol>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-9ac05d68\"><\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>K\u0105 tur\u0117t\u0173 \u012fvertinti socialinis darbuotojas?<\/strong> <\/p>\n\n\n\n<p>1. Kliento poreikiai \u2013 kuriai sri\u010diai i\u0161 ties\u0173 reikia pagalbos<br>Poreiki\u0173 vertinimas \u2013 tai ne tik \u201espr\u0119stin\u0173 problem\u0173\u201c s\u0105ra\u0161as, bet ir supratimas, kas \u0161iuo metu klientui sunkiausia, kas j\u012f stabdo, kas sukelia skausm\u0105 ar kan\u010di\u0105. Tai pirmas \u017eingsnis kuriant individual\u0173 pagalbos plan\u0105.  <\/p>\n\n\n\n<p><strong>Tipin\u0117s vertinamos sritys ir praktiniai nurodymai: <\/strong><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-45dd6a92 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-cb69015d\">\n<p><strong>a) Psichin\u0117 ir fizin\u0117 sveikata:<\/strong><br>\u27a4 Ar klientas \u0161iuo metu funkcionuoja savaranki\u0161kai? Ar yra sustipr\u0117jusi\u0173 simptom\u0173 epizod\u0173 (pvz., depresijos, nerimo, kliedesi\u0173)?<br>\u27a4 Komentaras: Net jei klientas tiesiogiai nekalba apie sveikat\u0105, galite paklausti:<br>\u201eKaip pastaruoju metu jaut\u0117t\u0117s?\u201c<br>\u201eAr yra kas nors, kas jums apsunkina kasdien\u012f gyvenim\u0105?\u201c  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-435e916d\">\n<p><strong>b) Mitybos ir b\u016bsto s\u0105lygos:<\/strong><br>\u27a4 Ar klientas turi \u0161aldytuv\u0105, galimyb\u0119 gaminti maist\u0105, stabil\u0173 maisto \u0161altin\u012f?<br>\u27a4 Komentaras: Klientai kartais slepia maisto gavimo problemas d\u0117l g\u0117dos. Galite diskreti\u0161kai paklausti:<br>\u201eKaip jums atrodo tipi\u0161kas valgis?\u201c<br>\u201eAr pasitaiko, kad \u0161aldytuve nieko n\u0117ra?\u201c  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-272b881c\">\n<p><strong>c) Kasdienis funkcionavimas:<\/strong><br>\u27a4 Ar klientas r\u016bpinasi higiena, keliasi ryte, \u017eino, kokia diena ar laikas?<br>\u27a4 Komentaras: \u0160i sritis stipriai veikia geb\u0117jim\u0105 bendradarbiauti. Jei \u017emogui tr\u016bksta energijos praustis, jam sunku planuoti valgius.  <\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-30d58466 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-f4411251\">\n<p><strong>d) Socialin\u0117 parama:<\/strong><br>\u27a4 Ar juos kas nors lanko? Ar jie turi su kuo pasikalb\u0117ti? Ar jie yra remiami, ar veikiau kontroliuojami?   <br>\u27a4 Komentaras: Vienatv\u0117 ir izoliacija da\u017enai yra did\u017eiausios kli\u016btys poky\u010diams. Verta paklausti:<br>\u201eKas jums svarbus?\u201c<br>\u201eSu kuo kalbat\u0117s, kai kas nors negerai?\u201c  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-4d231701\">\n<p><strong>e) Emociniai ir psichologiniai poreikiai:<\/strong><br>\u27a4 Ar klientas tikisi pager\u0117jimo? Ar jis apskritai nori k\u0105 nors keisti?  <br>\u27a4 Komentaras: Klientas gali pasakyti: \u201eMan daugiau ner\u016bpi\u201c \u2013 tai taip pat svarbi informacija. Tokiais atvejais sutelkite d\u0117mes\u012f \u012f nedidelius, neatid\u0117liotinus poreikius. Verta paklausti:<br>\u201eKas privert\u0117 jus taip jaustis?\u201c<br>&#8230;ir tada sutelkite d\u0117mes\u012f \u012f palaikymo k\u016brim\u0105 nuo to momento.   <\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Kliento i\u0161tekliai \u2013 kuo galima remtis<\/strong> <\/p>\n\n\n\n<p>I\u0161tekliai da\u017enai yra labiausiai ne\u012fvertinama vertinimo dalis. Ta\u010diau b\u016btent jie leid\u017eia klientui imtis veiksm\u0173 \u2013 nepaisant ligos, sunkum\u0173, pinig\u0173 tr\u016bkumo ar kognityvini\u0173 apribojim\u0173. I\u0161tekli\u0173 nustatymas yra ne \u201eidealo\u201c paie\u0161ka, o net ir ma\u017eiausi\u0173 element\u0173, kuriuos galima sustiprinti, atradimas. I\u0161tekliai neb\u016btinai turi b\u016bti dideli \u2013 tiesiog ka\u017ekas, nuo ko prad\u0117ti.    <\/p>\n\n\n\n<p><strong>Tipin\u0117s i\u0161tekli\u0173 sritys ir praktiniai komentarai:<\/strong> <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-54acdcdb alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-8537024e\">\n<p><strong>a) Asmeniniai i\u0161tekliai:<\/strong><br>\u27a4 Klientas gali gaminti paprastus patiekalus, r\u016bpintis kate, daug \u017eino apie muzik\u0105, anks\u010diau vald\u0117 parduotuv\u0119&#8230;<br>\u27a4 Komentaras: Net ir, atrodyt\u0173, \u201ema\u017ei\u201c \u012fg\u016bd\u017eiai gali b\u016bti intervencijos pagrindas. Klientas, kuris gali r\u016bpintis gyv\u016bnu, taip pat gali pasir\u016bpinti savimi, ta\u010diau jam gali prireikti pagalbos.  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-eb56432f\">\n<p><strong>b) Socialiniai i\u0161tekliai:<\/strong><br>\u27a4 Ar yra artimas \u017emogus, kuris gal\u0117t\u0173 pad\u0117ti apsipirkti, priminti i\u0161gerti vaistus ar pasikalb\u0117ti kart\u0105 per savait\u0119?<br>\u27a4 Komentaras: Socialiniai santykiai gali b\u016bti sud\u0117tingi, ta\u010diau net ir ry\u0161ys su vienu kaimynu, socialini\u0173 paslaug\u0173 darbuotoju ar paramos grup\u0117s nariu gali b\u016bti i\u0161teklius. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-40f50e2c\">\n<p><strong>c) Aplinkos i\u0161tekliai:<\/strong><br>\u27a4 Ar klientas \u017eino apie bendruomeninius \u0161aldytuvus, ar naudojasi maisto bankais, ar turi prieig\u0105 prie dienos centro ar sriubos virtuv\u0117s?<br>\u27a4 Komentaras: Ne visi i\u0161tekliai turi b\u016bti \u201enamuose\u201c \u2013 daugel\u012f j\u0173 galima pasiekti per vietin\u012f tinkl\u0105. Verta \u017einoti, kokios institucijos gali pad\u0117ti, ir paklausti kliento:<br>\u201eAr kada nors buvote&#8230;?\u201c <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-2dd3d56a\">\n<p><strong>d) Vidiniai (emociniai ir psichologiniai) i\u0161tekliai:<\/strong><br>\u27a4 Ar klientas gali pats motyvuotis, ar jis turi vilties, tiksl\u0173, vertybi\u0173, dvasingumo jausm\u0105?<br>\u27a4 Komentaras: Net ir kriz\u0119 i\u0161gyvenantis klientas gali tur\u0117ti jam r\u016bpim\u0173 vertybi\u0173, pvz., \u201eNoriu b\u016bti geresnis t\u0117vas\u201c, \u201eNenoriu gr\u012f\u017eti \u012f ligonin\u0119\u201c \u2013 ir tai gali b\u016bti atspirties ta\u0161kas. <\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<p class=\"sensei-content-description has-text-color has-link-color has-medium-font-size wp-elements-62a1ca1ce11ca0604d7de67f50d4b2f0\" style=\"color:#e4493e\"><strong>2.2.2.  <strong>\u012erodymais pagr\u012fst\u0173 intervencij\u0173 (\u012ePP) k\u016brimas ir \u012fgyvendinimas<\/strong><\/strong><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-335963f5 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-d573c90a\">\n<p>Socialiniame darbe da\u017enai turime priimti greitus sprendimus: kaip pad\u0117ti klientui, kuris jau\u010diasi prastai, nereguliariai valgo arba skund\u017eiasi nuolatiniu nuovargiu ir energijos stoka? Tokiose situacijose naudinga remtis ne tik intuicija ar patirtimi, bet ir tvirtomis mokslin\u0117mis \u017einiomis \u2013 tai yra vadinamosios \u012eBP intervencijos \u2013 \u012frodymais pagr\u012fsta praktika.  <br><br>\u012eVP \u2013 tai metodas, pagr\u012fstas prielaida, kad m\u016bs\u0173 veiksmai tur\u0117t\u0173 b\u016bti: <\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Remiantis geriausiais turimais moksliniais \u012frodymais, <\/li>\n\n\n\n<li>Prisitaikyta prie kliento situacijos ir galimybi\u0173, <\/li>\n\n\n\n<li>Remiantis praktin\u0117mis \u017einiomis ir kliento vertyb\u0117mis. <\/li>\n<\/ol>\n\n\n\n<p>Trumpai tariant: mes \u017einome, kas veikia, ir \u017einome, kaip tai pritaikyti konkre\u010diam \u017emogui. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-c7198b62\"><\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-a9736e51 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-a20a6670\">\n<p><strong>Teisingo SMART tikslo mitybos kontekste pavyzdys:<\/strong><br>\u201eJanas (gyvenantis su ilgalaike depresija, i\u0161sek\u0119s, besiskund\u017eiantis nuovargiu ir energijos stoka) per ateinan\u010dias dvi savaites valgys bent vien\u0105 kar\u0161t\u0105 patiekal\u0105 per dien\u0105 su dar\u017eov\u0117mis, kurias jis nusipirks arba paruo\u0161 su glob\u0117jo pagalba.\u201c<br>\u0160is tikslas atitinka visus SMART modelio elementus:<br>\u2022 <strong>S<\/strong> (Specific \u2013 Konkretus): mes tiksliai \u017einome, k\u0105 klientas turi daryti \u2013 valgyti kar\u0161t\u0105 patiekal\u0105 su dar\u017eov\u0117mis.<br>\u2022 <strong>M<\/strong>(Measurable \u2013 I\u0161matuojamas): vienas patiekalas per dien\u0105 \u2013 tai galima lengvai sekti.<br>\u2022 <strong>A <\/strong> Pasiekiamas (Achievable \u2013 Pasiekiamas): tik vienas patiekalas, galima glob\u0117jo parama \u2013 realus.<br>\u2022 <strong>R <\/strong>(Relevant \u2013 Aktualus): tikslas skirtas konkre\u010diai problemai \u2013 nepakankamai mitybai, energijos tr\u016bkumui.<br><strong>\u2022 T<\/strong> (Time-bound \u2013 Laiku apribotas): nustatytas ai\u0161kus laikotarpis \u2013 dvi savait\u0117s. <\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Kokios mitybos intervencijos yra veiksmingos?<\/strong> <\/p>\n\n\n\n<p>I\u0161samius diet\u0173 apra\u0161ymus rasite 3.2\u20133.4 moduliuose, ta\u010diau socialiniam darbuotojui naudinga b\u016bti susipa\u017einusiam su bendrais metodais, pagr\u012fstais tyrimais ir galin\u010diais b\u016bti geru pagrindu diskusijai su klientu. <\/p>\n\n\n\n<p>Geriausiai i\u0161tirtos ir rekomenduojamos dietos yra \u0161ios: <\/p>\n\n\n\n<p>\u2022 <strong>Vidur\u017eemio j\u016bros dieta<\/strong>: gausu dar\u017eovi\u0173, alyvuogi\u0173 aliejaus, \u017euvies ir neskaldyt\u0173 gr\u016bd\u0173. Ji palaiko psichin\u0119 sveikat\u0105 ir gali suma\u017einti depresijos rizik\u0105.<br>\u2022 <strong>MIND dieta<\/strong>: Vidur\u017eemio j\u016bros ir DASH diet\u0173 derinys, orientuotas \u012f smegen\u0173 sveikat\u0105. Ypa\u010d rekomenduojama esant kognityviniam nuosmukiui.   <br>\u2022 <strong>Ketogenin\u0117 dieta<\/strong>: daug riebal\u0173 ir ma\u017eai angliavandeni\u0173; rodo teigiam\u0105 poveik\u012f kai kuriems pacientams, sergantiems neurologiniais ir psichikos sutrikimais, nors jos \u012fgyvendinimui reikalinga specialisto pagalba. <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-d40afee3 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<p class=\"is-style-warning\"><em>Svarbu<\/em>: ne kiekviena dieta tinka kiekvienam klientui. Socialinis darbuotojas tur\u0117t\u0173 geb\u0117ti atpa\u017einti apribojimus (pvz., skurd\u0105, prieigos prie virtuv\u0117s tr\u016bkum\u0105, gretutines ligas) ir bendradarbiauti su kitais specialistais, kai intervencija vir\u0161ija jo kompetencijos ribas.  <\/p>\n<\/div><\/div>\n\n\n\n<p><strong>Kada EBP mityboje rei\u0161kia paprastus veiksmus?<\/strong> <\/p>\n\n\n\n<p>Nors \u012frodymais pagr\u012fsta praktika (\u012ePP) gali skamb\u0117ti kaip dideli klinikiniai projektai, socialiniame darbe tai da\u017enai rei\u0161kia ma\u017eus, konkre\u010dius veiksmus, kurie, kaip \u017einome, yra veiksmingi \u2013 nes tyrimai patvirtino j\u0173 poveik\u012f. <\/p>\n\n\n\n<p>Pavyzd\u017eiai: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>U\u017euot sak\u0119s \u201e<em>valgyk sveikai<\/em>\u201c, darbuotojas padeda klientui i\u0161siugdyti konkret\u0173 \u012fprot\u012f: <em>po vien\u0105 dar\u017eov\u0119 su pietumis kiekvien\u0105 dien\u0105 vis\u0105 savait\u0119<\/em> \u2013 nes \u017einome, kad didesnis dar\u017eovi\u0173 vartojimas teigiamai veikia nuotaik\u0105. <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Klientas per dien\u0105 i\u0161geria 3 litrus kolos \u2013 darbuotojas nedraud\u017eia, bet si\u016blo <em>vien\u0105 stiklin\u0119 pakeisti vandeniu su citrina<\/em> \u2013 nes suma\u017einus cukraus vartojim\u0105 galima suma\u017einti dirglum\u0105 ir pagerinti mieg\u0105. <\/li>\n<\/ul>\n\n\n\n<p>O kas, jei klientas daro mitybos klaid\u0173? <br>3.3 ir 3.4 moduliuose apra\u0161omos da\u017eniausios mitybos problemos, su kuriomis susiduria \u017emon\u0117s, turintys psichikos sveikatos sutrikim\u0173, pavyzd\u017eiui, B grup\u0117s vitamin\u0173, gele\u017eies ar magnio tr\u016bkumas, taip pat cukraus perteklius, perdirbti maisto produktai ir alkoholis. <\/p>\n\n\n\n<p>Socialinis darbuotojas tur\u0117t\u0173: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u017einokite apie \u0161ias rizikas, <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>atpa\u017einti nerim\u0105 kelian\u010dius modelius (pvz., persivalgym\u0105, maisto vengim\u0105, per didel\u012f energini\u0173 g\u0117rim\u0173 vartojim\u0105), <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>kreipkit\u0117s \u012f specialist\u0105, jei problema per\u017eengia jo kompetencijos ribas. <\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-c225b4e6 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-94be4a9c\">\n<p><strong>Santrauka \u2013 k\u0105 tur\u0117t\u0173 \u017einoti ir daryti socialinis darbuotojas?