Highlights
Task:
Description: This unit focuses on the person as the centre of the health care experience. Health and wellness will be explored from a biopsychosocial and lifespan perspective. Psychological concepts and theories underpinning human behaviour, health behaviour acquisition, therapeutic communication and health behaviour change will be introduced. These concepts will be applied to the personal and professional self and then to practice. This content will assist health students in understanding the people they will interact with in clinical practice and will consequently assist them in their interactions with these individuals.
Unit Rationale Health care is focused on the person – generally at a time of great vulnerability. It is a requirement that health care professionals perform person centred care and focus on the outcomes which are best for the person and/or groups they are caring for and interacting with. This aim of this unit will assist health students in understanding the people they will interact with in clinical practice and will assist them in their interactions with these individuals through an understanding of human behaviour.
LEARNING OUTCOMES
Any university degree programme requires development of particular attributes for accreditation purposes. These required attributes are articulated in the learning outcomes. Please see below. On successful completion of this unit, you should be able to:
LO1 Demonstrate understanding of the person from a lifespan perspective, taking into consideration biopsychosocial factors and the person’s life experience; (GA1, 5)
LO2 Describe the role of resilience in human behaviour; (GA5)
LO3 Demonstrate an understanding of psychological concepts and theories of human behaviour, health and wellbeing; (GA6)
LO4 Apply the psychological concepts and theories of human behaviour, health and wellbeing to health behaviour change; (GA6)
LO5 Explain the theoretical and professional dimensions of communication and demonstrate the ability to work respectfully with others; (GA9)
LO6 Demonstrate an understanding of the importance of policies and strategies for building safe and supportive environments for working with children, young people and vulnerable adults; (GA1, GA5)
Task
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 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
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