Case Study Of Changing Health Behaviour Tamara Nursing Essay

Case Study Of Changing health Behaviour Tamara Nursing striveHealth doings is an accomplishment that enhances, continue or intimidate an various(prenominal)s wellness (Barkway two hundred9, p. 126).The desire to miscell each someoneal doings to enhance future wellness outcomes is usu all toldy overrated. It is inner personalities of the person that born or been nurtured the way they were. Health conduct influences a lot of aspects in life and it is an ongoing suffice throughout lifespan. Experience and milieual factors influenced a persons behaviour. To transform ones health behaviours implicate prevention, management of treatment, right attitudes and aw beness which argon in like manner the backside to individuals perspectives. sectionalisation between behaviour and friendship might be within Tamara who professes to nourish health yet still smokes. Cognitive dissonance revealed that she recognized and get word the dope effect in her heath, but her behaviour doesnt link with her knowledge and principles. With few attempts to diversity her gage behaviour without mastery, its non just a matter on understanding and making it simple, therefore its weighty to imply what is involved in the answer of behaviour transmit and turn it to psychological science (Candlin 2008, p. 192). harmonize to (Barkway 2009, p. 138) transtheoretical present of behaviour change, accommodate both behaviour and cognitive strategies. Cognitive based therapy alleviate people to go make headway towards the continuation point in time of lordly health behaviour much(prenominal) as heater cessation.In Australia, bullet is the third disease that causes roughly death it is apt(predicate) for about 80% of all lung cancer death and 20% of all other cancer deaths. Australian spent about 21 zillion dollars in a year for tobacco in health bid, friendly cost and business and passive smoking took life over 200 people a year half of which argon children. The heal thc be place setting is engaging and making a lot of apprisedness to the public such as stop smoking campaign, going cold turkey, set off smoking month in working environment, Australia Better Health Initiative and Tags-program are aimed at children in primary schools. wholly these are to motivate and come along all the young dynamic generation to quit smoking and to go along the environment.Base on Tamaras case study, personal behaviours such as smoking, financial, tog in social and standard of living wishings and do not need to be conventional to a health-focused model of behaviour change. Transtheorectical stupefy (TTM) of behaviour change analyses both behaviour and cognitive strategies. TTM also invokes distinctly that the person can book the stages of positive health as guardianship and its also not uncommon for a person from maintenance stages to glide by before achieving to the stable stage. In this case study shows that Tamara has the determination to change an d reached to the maintenance stage but her social circle influences are greater than her strong abilities, which makes her to reverse on the different stages in TTM. As a health professional to obtain successful outcomes of nursing care, the nurse must adopt the role as enduring educator to start and urge on the process of health behaviour change. The purpose to change a persons behaviour completely is impossible but with effort, educations and reasoning can make the or so changed in an individuals behaviour.TTM model was developed by Procaska and DiClemente (1984) from addiction research studies and was further expand by Prochaska et al (1992) as severalized in (Barkway 2009 p. 138). Stages in TTM encourage a person to analyses as a cycle of change but not a failure. A precontemplation stage is where Tamara is not sensitive that smoking is bad to health and she does not olfactory sensation as a treat because her parents are smokers and she has been broad up in such an enviro nment that is acceptable. She might have the perception that if my parents smoke and they are healthy and so am I. Tamaras self esteem and pride that pulled her through when she is out with her friends and she feel herself been left out if she does not smoke as all her friends smoke. In the other hand she also used smoking as to maintain her body weight.In contemplation stage it is an effective stage where Tamara is sensible that smoking is bad for health and in result there is a need to change after her father was diagnosed with early stage of emphysema. Her fathers state triggered Tamaras awareness and realized smoking is harmful for health.Preparation stage is where Tamara became aware the potential harm caused by smoking and makes an attempt to stop smoking by reducing it to only smoke on weekends. Action is the most crucial stage where autonomy and willpower plays an important role in decision making for an individual to choose the high hat for them (Leddy 2006, p. 165). For Tamara she decided to quit smoking for good due to her fathers illness. Maintenance or termination stage is whereby a person has to self control, belief on what the person need to achieve and has the resistance to enticement to surrounding environments and influences by social activities. In Tamaras situation she lacks of determination and willpower on her goals to cease smoking where the state that she relapsed and resume to daily smoking. Tamara has only short term achievement. Due to relapse, the full process of TTM stages starts to recycle again.According to (West 2006, p. 774) argued that TTM are no stages in any of import sense and there is no cycle of change. TTM also mention that if a persons desire and if that condition is right, stimulates an attempt at change whose success depends on their background and personal factors. According to Prochaska, TTM model was the first model to tackle the subject at a population level.According to Prochaska, TTM is a progressive approa ch whereby individuals have to progress through stages but (West 2006, p. 775) argued that TTM should be a stage free whereby people who are at a given moment where more or less, than those who are in the process of try to change and others who are more or less regulate in their new behaviour styles. And yet another journal also reviewed that the effectiveness of interventions in TTM, regardless whether it is stage progression, behaviour change and with any no or with other type of intervention, or