<\/strong> <br><br><strong>\u2714 Supraskite, kad mityba veikia psichin\u0119 sveikat\u0105 ir kad kai kurios intervencijos yra veiksmingos.<\/strong> <br><br><strong>\u2714 Geb\u0117ti bendrauti su klientu kasdienine kalba, pasitelkiant naujausias \u017einias.<\/strong><br><br><strong>\u2714 Nediagnozuoti ir nekurti diet\u0173, o pad\u0117ti \u012fgyvendinti paprastas rekomendacijas ir koordinuoti specialist\u0173 pagalb\u0105.<\/strong> <br><br><strong>\u2714 Prireikus nukreipkite klient\u0105 pas dietolog\u0105, gydytoj\u0105 ar psichoterapeut\u0105.<\/strong> <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-9b6bebce\"><\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>\u012erodymais pagr\u012fst\u0173 intervencij\u0173 (\u012ePP) taikymas kasdien\u0117je socialinio darbo praktikoje neb\u016btinai turi apimti sud\u0117tingus veiksmus ar medicinin\u0119 kalb\u0105. Prie\u0161ingai \u2013 tai yra dabartini\u0173 \u017eini\u0173, kliento poreiki\u0173 ir reali\u0173 gyvenimo aplinkybi\u0173 panaudojimas planuojant ma\u017eus, bet prasmingus \u017eingsnius, kurie palaiko psichin\u0119 sveikat\u0105 ir gerina kasdien\u012f funkcionavim\u0105.  <\/p>\n\n\n\n<p>\u017demiau pateiktas atvejo tyrimas leis jums sekti vis\u0105 \u012ePP intervencijos proces\u0105: nuo poreiki\u0173 ir i\u0161tekli\u0173 nustatymo, tinkamo veiksm\u0173 plano pasirinkimo, tikslo nustatymo ir bendradarbiavimo su kitais specialistais. <\/p>\n\n\n\n<p>Su\u017einokite, kaip kliento sunkumus galima spr\u0119sti su empatija ir \u017einiomis, remiantis tuo, kas i\u0161 tikr\u0173j\u0173 veikia. <\/p>\n\n\n\n<p><strong>Atkreipkite d\u0117mes\u012f \u012f \u0161iuos veiksmus: <\/strong><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-e67cb23b alignfull uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-a57ea831\">\n<p class=\"has-text-align-center\"><strong>1 \u017eingsnis<\/strong>: nustatykite kliento poreikius <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-b8f96be1\">\n<p class=\"has-text-align-center\"><strong>2 veiksmas:<\/strong> \u012fvertinkite i\u0161teklius ir apribojimus<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-02b0c1ee\">\n<p class=\"has-text-align-center\"><strong>3 veiksmas<\/strong>: Pasirinkite \u012frodymais pagr\u012fst\u0105 metod\u0105 (pvz., MIND dietos elementus ar kit\u0105, priklausomai nuo poreiki\u0173)<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-b26b3828\">\n<p class=\"has-text-align-center\">4 veiksmas: nustatykite real\u0173 tiksl\u0105 naudodami SMART metod\u0105<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-29d0f7c2\">\n<p class=\"has-text-align-center\"><strong>5 veiksmas<\/strong>: pritaikykite paprast\u0105 intervencij\u0105<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-6e6469ce\">\n<p class=\"has-text-align-center\"><strong>6 veiksmas<\/strong>: steb\u0117kite rezultatus ir koreguokite plan\u0105<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-f909c338\">\n<p class=\"has-text-align-center\"><strong>7 veiksmas<\/strong>: jei reikia, kreipkit\u0117s \u012f specialist\u0105<\/p>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n<div class=\"sensei-block-wrapper\">\n<div class=\"wp-block-sensei-lms-lesson-actions\"><div class=\"sensei-buttons-container\">\n\n\n\n\n\n\n\n<\/div><\/div>\n<\/div>\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Atvejo analiz\u0117: Art\u016bras \u2013 Kaip taikyti EBP socialinio darbo praktikoje<img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/292f3a6a-6639-40d5-a337-15c04732096c\" alt=\"Forma\"> <\/strong><br><strong><br><\/strong>\ud83e\uddcd\u200d\u2642\ufe0f <strong>Kliento profilio vardas<\/strong>: Art\u016bras.<br><br> <strong>Age:<\/strong> 52 Health status: Diagnosed with depression, recently under psychiatric care; undergoing pharmacological treatment Life situation: Lives alone, unemployed, receives long-term benefit; struggles with daily structure and hygiene Lifestyle: Often doesn&#8217;t eat all day, then binges on sweets and bread in the evening; drinks 2\u20133 litres of sugary drinks per day Reported difficulty: \u201cI have no energy, I can\u2019t concentrate, I don\u2019t feel like doing anything\u201d<img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/b7cd7641-7b45-432f-8ffb-b61429959c43\" alt=\"Forma\"> <br><br>\ud83c\udfaf <strong>1 \u017eingsnis<\/strong>: \u012evertinkite poreikius ir i\u0161teklius Poreikiai I\u0161tekliai Nereguliarus ir prastas maitinimasis Gali gaminti paprastus patiekalus Ma\u017eas energijos kiekis, prisl\u0117gta nuotaika Turi prieig\u0105 prie virtuv\u0117s ir \u0161aldytuvo \u0160okantis cukraus kiekis kraujyje, irzlumas Bendrauja su socialiniu darbuotoju Socialin\u0117 izoliacija Gauna pa\u0161alpas ir psichiatrin\u0119 pagalb\u0105<br>\ud83d\udfe2 <em>Komentaras<\/em>: Art\u016brui nereikia radikalaus mitybos pertvarkymo \u2013 jam reikia ma\u017e\u0173, \u012frodymais pagr\u012fst\u0173 \u017eingsni\u0173, pritaikyt\u0173 jo psichinei b\u016bklei ir gyvenimo aplinkyb\u0117ms. <img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/f41d26c7-7d18-4c17-9f5f-de459270a838\" alt=\"Forma\"> <br><br>\ud83d\udcda <strong>2 \u017eingsnis<\/strong>: Pasirinkite \u012frodymais pagr\u012fst\u0105 mitybos intervencij\u0105<br>Remdamasis 3 modulyje (3.2.1.1 ir 3.4) aptartais \u012frodymais ir dabartin\u0117mis \u017einiomis apie mitybos poveik\u012f psichinei sveikatai, socialinis darbuotojas nusprend\u017eia taikyti supaprastintus Vidur\u017eemio j\u016bros dietos elementus ir suma\u017einti cukraus kiek\u012f. \ud83d\udd39 <em>U\u017euot sak\u0119s<\/em>: \u201eJums reikia pereiti prie Vidur\u017eemio j\u016bros dietos\u201c<br>\ud83d\udd38<em> Pasi\u016blymas<\/em>: \u201ePabandykime \u012f savo pietus \u012ftraukti dar\u017eovi\u0173 ir vien\u0105 sald\u0173 g\u0117rim\u0105 per dien\u0105 pakeisti vandeniu.\u201c  <img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/ed81ad26-18fc-428b-abe2-191b21b47648\" alt=\"Forma\"> <br><br>\ud83d\udee0\ufe0f 3 \u017eingsnis: Nusistatykite SMART tiksl\u0105 <br><strong>Tikslas:<\/strong> <br><em>\u201eArtimiausias 7 dienas Art\u016bras kasdien gers po stiklin\u0119 vandens vietoj saldaus g\u0117rimo ir stengsis \u012f pietus \u012ftraukti po vien\u0105 dar\u017eov\u0119.