Change Model Readiness for Change Making Lifestyle Thesis

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¶ … Change Model

Readiness for Change

Making lifestyle changes is an important part of management for many diseases and conditions. In cases such as obesity, diabetes, and other conditions, the patient has a considerable amount of control over the progression and prognosis for their conditions. However, sometimes these diseases are more difficult to manage than conditions over which the patient has no control. In cases where the patient is responsible, at least in part, for controlling their condition, motivating them to make the necessary changes can be the most difficult task of their healthcare professional. The following will explore how to assess a patient's readiness for change, using Prochaska and Declement's Stages of Change Model.

Understanding Motivation

In order for a person to be motivated to make the necessary changes in order to take charge of their health, several conditions must be met. Motivation for change can be intrinsic or extrinsic. Intrinsic motivation for change comes from within. The person wants to make the change when they are intrinsically motivated. Extrinsic motivation means that the motivation for change stems from an outside source, even if this mean avoiding an unwanted consequence.

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When one applies this principle to case management in the nursing profession, the internal reason for wanting to make the change can be understood (Ciccomascolo & Riebe, 2006). Making change takes effort on the part of the patient. They must often overcome many obstacles. Sometimes the changes that they need to make may seem unpleasant to them, or appear to be too much "hassle." Motivation for making changes in lifestyle due to health needs often stems from extrinsic motivation through education by the healthcare staff. Motivation to make health related lifestyle changes often stems from a desire to avoid an undesirable consequence

TOPIC: Thesis on Change Model Readiness for Change Making Lifestyle Assignment

Understanding the reasons for the need to make a health related lifestyle change is necessary in order to move into the first step towards that change. Although many know that a change will be necessary in order to avoid unwanted health consequences in the future, it is difficult to motivate the person to make the first step towards change. The process that a patient goes through on the way to making positive changes can be examined using Prochaska & Declemente's Stages of Change Model. The following will examine this model as it relates to healthcare changes.

Patient Assessment using Stages of Change Model

Prochaska & Declemente's Stages of Change Model can serve as a valuable assessment tool for determining the patient's likelihood of achieving success in the changes that need to be made. By determining in which stage of change the patient is in, the nursing staff can determine what steps need to be taken to help the patient move along the path towards making the necessary healthcare changes.

The first stage of the model is the pre-contemplation stage (Prochaska & DeClemente, 1982). At this point, the patient may have heard that they will need to make a change due to their health condition. However, at this time they are not considering making the change. Perhaps they do not feel a real threat from the potential condition. They do not feel that they are likely to suffer the consequences if they do not make the necessary stages. At this point, the nursing staff can only reinforce education regarding the need for change and clarify that the decision to make the change lies solely with the patient.

The second stage of the model is the contemplation stage. At this point, the patient may recognize the need to make a change, but they do not foresee making those changes in the near future (Prochaska & DeClemente, 1982). For patients that are in this stage, the nursing staff can reinforce the need for change and encourage them to move into the next step.

The third represents the first attempt at making a positive change. They are beginning to take steps towards making the necessary changes (Prochaska & DeClemente, 1982). They may "try out" the new lifestyle for a time in order to see how it feels. At this point, the patient needs support from the nursing staff and help in overcoming any obstacles that they may have. The patient needs to have a positive experience with the changes that need to be made and support in helping them… [END OF PREVIEW] . . . READ MORE

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