Transtheoretical Model of Change and Motivational Interviewing for Patient Care

Running head: BACHELOR OF NURSING
BACHELOR OF NURSING
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The case exhibited here features the state of a 55 old patient, Alistair who has been
admitted to the orthopedic ward. He needs to undergo a total knee management. He has been
overweight for quite a while, due to which he is stressed over his wellbeing and furthermore the
medical procedure as he feels being overweight is the fundamental explanation for his medical
problem. Both MI and TTM approaches that have originated and have been used that can be
implemented extensively with the treatment of the substance abuse and disorders of addiction
along with the treatment of the disorders which forms a significant proportion of psychotherapy.
The aim of the paper intends to feature that being a part of the nursing group of this patient, how
it is conceivable to keep up him through the phases of progress cycle. It also states that this
maintenance can be accomplished through the execution of Transtheoretical Model of Change
and Motivational Interviewing methods, which will be additionally talked about in the paper.
Motivational interview (MI) is an intervention that is evidence based in nature and which
is very strong and that has been utilized with the expectation to bring out characteristic
inspiration to change practices. MI as a mediation assumes a job in concentrating on encouraging
the development through the phases of the transtheoretical model of progress (Hoy, Natarajan&
Petra, 2016). The phases of progress cycle involve pre-contemplation, trailed by examination,
arrangement/assurance, activity or self-control, support and lastly backslide. Pre-contemplation
recognizes that some issue is available in the conduct for which change is required. Thought
recognizes that the issue is available yet there is no surety that change is needed. Planning or
assurance gets readied for the change. The activity or self-discipline is the changing conduct and

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support helps in keeping up the conduct change. Lastly there is a relapse that is coming back to
the more seasoned practices alongside abandonment the new changes (Laplante-Lévesque,
Hickson& Worrall, 2013).
The transtheoretical model (TTM) of progress can clarify the difference in conduct that is
purposeful and acts along a measurement which can use both execution based and psychological
parts (Hardcastle et al., 2013). Scientists have advanced that through TMM people travel through
a chain of stages comprising of precontemplation (PC), examination (C), planning (PR), activity
(An), and upkeep (M), which in turns helps in the selection of sound practices and
discontinuance of the ones that are less healthy.
Change mediations are particularly helpful in tending to way of life alteration for illness
counteractive action, long term disease prevention and addictions. The ideas of "tolerant
resistance" and inspiration regularly center on patient disappointment. Understanding patient
preparation to bring about improvement, acknowledging hindrances to change and helping
patients foresee backslide can enhance fulfillment and lower doctor dissatisfaction amid the
change procedure. The Transtheoretical Model of Change otherwise called the Stages of Change
show and talk about its application to the family work on setting (Lee, Park and Min, 2015). The
Readiness to Change Ruler and the Agenda-Setting Chart are two basic devices that can be
utilized in the workplace to advance discourse. It is required to help the patients in understanding
their wellbeing and to enable them to roll out the improvements fundamental for wellbeing
change. Exercise programs, stretch administration systems and dietary confinements speak to
some normal mediations that require understanding inspiration. An adjustment in patient way of