\u201c<\/em> SMART kriterijaus vertinimas S \u2013 Konkretus Taip: viena stiklin\u0117 vandens, viena dar\u017eov\u0117 M \u2013 I\u0161matuojamas Taip: kart\u0105 per dien\u0105, 7 dienas A \u2013 Pasiekiamas Taip: klientas turi prieig\u0105 ir nejau\u010dia spaudimo R \u2013 Aktualus Taip: sprend\u017eia su sveikata ir nuotaika susijusius klausimus T \u2013 Laikinai apribotas Taip: 7 dien\u0173 bandomasis laikotarpis <img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/4cc0a165-ce43-4f64-a4af-4040c074fd61\" alt=\"Forma\"> <br><br>\ud83e\udd1d <strong>4 \u017eingsnis<\/strong>: Palaikymas ir steb\u0117sena<br>Socialinis darbuotojas: Padeda klientui u\u017era\u0161yti tiksl\u0105 ant lapelio ir priklijuoti j\u012f prie \u0161aldytuvo. Kito susitikimo metu klausia: \u201e<em>Ar pavyko k\u0105 nors pakeisti? Kas buvo lengviausia, kas buvo sunkiau?\u201c U\u017etikrina s\u0117kmes<\/em> (net ir dalines): \u201e<em>Puiku, kad tau pavyko dvi dienas valgyti morkas \u2013 tai jau \u017eingsnis \u012f priek\u012f<\/em>!\u201c Jei reikia, si\u016blo pakoreguoti tikslus, pvz., pereiti nuo \u017eali\u0173 dar\u017eovi\u0173 prie virt\u0173, jei \u017ealias sunkiau valgyti. <img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/a802ae7e-c49d-4baa-b35b-c8b6ccaed022\" alt=\"Forma\"> <br><br>\ud83e\udde0 <strong>5 \u017eingsnis<\/strong>: bendradarbiavimas su kitais specialistais<br>Kadangi klientas: vartoja antidepresantus; rodo persivalgymo ir socialin\u0117s izoliacijos po\u017eymius; turi \u017eem\u0105 motyvacij\u0105 \u27a1\ufe0f Socialinis darbuotojas susisiekia su psichiatru ir pasi\u016blo siuntim\u0105 pas dietolog\u0105 psichikos sveikatos centre (jei yra). <img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/d5758c39-508e-40f2-8323-04ac4d4299c9\" alt=\"Forma\"> <br><br>\ud83d\udccc <strong>Santrauka<\/strong>: K\u0105 socialinis darbuotojas dar\u0117 kaip \u012eBP dal\u012f?<br>\u2705 Nustat\u0117 poreik\u012f, atsi\u017evelgdamas \u012f kliento psichin\u0119 b\u016bsen\u0105 ir kasdien\u012f funkcionavim\u0105.<br>\u2705 Taik\u0117 \u012frodymais pagr\u012fst\u0173 intervencij\u0173 elementus (Vidur\u017eemio j\u016bros regiono dieta, cukraus kiekio ma\u017einimas).<br>\u2705 Nustat\u0117 real\u0173, i\u0161matuojam\u0105 SMART tiksl\u0105.<br>\u2705 Teik\u0117 param\u0105 ir steb\u0117sen\u0105.<br>\u2705 \u012etrauk\u0117 atitinkamus specialistus \u2013 dietolog\u0105 ir psichiatr\u0105. <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Steb\u0117senos rezultatai \u2013 k\u0105 ir kada reik\u0117t\u0173 tikrinti?<\/strong> <\/p>\n\n\n\n<p>\u012egyvendinti intervencij\u0105 yra viena, ta\u010diau jos veiksmingum\u0105 galima \u012fvertinti tik tada, kai \u017einome, ko ie\u0161koti ir kaip tai patikrinti. Socialiniame darbe ne visada turime prieig\u0105 prie tyrim\u0173, medicinini\u0173 \u012fra\u0161\u0173 ar kasdieni\u0173 steb\u0117jim\u0173, tod\u0117l steb\u0117sena tur\u0117t\u0173 b\u016bti paprasta, konkreti ir tinkama naudoti pokalbyje su klientu.  <\/p>\n\n\n\n<p><strong>K\u0105 verta patikrinti?<\/strong> <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ar klientas pasiek\u0117 konkret\u0173 tiksl\u0105, pvz., \u201eAr \u012f savo pietus \u012ftrauk\u0117te dar\u017eov\u0119?\u201c, \u201eAr g\u0117r\u0117te ma\u017eiau sald\u017ei\u0173 g\u0117rim\u0173?\u201c <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kaip jie jaut\u0117si fizi\u0161kai ir proti\u0161kai \u2013 pvz., \u201eAr tur\u0117jote daugiau energijos?\u201c, \u201eAr jaut\u0117t\u0117s ma\u017eiau irzlus?\u201c <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ar kas nors apsunkino plano laikym\u0105si, pvz., pinig\u0173 tr\u016bkumas, blog\u0117jantys depresijos simptomai, konfliktai \u0161eimoje. <\/li>\n<\/ul>\n\n\n\n<p>Kaip da\u017enai tai reik\u0117t\u0173 daryti? <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Trumpalaik\u0117ms intervencijoms (1\u20132 savait\u0117s) pakanka karto per savait\u0119 arba kiekvieno vizito metu. <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ilgesnio laikotarpio darbe \u2013 kas 2\u20134 savaites, priklausomai nuo to, kaip vystysis byla. <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ilgesnio laikotarpio darbe \u2013 kas 2\u20134 savaites, nuo to, kaip vystysis byla. <br><br><\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-warning\"><strong><em>Atminkite<\/em>: net dalinis tikslo pasiekimas yra progresas. Svarbu tai pripa\u017einti ir \u012fvardyti \u2013 tai stiprina kliento motyvacij\u0105 ir savaranki\u0161kumo jausm\u0105. <\/strong> <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-2b322270 alignfull uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-51db321f\">\n<p><strong>\u201eAtsargini\u0173 plan\u0173\u201c nustatymas \u2013 k\u0105 daryti, kai viskas klostosi ne pagal plan\u0105?<\/strong><br>Nes\u0117km\u0117s yra normali poky\u010di\u0173 proceso dalis, ypa\u010d \u017emon\u0117ms, turintiems psichikos sveikatos problem\u0173. Tod\u0117l svarbu i\u0161 anksto susitarti su klientu d\u0117l atsarginio plano \u2013 tokio, kuris neb\u016bt\u0173 bausm\u0117 ar g\u0117dos \u0161altinis, o saugus \u017eingsnis atgal arba \u012f \u0161on\u0105, leid\u017eiantis i\u0161laikyti progres\u0105 visi\u0161kai nepasiduodant. <br> <br><strong>Kaip nusistatyti B plan\u0105?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201eK\u0105 darysi, jei netur\u0117si energijos gaminti piet\u0173?\u201c <\/li>\n\n\n\n<li>\u201eKaip gal\u0117tume supaprastinti \u0161\u012f tiksl\u0105, kad jo visi\u0161kai neatsisakytum\u0117te?\u201c <\/li>\n\n\n\n<li>\u201eJei daryti tai kiekvien\u0105 dien\u0105 nepadeda, gal gal\u0117tume pabandyti tris kartus per savait\u0119?\u201c <\/li>\n<\/ul>\n\n\n\n<p>Kas gali b\u016bti \u012ftraukta \u012f atsargin\u012f plan\u0105? <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Supaprastinta tikslo versija (pvz., vietoj maisto gaminimo \u2013 naudoti jau paruo\u0161t\u0105 produkt\u0105 su dar\u017eov\u0117mis) <\/li>\n\n\n\n<li>Papildoma paramos forma (pvz., priminimo skambutis, u\u017era\u0161as ant \u0161aldytuvo, patikimo asmens \u012ftraukimas) <\/li>\n<\/ul>\n\n\n\n<p>Laiko pakeitimas (pvz., tikslo perk\u0117limas \u012f kit\u0105 dienos ar savait\u0117s dal\u012f) <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-08f0cbc6\"><\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"is-style-warning\"><strong><em>B\u016bkite atid\u016bs savo kalba<\/em>i! U\u017euot sak\u0119: \u201ejei nepavyks\u201c, geriau sakykite:<\/strong><br><strong><em>\u201eJei viskas klostysis ne pagal plan\u0105 \u2013 k\u0105 galime padaryti, kad ka\u017ekas vis tiek pavykt\u0173?