Written Assessment: You are required to write a formal academic essay. The essay will require an introduction, body, conclusion and reference list. All in-text citations must have a corresponding entry in the reference list. You are required to use APA (6th or 7th ed.) referencing for your essay, citing evidence in your essay and constructing your reference list
Weighting: 30% Length and/or format: 1,500 words +/- 10% Purpose: The aim of this essay is to enable students to demonstrate an understanding of and ability to apply the Transtheoretical Model of Change (Stages of Change Model) within an evidence-based framework. In addition to this, students will identify components of Motivational Interviewing which could be utilised to assist with enabling a patient to change their health behaviours.
50-year-old female who has been admitted to a surgical ward for a total knee replacement (TKR). Rebecca weighs 150kg. You are a Registered Nurse working on this ward and you have been allocated to care for Rebecca and be her primary nurse for the next week whilst she is on this ward. Rebecca states to you, “I’ve been worried about my health, my weight and my knees as I’ve been obese for many years. I love food and I can’t stop eating. I eat all the time, in particular, I eat really unhealthy fattening foods. Food makes me feel happy when I feel sad, stressed or worried. I now don’t feel I can hold my own weight up any longer and my knees are giving way. I know I need to change some things and my GP is encouraging me to address my obesity. I want to change. I want to lose weight and be skinner and healthier so I don’t have to have any more surgeries. However, I’m not sure what to do about all of this. Can you please help me?”. You decide that Rebecca is in Stage 3, the Preparation stage of the Transtheoretical Model of Change. You decide that you need to use Motivational Interviewing techniques to assist Rebecca to move into Stage 4, the Action stage. You are aware that you only have one week to have an impact on Rebecca so that she can have better health outcomes. In your essay you need to explain how you will do this, whilst backing up your arguments with current research.
The current stages of the Transtheoretical Model of Change are:
1. Pre-contemplation – not ready
2. Contemplation – getting ready
3. Preparation – ready
4. Action – taking action
5. Maintenance – monitoring
6. Termination – complete
Outline how you will utilise Motivational Interviewing techniques to assist and support Rebecca to the Action stage.
Outline what new behaviours Rebecca would need to engage in to be successful and to achieve better health outcomes.
Outline what techniques you should avoid using with Rebecca as they may have negative impacts and outcomes.
Outline the discharge planning you would organise for Rebecca so that she 1) has ongoing support once she is discharged, 2) can continue to progress in her health behaviour changes, and 3) can eventually reach her goals, and to the Maintenance and Termination stages.
Utilise evidenced based literature to support your discussion. For the purposes of this paper, while seminal work (early literature) may be referenced, current literature is a requirement. At least six references are required for an essay of 1500 words and most should be research articles