usual care control have limited evidence to be readn (Bridle et al. 2005, p. 295). According to (West 2006, p. 775) criticized TTM is a model whereby it overlooked the essential motivation process of an individual but Prochaska mentioned that TTM does involve operant learning principles and not simply the positive and negative type of analysis.According to (West 2006, p. 775) that human beings inspiration is much livelier and influenced by the instant context. According to Prochaska, action stage needs a significant commitment of time and energy. This is the stage where an individual gets most recognition from others because of their patent efforts (West 2006, p. 775). Research caution not to oversight this visible action of trying to change naturally because that the individual only change when there is a must to change as when there is a need to reached the definite goal a decisive factor which scientist and experts agree is enough to tame risk to the problem behaviour.TTM stages function outside conscious awareness and did not follow the decision making rules where it weigh up the costs and benefits. at that place is modest or no consideration of the notion of addiction which is manifestly a crucial consideration when it comes to smoking behaviour.Prochaska described that temptation as the strength of urges to fit in a precise habit firearm in complex situation. Proschaska further mention that situations of negative effect or emotional distress, positiv e social situations, and cravings are the most common types of temptation to acknowledge.Temptation and self-efficacy have an inverse relationship with each other crossways the stages of change as its proven in studies (Guo 2009, p. 834).In an article it was shown that tune about the TTM was not against the existence or measurement of discrete entities that would be nonsensical, but (West 2006, p. 774) mentioned that TTM was actually criticized on the stages. There isnt any evidence to prove that TTM measures were superior to predicting the desire or intention of health behaviour change.In order for TTM to be generalized to the population, more studies should be carried out (Bridle et al. 2005, p. 299). It is important to analyse the process of hypothesis for each stages of transition in TTM (Guo 2009, p. 834). However, with the best evidence available it is limited not only in foothold of methodological quality, but also the effectiveness of TTM interventions in health behaviour change in relation to either facilitate or move on progress stage (Bridle et al. 2005, p. 299).As a health professional has traditionally been apprehension with individuals risk factors for disease, economic, social and political causes for health issues. Its a dispute for a nurse to assist a person to change his/her modus vivendi and there is no miracle to make a person to change their behaviour overnight.As a first spirit, Tamara should prepare herself on her action and mean on what she needs to dish herself. Tamara also needs to be actively taking part in her action on developing and admonisher herself on her progress.The healthcare professional has to set goals for Tamara and counselling is the first step of her improvement. During this stage of behaviour change, consciousnesses should be raised and assess the knowledge, barriers and how the family members can help Tamara also equalize on the degree of the readiness of Tamara in change of herself. Tamara should prepare h erself emotionally to face the physical, environment and her personal values.Tamaras counselling should include on how to handle her smoking influences when attend social activity, weight expiry program-exercise and the harm of smoking effect for herself and people surrounding her. Evidence shows that women who are active in exercise initiated a quit attempt, which embrace control and motivated to quit smoking (Vidrine et al. 2006, p. 101).Also set a quitting date, ascertain her coping skills. Build a good healthcare professional and patient relationship. Compassionate, empathy and concern from healthcare professional, that numerous smokers have effectively quit smoking (Vidrine et al. 2006, p. 101).As a healthcare professional, encourage or engage Tamara to communicate to people who have successfully changed their lifestyle habits. In the early variety of change, the immediate positive verbal feedback of her desire should be re-assessed and re-evaluated by healthcare professio nal. That would help the healthcare professional to evaluate on how far Tamara has achieved her target. redact a support group, and telephone counselling, therefore whenever she feels she need a hearing ear to reduce her stress, she can get help directly. That action would help to prevent her from relapse.As a healthcare professional, motivations, support and follow up on the progress of her health behaviour changes should be reviewed every 2 to 3 week for the initial period with telephone calls review, and 1to 3months of follow ups to check on her progress. Theres a lot of other ways of interventions and different types of healthcare professionals approaches in their own unique way for smoking cessation. More healthcare professionals training is needed in cessation of smoking and further behaviour researches in general have to establish.In conclusion, even there are pros and cons in TTM stages, it should be taken the measures of the attitudes as an individual towards quit smoking . All the result supports the concept that attitudes influences both intention and behaviour. TTM stages is a useful military rank method, it can be use as a guide and valuable psycho-educational tools.TTM also facilitate and educate candidates about the change process in nature and dynamic of change. Feedbacks on performance are accurate and well-timed as the progress is crucial part of the self-regulatory cycle. Usage of Transtheorectical Model is base on the type of research as different research physique offers different rank of evidence about the efficiency. TTM stages help a person to know where, when, how and at which stage change of behaviour affected, such as relapse and also help the person to improve or bump from the stage of relapse. Without stages its difficult for a healthcare professional to determine at what level or degree an individual is experiencing. Currently there are a lot of evidences supporting TTM and criticizing the model therefore it will be appealin g to see what future will find.