\u201c<\/em><\/strong> <\/p>\n\n\n\n<p class=\"sensei-content-description has-text-color has-link-color has-medium-font-size wp-elements-c3f890951e2f1e7599b8ff65f1b9f042\" style=\"color:#e4493e\"><strong>2.2.3. Kasdien\u0117 parama poky\u010diams \u2013 kaip ugdyti kliento savaranki\u0161kum\u0105 maisto ir sveikatos klausimais<\/strong> <\/p>\n\n\n\n<p><strong>Pastato autonomija<\/strong> <\/p>\n\n\n\n<p>Psichikos sutrikim\u0173 turin\u010di\u0173 \u017emoni\u0173 mitybos \u012fpro\u010di\u0173 keitimas neprasideda nuo dietos \u2013 tai prasideda nuo mikroveiksm\u0173: vandens g\u0117rimo, \u0161ilto maisto valgymo, nepamir\u0161imo pavalgyti. \u0160tai kod\u0117l socialiniame darbe labai svarbu sutelkti d\u0117mes\u012f \u012f paprastus, \u012fgyvendinamus veiksmus, kuriuos klientas gali atlikti kasdieniame gyvenime \u2013 net jei jo motyvacija, energija ar kognityvin\u0117s funkcijos yra ma\u017eos.  <\/p>\n\n\n\n<p>Socialinis darbuotojas neb\u016btinai turi b\u016bti mitybos ekspertas, ta\u010diau jis gali b\u016bti poky\u010di\u0173 katalizatorius, pad\u0117damas klientui \u017eengti pirm\u0105j\u012f \u017eingsn\u012f. \u017demiau pateikiami 5 praktiniai \u017eingsniai su pavyzd\u017eiais. <img decoding=\"async\" alt=\"Forma\" src=\"blob:https:\/\/www.moodbites.eu\/a16bc078-ead9-4763-9544-d1572ba244cf\"><strong><\/strong> <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-39ee4529 alignfull uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-1548efce\">\n<p>\ud83d\udd39 <strong>1 \u017dINGSNIS: Prad\u0117kite nuo to, k\u0105 klientas JAU daro.<\/strong><br><br><strong>Kod\u0117l tai svarbu? <\/strong><br>\u017dmon\u0117s nem\u0117gsta, kai jiems nurodoma, k\u0105 keisti. Ta\u010diau jie labiau link\u0119 imtis veiksm\u0173, jei jau\u010dia, kad jau \u017eino, kaip k\u0105 nors padaryti.  <\/p>\n\n\n\n<p><strong>Pokalbio pavyzdys:<\/strong><br>\u2013 \u201eK\u0105 neseniai valg\u0117te, kas buvo gerai ir skanu?\u201c<br>\u2013 \u201eKuris dienos valgis da\u017eniausiai skaniausias \u2013 pusry\u010diai, piet\u016bs ar vakarien\u0117?\u201c<br>\u2013 \u201eKuris dienos valgis da\u017eniausiai skaniausias \u2013 pusry\u010diai, piet\u016bs ar vakarien\u0117?\u201c<br>\u2013 \u201eAr yra ka\u017ekas, k\u0105 m\u0117gstate valgyti ir ko nereikia gaminti?\u201c<br>\ud83c\udfaf Tikslas: nustatyti pradin\u012f ta\u0161k\u0105. Pavyzd\u017eiui, jei klientas kiekvien\u0105 dien\u0105 valgo duon\u0105 su s\u016briu \u2013 prad\u0117kite nuo pomidoro grie\u017ein\u0117lio prid\u0117jimo.  <br><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-3a85d13a\">\n<p><strong>\ud83d\udd39 2 \u017dINGSNIS: pasi\u016blykite vien\u0105 nedidel\u012f pakeitim\u0105, o ne \u201evis\u0105 diet\u0105\u201c <\/strong><br> <br><strong>Kod\u0117l tai svarbu? <\/strong><br><br>Psichikos sutrikimai (pvz., depresija, \u0161izofrenija) apsunkina planavim\u0105 ir sprendim\u0173 pri\u0117mim\u0105. Dideli poky\u010diai gali b\u016bti nepakeliami, o ma\u017ei \u2013 \u012fveikiami.  <br><br><strong>Mikro tiksl\u0173 pavyzd\u017eiai:<\/strong><br>\u2022 \u201e\u012etraukite \u012f valg\u012f po vien\u0105 dar\u017eov\u0119 per dien\u0105, net jei tai tik agurko grie\u017ein\u0117lis.\u201c<br>\u2022 \u201eI\u0161gerkite viena stikline vandens daugiau nei \u012fprastai.\u201c<br>\u2022 \u201eSuvalgykite k\u0105 nors \u0161ilto iki 12:00 val., net jei tai tik greitai paruo\u0161iama sriuba.\u201c <br><br>\ud83d\udee0\ufe0f <strong>Patarimas<\/strong>: kartu su klientu u\u017esira\u0161ykite tiksl\u0105 ir pad\u0117kite j\u012f matomoje vietoje (pvz., ant \u0161aldytuvo, dur\u0173, telefono). <\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-8596a8ca alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-b5821e8e\">\n<p>\ud83d\udd39 3 \u017dINGSNIS: Suplanuokite pirkini\u0173 s\u0105ra\u0161\u0105 su pagrindine i\u0161laid\u0173 s\u0105mata<br>Praktiniai \u012frankiai: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ra\u0161iklis ir popierius, mobilusis telefonas, parduotuv\u0117s skrajut\u0117 <\/li>\n\n\n\n<li>Skai\u010diuokl\u0117 \u2013 apskai\u010diuokite, kiek gali kainuoti piet\u016bs dviem dienoms <\/li>\n<\/ul>\n\n\n\n<p>Patarimas: daugiausia d\u0117mesio skirkite universaliems pagrindiniams maisto produktams, pvz., bulv\u0117ms, gr\u016bdams, \u0161aldytoms dar\u017eov\u0117ms, kiau\u0161iniams, duonai, avi\u017eoms. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-ffdee5e0\">\n<p>\ud83d\udd39<strong> 4 \u017dINGSNIS: Pasi\u016blykite atsargini\u0173 kopij\u0173 k\u016brimo sprendimus<\/strong><br>Klientas gali: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>neturi energijos gaminti, <\/li>\n\n\n\n<li>praranda apetit\u0105. <\/li>\n\n\n\n<li>neiti \u012f parduotuv\u0119, <\/li>\n<\/ul>\n\n\n\n<p><strong>Taigi, susitarkime d\u0117l B plano: <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201eK\u0105 galite valgyti, kai neturite energijos gaminti?\u201c <\/li>\n\n\n\n<li>\u201eAr turite namuose k\u0105 nors, k\u0105 galima greitai pa\u0161ildyti?\u201c <\/li>\n\n\n\n<li>\u201eAr yra kas nors, kas gal\u0117t\u0173 u\u017e jus apsipirkti, jei negalite i\u0161eiti?\u201c <\/li>\n<\/ul>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><br><\/p>\n\n\n\n<p><strong>\u2705 Patarimai socialiniam darbuotojui<\/strong> <\/p>\n\n\n\n<figure class=\"wp-block-table alignwide is-style-stripes\"><table class=\"has-background has-border-color has-ast-global-color-4-border-color has-fixed-layout\" style=\"background-color:#ddeaca;border-width:2px\"><tbody><tr><td><strong>K\u0105 daryti<\/strong> <\/td><td><strong>Pavyzdys<\/strong> <\/td><\/tr><tr><td><strong>Kalb\u0117k konkre\u010diai, o ne miglotai<\/strong> <\/td><td><strong>\u201eK\u0105 galite pagaminti rytoj?\u201c vietoj \u201eValgykite sveikai\u201c<\/strong> <\/td><\/tr><tr><td><strong>Planuokite trumpam laikui, bet realisti\u0161kai<\/strong> <\/td><td><strong>\u201eSuplanuokime rytojaus pietus kartu\u201c<\/strong> <\/td><\/tr><tr><td><strong>Naudokite vietinius i\u0161teklius<\/strong> <\/td><td><strong>Community fridge, soup kitchen, social services <\/strong> <\/td><\/tr><tr><td><strong>U\u017esira\u0161ykite planus kartu su klientu<\/strong> <\/td><td><strong>Ant popieriaus, telefono ar ra\u0161telio ant dur\u0173<\/strong> <\/td><\/tr><tr><td><strong>Nustatykite atsargin\u012f plan\u0105<\/strong> <\/td><td><strong>\u201eK\u0105 valgysi, jei nenor\u0117si nieko veikti?