Talking to patients is not always easy. Sometimes you have to deliver bad news or encourage them to change their behaviour such as quitting smoking or practicing safe sex. With this easy to use pocket-sized guide you can quickly access information on how to reach your patient with confidence whilst promoting a healthier lifestyle.
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Yes, you can access Nursing & Health Survival Guide: Health Promotion by Dominic Upton in PDF and/or ePUB format, as well as other popular books in Medicine & Health Care Delivery. We have over one million books available in our catalogue for you to explore.
Changing unhealthy behaviour: some helpful material
The methods used in this book share a common platform – the use of psychological theory within a nursing framework. This first section outlines some material that will be useful across a range of behaviours.
The Stages of Change model and motivational interviewing underpin much of this material.
Stages of Change model
Reference / After Prochaska, J.O., DiClemente, C.C. and Norcross, J.C. (1992) In search of how people change: Applications to addictive behaviors, American Psychologist, 47(9), pp. 1102–1114, adapted with permission.
BALANCE SHEET
One way of identifying the problems associated with changing behaviour is to ask the patient to list the advantages and disadvantages of each of the behaviours they are trying to change.
Decisional balance sheet
BENEFITS/PROS
COSTS/CONS
Making a change
Not changing
Alternatively, include an additional comment on reducing disadvantages. It is important also to assess self-efficacy (i.e. confidence to maintain change).
Behaviour I am thinking about changing:…………
ADVANTAGES OF CHANGING MY BEHAVIOUR
DISADVANTAGES OF CHANGING MY BEHAVIOUR
WAYS OF REDUCING DISADVANTAGES
The brief negotiated interview
• Establish rapport.
• Raise subject.
• Explore pros and cons.
• Explore discrepancies between actual state and goals.
• Assess readiness to change (use certainty ruler).
• Assess confidence to change (use confidence ruler).
• Assess readiness to follow intervention.
Readiness to change/confidence rulers
On a sca...
Table of contents
Cover
Copyright Page
Table of Contents
Introduction
Changing Unhealthy Behaviour: Some Helpful Material
