Motivating Patients for Health Behavior Change: A Case Study of Nursing Assignment

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
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Harry is a 58 year old man admitted to the surgical ward for the chief complaints of the
hip replacement surgery. The person is overweight and weighs 165 kg. The doctor has informed
the patient that his excess weight might impact negatively on his health, however instead of that
harry does not provide much importance to that. Upon interviewing the patient it is
acknowledged that Harry is a chef and is in love with the food and does not want to alter his diet.
As the obesity of the patient can cause harm to his post-surgery care or can even lead to other
pernicious illness, the patient is required to lose weight due to which he requires motivation. The
discussion involves the part of the nurse in motivating patient to modify the health and
behavioral concerns. The framework that has been used by the nurse for modifying the health
behavior of the patient is the Transtheorotical model of change which motivates the individual to
modify their living standard with the help of six stages of the model (Prochaska, Redding &
Evers, 2015) The essay includes the importance of motivational interviewing and
Transtheoritical model of change and its role in enhancing the living standard of the patient.
Transtheortical model of change is helps in the health behavior change by the aid of its
six stages which comprises Precontemplation, contemplation, preparation, action, maintenance,
and termination (Friman, Huck & Olsson, 2017). The Precontemplation stage of the model is the
primary phase of the model where the person do not anticipate taking any action to modify their
life style and do not emphasis much on the cons of their health behavior. The second phase of the
model is the contemplation, where the person anticipate by taking initiative to change their
behavior by centering on the strength and limitation of the change model and the current health
behavior respectively. The third stage of the model is the preparation or determination stage,
where the person are equipped to take action to modify their behavior and starts taking small
steps for the modification. The fourth phase of the change model is action stage, where the

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individual has modified their behavior and intends to move further with that health behavioral
modification only. The fifth or the most vital stage of the change model is the maintenance stage,
where the individual have sustained the modified health conduct for a while and plan to maintain
it in future. The last phase of the Transtheoritical model of the change is the termination, where
the individual has no desire to return to their previous health behavior (Krebs et al., 2019). The
major significant advantage of the model is provides an efficient framework which categorize the
individual based in their readiness to modify their health behavior and then motivates the patient
to reach to the termination or maintenance stage of the model. The limitation of the
Transtheoritical model of change is that it tends to ignore the social context where the
modification occurs. Apart from that, there is other limitation attached to the model of change
also that no specific time has been mentioned which is required to change the single process and
also the line between the different stages has no criteria.
Motivational interviewing is demarcated as the psychotherapeutic approach which aids
the patient in moving away from the state of ambiguity or indecision towards the way where
motivation can be found with the purpose of making positive decision to achieve the formulated
goals (Drage, 2015). The motivational interviewing technique is commonly applied by the nurses
in the health care setting to enhance the health outcome of the patient. There are eight stages of
the motivational interviewing which encourages the patient to adapt the change. It includes, (1)
sincerity to relationship with the patient, (2) expertise in patient-centered counseling, (3)
acknowledgement of the key aspects of the patient communication which directs the training of
Motivational interviewing, (4) provoking and consolidation the patient change conversation, (5)
progressing with confrontation, (6) converting the change plans, (7) combining the client
promise, and (8) swapping the malleably between the Motivational interviewing and other