\u201c<\/strong> <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Forma: Savait\u0117s valgiara\u0161tis ir biud\u017eetas <\/p>\n\n\n\n<p>\ud83d\uddd3\ufe0f <strong>U\u017epildykite \u0161i\u0105 form\u0105 kartu su klientu. Nurodykite, k\u0105 ir kada klientas planuoja valgyti, ir kiek planuoja i\u0161leisti kiekvienam patiekalui.<\/strong> <br><\/p>\n\n\n\n<p style=\"font-size:17px\"><strong>Weekly menu <\/strong><\/p>\n\n\n\n<p style=\"font-size:17px\"><\/p>\n\n\n\n<figure class=\"wp-block-table alignwide is-style-stripes\"><table class=\"has-background has-border-color has-ast-global-color-4-border-color has-fixed-layout\" style=\"background-color:#ddeaca;border-width:2px\"><thead><tr><th>Maistas \/ diena <\/th><th>Pirmadienis <\/th><th>Antradienis <\/th><th>Tre\u010diadienis <\/th><th>Ketvirtadienis <\/th><th>Penktadienis <\/th><th>\u0160e\u0161tadienis <\/th><th>Saul\u0117<\/th><\/tr><\/thead><tbody><tr><td>Pusry\u010diai <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>Piet\u016bs <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>Vakarien\u0117 <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"sensei-content-description\" style=\"font-size:17px\"><strong>Maisto biud\u017eetas <\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table alignwide is-style-stripes\"><table class=\"has-background has-border-color has-ast-global-color-4-border-color has-fixed-layout\" style=\"background-color:#ddeaca;border-width:2px\"><thead><tr><th>Produktas <\/th><th>Numatoma kaina (PLN) <\/th><th>Komentaras (pvz., kiek laiko tai truks) <\/th><\/tr><\/thead><tbody><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"sensei-content-description has-text-color has-link-color has-medium-font-size wp-elements-b3f67711da8b4de908bae62aaaa5224c\" style=\"color:#e4493e\"><strong>2.3.3. GRUP\u0116S SUSITIKIMAI KAIP MOTYVACIN\u0116 PRIEMON\u0116<\/strong> <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-layout-grid uagb-block-3813d755 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-a965d37c\">\n<p>Kasdien\u0117je praktikoje daugelis specialist\u0173 pastebi, kad reguliar\u016bs grupiniai susitikimai su klientais gali b\u016bti \u017eymiai efektyvesni nei darbas tik individualiai. Nuoseklumas ir rutina (pvz., savaitiniai susitikimai tuo pa\u010diu metu) suteikia dalyviams strukt\u016bros ir saugumo jausm\u0105, o tai dar labiau sustiprina j\u0173 motyvacij\u0105 poky\u010diams.  <br><br>Grup\u0117s aplinka taip pat padeda dalyviams suprasti, kad kiti susiduria su pana\u0161iais i\u0161\u0161\u016bkiais. Tai suma\u017eina izoliacijos jausm\u0105, skatina bendruomeni\u0161kumo jausm\u0105 ir abipus\u0119 param\u0105. Klientai da\u017enai \u012fkvepia vieni kitus, dalijasi \u012fveikos strategijomis ir kartu ie\u0161ko sprendim\u0173.   <br><br>Be to, grupiniai susitikimai suteikia puiki\u0173 galimybi\u0173 praktiniams mokymams, pavyzd\u017eiui, valgiara\u0161\u010dio planavimui, bendram maisto gaminimui ar maisto preki\u0173 pirkimo ir biud\u017eeto sudarymo aptarimui. \u0160i praktin\u0117 patirtis didina \u012fsitraukim\u0105 ir leid\u017eia klientams mokytis veikiant, saugioje ir palaikan\u010dioje aplinkoje.  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-1269d37f\"><\/div>\n<\/div><\/div>\n\n\n\n<p><br><\/p>\n\n\n\n<p class=\"sensei-content-description has-text-color has-medium-font-size\" style=\"color:#e4493e\"><strong><strong>2.3.3. ASMENIN\u0116 HIGIENA IR DIENOS ORGANIZAVIMAS VALGYMO LAIKE<\/strong><\/strong><\/p>\n\n\n\n<p>Daugeliui \u017emoni\u0173, turin\u010di\u0173 psichikos sveikatos sutrikim\u0173, pagrindin\u0117s kasdien\u0117s veiklos, tokios kaip prausimasis, rengimasis, maisto ruo\u0161imas ar reguliarus valgymas, gali b\u016bti didelis i\u0161\u0161\u016bkis. Tokios b\u016bkl\u0117s kaip depresija, \u0161izofrenija, nerimo sutrikimai ar psichoziniai epizodai gali sukelti:  <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>sutrikusi dienos strukt\u016bra (rutinos tr\u016bkumas, chaosas).<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>asmenin\u0117s higienos nepaisymas.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>pamir\u0161us pavalgyti arba persivalgius nakt\u012f.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>sunkumai planuojant ir numatant poreikius. <\/li>\n<\/ul>\n\n\n\n<p>Kaip socialinis darbuotojas, galite atlikti pagrindin\u012f vaidmen\u012f pad\u0117damas klientui sukurti paprast\u0105 dienos plan\u0105, kuris: <\/p>\n\n\n\n<p>\u2022 \u012fskai\u010diuoti valgiai.<\/p>\n\n\n\n<p>\u2022 palaiko reguliarum\u0105 ir rutin\u0105.<\/p>\n\n\n\n<p>\u2022 atkuria kasdienio gyvenimo kontrol\u0117s jausm\u0105. <\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-8b02f1f3 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-bdcf249e\">\n<p><strong>\ud83d\udd39 1 \u017dINGSNIS: Su\u017einokite, kaip atrodo tipi\u0161ka kliento diena <\/strong><br><br>Prie\u0161 k\u0105 nors si\u016blydami, susipa\u017einkite su kliento dienos ritmu. Net jei jis atrodo \u201echaoti\u0161kas\u201c \u2013 tai vertingas atspirties ta\u0161kas.  <br>Naudingi klausimai: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201eKada paprastai keliat\u0117s?\u201c <\/li>\n\n\n\n<li>\u201eKada paprastai prausiat\u0117s \u2013 ryte, vakare, kas antr\u0105 dien\u0105?\u201c <\/li>\n\n\n\n<li>\u201eAr yra koki\u0173 nors dalyk\u0173, kurie vyksta reguliariai per dien\u0105 \u2013 pavyzd\u017eiui, \u017ei\u016brite televizori\u0173, vartojate vaistus, geriate kav\u0105?\u201c <\/li>\n\n\n\n<li>\u201eKada paprastai valgote \u2013 jei i\u0161 viso valgote?\u201c <\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udee0\ufe0f Patarimas: neklauskite, ar jie \u201evisk\u0105 daro teisingai\u201c \u2013 klauskite, kaip viskas yra i\u0161 tikr\u0173j\u0173, be jokio vertinimo.<img decoding=\"async\" alt=\"Forma\" src=\"blob:https:\/\/www.moodbites.eu\/5fafa992-5600-44cb-8ca8-a2110eab602a\"> <br><\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-662c6f20 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-f7d5803f\">\n<p>\ud83d\udd39 <strong>2 \u017dINGSNIS: I\u0161siai\u0161kinkite, kaip atrodo tipi\u0161ka kliento diena.<\/strong><br>Nustatykite vien\u0105 nuosekl\u0173 elges\u012f, ant kurio b\u016bt\u0173 galima sukurti plan\u0105.<br>Net ir netradici\u0161kiausi \u012fpro\u010diai turi atramos ta\u0161k\u0105 \u2013 pavyzd\u017eiui, rytin\u0117 kava, \u017eini\u0173 \u017ei\u016br\u0117jimas, \u0161uns ved\u017eiojimas ar vaist\u0173 vartojimas.<br><strong>Tikslas<\/strong>: Sukurkite nauj\u0105 \u012fpro\u010dius, pagr\u012fstus tuo, k\u0105 klientas jau daro.