Health Promotion Model Assignment

Health Promotion Model Assignment: You as the advanced practice nurse are working in a community health center. Your next patient is Mrs. Richards,  a 39 year-old Caucasian female, presenting to the clinic with a history of Hypothyroidism, Depression, and recent history of Substance Abuse (Heroine Use). During the initial interview, it is revealed that her husband and two children were killed in a traffic accident 8 months ago and she reports using illicit drugs since their death.

Health Promotion Model Assignment

Based on your knowledge of the Health Promotion Model, make a chart and/or diagram that outlines all components of the theory and how the theory can be applied to this case study to formulate a plan of care for this patient. Also, list one scholarly, practice-based resource (article and/or clinical guideline) that supports the application of the Health Promotion Model in clinical practice.

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As part of health promotion, the Transtheoretical Model of Change is used to encourage individuals to engage in behavior modification. “The Transtheoretical Model (TTM) construes behavior change as an intentional process that unfolds over time and involves progress through a series of six stages of change” (Hashemzadeh et al., 2019). According to the theory of transactional memory (TTM), when people learn new habits, they go through a series of stages. Pre-contemplation, thinking about it, planning, actually doing, and following through are the processes involved. By providing health educators with a framework through which to understand how individuals progress through different stages of change, TTM can facilitate teaching individuals how to change their behavior. When health educators realize this, they are better able to adapt their messages and methods to the many stages of change that individuals go through (Wang et al., 2022). For example, a person in the pre-contemplation stage may want more information about the benefits of a new habit before they are ready to consider a change.

According to the trans-theoretical health promotion model, the common barriers that hinder behavioral change include time, lack of access to the right resources, or affordance (Wang et al., 2022). In addition, according to the health promotion model, social environment and cultural norms also dictate interpersonal influences to model behavioral change.

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When a person admits that they have a problem or that they need to make a change, they have entered the contemplation phase of the change process. People who are now in this stage are thinking about changing their behavior in the near future but haven’t really committed to it yet. Health educators can use this time to talk with the individual about the positive aspects of the change and help them formulate a strategy for making the change. The degree to which a person is ready and open to change is the primary goal of the preparation phase (Whitney, 2018). People who have reached this stage are ready to change their behavior and take the necessary steps to do so. At this point, health educators are able to help people by providing them with the resources and motivation they need to change. Patients may have difficulty learning new information because they are unable to read effectively, do not understand things correctly, or do not have access to resources. Patients with low levels of literacy may have difficulty understanding the information they receive about their health condition. Patients who have cognitive impairments may have difficulty remembering specific information or following commands. A patient who has limited access to resources may find it difficult to obtain the information or services they require.

References

Hashemzadeh, M., Rahimi, A., Zare-Farashbandi, F., Alavi-Naeini, A. M., & Daei, A. (2019). Transtheoretical Model of Health Behavioral Change: A Systematic Review. Iranian journal of nursing and midwifery research24(2), 83–90. https://doi.org/10.4103/ijnmr.IJNMR_94_17

Wang, L., Liu, Y., Tan, H., & Huang, S. (2022). Transtheoretical model-based mobile health application for PCOS. Reproductive Health, 19(1), 1-10.

https://doi.org/10.1186/s12978-022-01422-w

Whitney, S. (2018). Teaching and learning styles. In Grand Canyon University (Eds.), Health promotion: Health & wellness across the continuum (1st ed.). https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1

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