Transtheoretical Model of Change and Motivational Interviewing for Successful Total Knee Replacement

Running Head: THE PERSON, HEALTH AND WELLBEING
The Person, Health and Wellbeing
Name
Institution

THE PERSON, HEALTH AND WELLBEING 2
The Person, Health and Wellbeing
Introduction
Rates of total knee replacement (TKR) processes have been growing progressively
globally in the latest decades because of many factors. In Australia alone, there has been more
than 80 per cent rise in TKR procedures since 2003, with growing prevalence probable to
increase because of factors, like ageing populace, a rise in obesity, as well as joint injury (Han et
al., 2015). The case in question is about Alistair who is 55 years who have been admitted to
orthopaedic ward where I work as a nurse for total knee replacement (TKR). Alistair complains
about his health because of the overweight state that he suspects to have caused the knee
problem. I a nurse in trial team nursing; I will be taking care of him for the next four days. This
paper will use the Transtheoretical Model of Change beside Motivational Interviewing to assist
him to successfully undergo total knee replacement (TKR).
Main Body
The Transtheoretical Model is a paradigm designed for behaviour change. The
Transtheoretical Model of Change is a perfect model that will be important in helping Alistair to
undergo successful TKR. This will be possible for exploring the changes stages of the model by
offering data on stage-related approaches, which may be used to the patient’s weight loss
management programs (Johnson et al., 2008). The strategies that will play a crucial role that I
will use as a nurse will include dietary, as well as physical exercise behaviours to attain a
sustainable percentage of weight loss on Alistair. The following stages of the Transtheoretical
Model of Change will be important in helping Alistair undergo successful TKR:

THE PERSON, HEALTH AND WELLBEING 3
The primary part of patient readiness is the pre-contemplation stage. The stage of pre-
contemplation is an important stage towards helping Alistair prepare for the TKR because this is
where he has not made his mind to change over his unhealthy lifestyle. This is a period before
any actual behavioural change where the person is not yet considering (has not even yet
considered about) change (Collins, Walmsley, Amin, Brenkel & Clayton, 2012). This is the point
where the patient has not made the decision to undertake changes that will promote weight loss
and psychological changes towards successful undergoing TKR surgery. This is an important
stage that will provide a platform to carry out motivational interviewing. At this point as a nurse,
I will ensure that I interview Alistair to understand his background and the genesis of the knee
problem.
Contemplation is a phase of change where the individual intends to change in the next 6
months. The person is now conscious of the benefits of changing; however, they are also acutely
responsive to the costs. The person is not ready for conventional action-centred programs that
need the participants to act straight away. Clearly, Alistair is aware of the current that it is caused
by overweight. In the case of Alistair, this is a stage that will allow me to give lifestyle options
that will include dietary and physical activity as interventions to help him reduce. This is a stage
where Alistair is aware of the costs and benefits of changing the current behaviour towards
adopting strategies that will lead to weight loss (Mastellos, Gunn, Felix, Car & Majeed, 2014).
This preparation stage is where the individuals have the intention of taking action in the
instant prospect. Classically, these individuals have already undertaken important during the
previous years. They have a plan for action, like joining light exercises, talking to a physician or
depending on self-change strategy. This is an important stage for Alistair because they current