<br><br><strong>Pavyzdys:<\/strong><br>Klientas kasdien 19:30 val. \u017ei\u016bri \u017einias \u2192 vakarien\u0119 galite suplanuoti prie\u0161 pat laid\u0105 arba po jos.<br>\ud83d\udee0\ufe0f <strong>Patarimas: <\/strong>neklauskite, ar jie \u201evisk\u0105 daro teisingai\u201c \u2013 klauskite, kaip viskas yra i\u0161 tikr\u0173j\u0173, be jokio vertinimo.<img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/5fafa992-5600-44cb-8ca8-a2110eab602a\" alt=\"Forma\"> <\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-435ee28f alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-5d1e8852\">\n<p>\ud83d\udd39<strong> 3 \u017dINGSNIS: Pasi\u016blykite paprast\u0105 dienos strukt\u016br\u0105<\/strong> \u2013 su prausimusi ir valgiais<br>Tai ne apie \u201etobul\u0105 tvarkara\u0161t\u012f\u201c \u2013 tik apie pat\u012f minimum\u0105, kur\u012f atrodo \u012fmanoma \u012fgyvendinti. <br><\/p>\n\n\n\n<figure class=\"wp-block-table alignwide is-style-stripes\"><table class=\"has-background has-border-color has-ast-global-color-4-border-color has-fixed-layout\" style=\"background-color:#ddeaca;border-width:2px\"><thead><tr><th>Laikas <\/th><th>Veikla <\/th><th>Komentaras<\/th><\/tr><\/thead><tbody><tr><td>9:00  <\/td><td>Kelkis, nusiprausk veid\u0105, apsirenk <\/td><td>(net jei ir ne pilnas du\u0161as \u2013 veido plovimas jau yra \u017eingsnis \u012f priek\u012f) <\/td><\/tr><tr><td>9:30  <\/td><td>Valgyk pusry\u010dius <\/td><td>pvz., sumu\u0161tinis, jogurtas, bananas <\/td><\/tr><tr><td>13:00  <\/td><td>Pavalgykite pietus (net ir k\u0105 nors paprasto) <\/td><td>gali b\u016bti paruo\u0161ta sriuba, ry\u017eiai + dar\u017eov\u0117s <\/td><\/tr><tr><td>17:00  <\/td><td>Pasivaik\u0161\u010diokite \/ padarykite pertrauk\u0105 <\/td><td>aplinkos keitimas, kava <\/td><\/tr><tr><td>19:00  <\/td><td>Vakarien\u0117 ir vaistai <\/td><td>sujungta su vakaro televizijos programa <\/td><\/tr><tr><td>20:00  <\/td><td>Du\u0161as arba dant\u0173 valymas <\/td><td>jei \u012fmanoma \u2013 arba simbolinis gestas (pvz., rank\u0173 plovimas, mar\u0161kini\u0173 keitimas) <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\ud83d\udfe2 <strong>Patarimas<\/strong>: kartu su klientu sukurkite vaizdin\u0119 arba su \u017eenkleliais i\u0161d\u0117styt\u0105 plano versij\u0105 ir pakabinkite j\u0105 ant \u0161aldytuvo arba dureli\u0173. <\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-f78ef2ff alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-53b67a1a\">\n<p>\ud83d\udd39 <strong>4 \u017dINGSNIS: Si\u016blykite paprast\u0105 dienos strukt\u016br\u0105 <\/strong>\u2013 susiekite higien\u0105 su valgymais, o ne juos atskirkite.<br>Daugeliui klient\u0173 prausimasis atrodo kaip \u201enereikalingas vargas\u201c, jei jie nei\u0161eina i\u0161 nam\u0173. Ta\u010diau jei parodote, kad tai susij\u0119 su valgymu, tai tampa logi\u0161kiau ir labiau \u012fsitvirtina j\u0173 rutinoje. <br>Pavyzd\u017eiai:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201ePo du\u0161o pasidarysiu k\u0105 nors \u0161ilto valgyti\u201c <\/li>\n\n\n\n<li>\u201ePo pusry\u010di\u0173 i\u0161sivalysiu dantis\u201c <\/li>\n\n\n\n<li>\u201eApsirengus \u2013 kava ir bandel\u0117\u201c <\/li>\n<\/ul>\n\n\n\n<p>\ud83e\udde0<em> Taisykl\u0117<\/em>: vienas veiksmas veda prie kito. Ritualai sukuria ritm\u0105. <br><\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-32f6ef14 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-707179ba\">\n<p>\ud83d\udd39 <strong>5 \u017dINGSNIS: Pasi\u016blykite paprast\u0105 dienos strukt\u016br\u0105 <\/strong>\u2013 kartu pakoreguokite plan\u0105 \u2013 neprimeskite jo.<br>Atminkite \u2013 planas tur\u0117t\u0173 priklausyti klientui, o ne jums. Jis yra tas, kuris pagal j\u012f gyvena. <br>U\u017eduokite tokius klausimus:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201eK\u0105 gal\u0117tume prid\u0117ti, kad b\u016bt\u0173 lengviau k\u0105 nors suvalgyti ryte?\u201c <\/li>\n\n\n\n<li>\u201eAr nor\u0117tum\u0117te k\u0105 nors pakeisti m\u016bs\u0173 suplanuotoje tvarkoje?\u201c <\/li>\n\n\n\n<li>\u201eGal prad\u0117kime nuo dviej\u0173 \u017eingsni\u0173 \u2013 prausimosi ir pusry\u010di\u0173 \u2013 o likusius planuokime kit\u0105 savait\u0119?\u201c <\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udfe1 <em>Pa\u017eanga neb\u016btinai turi b\u016bti dramati\u0161ka. Toks pokytis kaip \u201epirm\u0105 kart\u0105 suvalgyti iki 13 val.\u201c jau yra s\u0117km\u0117.<\/em> <\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>\ud83d\udc65 <strong>Praktikos pavyzdys<\/strong> <\/p>\n\n\n\n<p>\ud83e\uddcd Agata (35 m., depresija, vienatv\u0117, \u017eema savivert\u0117) <\/p>\n\n\n\n<p>Situacija: Miega iki 12 val., nesiprausia, nevalgo iki vakaro. Sako, kad \u201eneturi j\u0117g\u0173\u201c ir \u201enemato prasm\u0117s\u201c.  <\/p>\n\n\n\n<p><strong>Socialinio darbuotojo veiksmai:<\/strong> <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Prad\u0117jau \u0161velniu klausimu: \u201eKada paprastai geriate kav\u0105?\u201c \u2013 atsakymas: \u201ePo 13 val., kai atsikeliu.\u201c<\/strong> <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Kartu jie nustato pirm\u0105j\u012f dienos ritual\u0105: kava + jogurtas<\/strong> <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Prid\u0117ta paprasta higienos rutina: \u201eNusiplausiu rankas ir persirengsiu mar\u0161kinius\u201c<\/strong> <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Po savait\u0117s jie prid\u0117jo dar vien\u0105 ma\u017e\u0105 \u017eingsnel\u012f: vakarien\u0119 prie\u0161 jos m\u0117gstam\u0105 televizijos laid\u0105<\/strong> <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Darbuotojas pad\u0117jo sukurti paprast\u0105 3 \u017eingsni\u0173 dienos plan\u0105, kuris buvo pakabintas ant \u0161aldytuvo.<\/strong><img decoding=\"async\" src=\"blob:https:\/\/www.moodbites.eu\/8df988b2-d4ab-4142-9c77-adf87e54f9b7\" alt=\"Forma\"> <\/li>\n<\/ul>\n\n\n\n<p><strong>\u2705 Santrauka:<\/strong><\/p>\n\n\n\n<p>k\u0105 daryti, kad paremtum\u0117te klient\u0105: <\/p>\n\n\n\n<figure class=\"wp-block-table alignwide is-style-stripes\"><table class=\"has-background has-border-color has-ast-global-color-4-border-color has-fixed-layout\" style=\"background-color:#ddeaca;border-width:2px\"><tbody><tr><td><strong>\u012evartis<\/strong> <\/td><td><strong>Kaip to pasiekti?