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HLSC111-The Person Health and Wellbeing

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Assignment

Rebecca is a 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 Transtheorical Model of Change. You decide that you need to use Motivational Interviewing techniques to assist Rebecca o 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 Transtheorical Model of Change are: Pre-contemplation – not ready, Contemplation – getting ready, Preparation – ready, Action – taking action, Maintenance – monitoring, Termination - complete

1.Outline how you will utilise Motivational Interviewing techniques to assist and support Rebecca to the Action stage.

2.Outline what new behaviours Rebecca would need to engage in to be successful and to achieve better health outcomes.

3.Outline what techniques you should avoid using with Rebecca as they may have negative impacts and outcomes.

4.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.

HLSC111-The Person Health and Wellbeing

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