<\/strong> <\/td><\/tr><tr><td><strong>Nustatykite dienos ritm\u0105<\/strong> <\/td><td><strong>Paklauskite kliento, k\u0105 jis jau daro, ir sukurkite plan\u0105 pagal tai<\/strong> <\/td><\/tr><tr><td><strong>Palaikykite higien\u0105<\/strong> <\/td><td><strong>Neprimeskite \u2013 prad\u0117kite nuo ma\u017e\u0173 veiksm\u0173 (pvz., rank\u0173 plovimo, drabu\u017ei\u0173 keitimo)<\/strong> <\/td><\/tr><tr><td><strong>Susieti mityb\u0105 ir higien\u0105<\/strong> <\/td><td><strong>Valgykite po prausimosi, valykite dantis po valgio<\/strong> <\/td><\/tr><tr><td><strong>Sukurkite paprast\u0105 plan\u0105<\/strong> <\/td><td><strong>Naudokite popieri\u0173, telefon\u0105 arba vaizdines priemones \u2013 vos 2\u20133 \u017eingsniai<\/strong> <\/td><\/tr><tr><td><strong>Kartu koreguokite plan\u0105<\/strong> <\/td><td><strong>Bendradarbiaujant susitarkite d\u0117l pakeitim\u0173, pritaikykite u\u017eduotis prie kliento simptom\u0173 ir nuotaikos.<\/strong> <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\ud83d\udcca <strong>Dienos ritmo ir valgym\u0173 steb\u0117jimo lentel\u0117 (1 savait\u0117)<\/strong> <\/p>\n\n\n\n<p>Rekomendacija: klientas gali tai atlikti savaranki\u0161kai arba padedamas socialinio darbuotojo, kiekvien\u0105 dien\u0105 \u017eym\u0117damas pagrindines veiklas ir valgius. <\/p>\n\n\n\n<figure class=\"wp-block-table alignwide is-style-stripes\"><table class=\"has-background has-border-color has-ast-global-color-4-border-color has-fixed-layout\" style=\"background-color:#ddeaca;border-width:2px\"><tbody><tr><td>Veikla \/ diena <\/td><td>Pirmadienis <\/td><td>Antradienis <\/td><td>Tre\u010diadienis <\/td><td>Ketvirtadienis <\/td><td>Penktadienis <\/td><td>\u0160e\u0161tadienis <\/td><td>Sekmadien\u012f <\/td><\/tr><tr><td>Atsik\u0117liau prie\u0161 10 val. <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>Nuplautas veidas\/dantys <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>Valgiau pusry\u010dius <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>Pietavau <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>Valgiau vakarien\u0119 <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>Had shower\/bath or changed clothes <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td>I\u0161\u0117jo arba u\u017esi\u0117m\u0117 kokia nors veikla <\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u2705 <strong>Legenda:<\/strong> galite pa\u017eym\u0117ti \u2705 (atlikta), \u274c (neatlikta) arba \u2796 (netaikoma). <\/p>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"has-text-align-center has-ast-global-color-1-color has-ast-global-color-5-background-color has-text-color has-background has-medium-font-size\" style=\"padding-top:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40)\"><strong><strong>INTERAKTYVI VEIKLA 47<\/strong><\/strong><\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-591\" class=\"h5p-iframe\" data-content-id=\"591\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"47 PRATIMAS \u2013 Q1 \u2013 5 MODULIS\"><\/iframe><\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-f63a3408\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-592\" class=\"h5p-iframe\" data-content-id=\"592\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"47 PRATIMAS \u2013 Q2 \u2013 5 MODULIS\"><\/iframe><\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-e082e974\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><\/div><\/div>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-593\" class=\"h5p-iframe\" data-content-id=\"593\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"47 PRATIMAS \u2013 Q3 \u2013 5 MODULIS\"><\/iframe><\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-503055af\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><\/div><\/div>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-594\" class=\"h5p-iframe\" data-content-id=\"594\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"47 PRATIMAS \u2013 4 klausimas \u2013 5 modulis\"><\/iframe><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-c3d5073d\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-separator uagb-block-9cb91f0d wp-block-uagb-separator--icon\"><div class=\"wp-block-uagb-separator__inner\" style=\"--my-background-image:\"><div class=\"wp-block-uagb-separator-element\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path d=\"M381.2 150.3L524.9 171.5C536.8 173.2 546.8 181.6 550.6 193.1C554.4 204.7 551.3 217.3 542.7 225.9L438.5 328.1L463.1 474.7C465.1 486.7 460.2 498.9 450.2 506C440.3 513.1 427.2 514 416.5 508.3L288.1 439.8L159.8 508.3C149 514 135.9 513.1 126 506C116.1 498.9 111.1 486.7 113.2 474.7L137.8 328.1L33.58 225.9C24.97 217.3 21.91 204.7 25.69 193.1C29.46 181.6 39.43 173.2 51.42 171.5L195 150.3L259.4 17.97C264.7 6.954 275.9-.0391 288.1-.0391C300.4-.0391 311.6 6.954 316.9 17.97L381.2 150.3z\"><\/path><\/svg><\/div><\/div><\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-background has-border-color has-ast-global-color-4-border-color has-fixed-layout\" style=\"background-color:#ddeaca;border-width:3px\"><tbody><tr><td><strong>Bibliografija<\/strong> <\/td><\/tr><tr><td>Prochaska, J. O., ir DiClemente, C. C. (1984). <em>Transteoretinis po\u017ei\u016bris: tradicini\u0173 terapijos rib\u0173 per\u017eengimas<\/em>. Homewood, IL: Dow Jones-Irwin. Prochaska, J. O., DiClemente, C. C., ir Norcross, J. C. (1992). Ie\u0161kant b\u016bd\u0173, kaip \u017emon\u0117s kei\u010diasi: taikymas priklausomyb\u0119 sukelian\u010diam elgesiui. American Psychologist, 47(9), 1102\u20131114. https:\/\/doi.org\/10.1037\/0003-066X.47.9.1102 Harter, K. (2017). Mityba ir \u017emogaus aplinkoje perspektyva: implikacijos socialiniam darbui (magistro darbas, Grand Valley valstybinis universitetas). ScholarWorks@GVSU        <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_initial_content":"","_new_post":false,"footnotes":"","_quiz_has_questions":false,"_lesson_complexity":"easy","_lesson_length":10,"_lesson_course":1140,"_lesson_preview":""},"lesson-tag":[],"class_list":["post-1169","lesson","type-lesson","status-publish","hentry","module-5-modulis","post"],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>2. I\u0161analizuoti kliento poreikius, planuoti intervencinius veiksmus pagal \u012ePV principus. -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.moodbites.eu\/lt\/lesson\/2-analyse-the-clients-needs-plan-intervention-actions-in-accordance-with-ebm-principles\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"2. I\u0161analizuoti kliento poreikius, planuoti intervencinius veiksmus pagal \u012ePV principus. -\" \/>\n<meta property=\"og:description\" content=\"2.1. 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