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Hello Everyone,
I chose the Transtheoretical Model (TTM) or Stages of Change Model. In this model, the key concepts are:
1. Precontemplation: There is no recognition of the need for a behavior change. 2. Contemplation: Thinking about changing. 3. Preparation: Planning for change. 4. Action: Adopting new habits. 5. Maintenance: Ongoing practice of new, healthier behaviors (Glanz, K., n.d.).
I like the gradual step-by-step process of this model. It also takes into consideration that there can be setbacks in progress that can be addressed to get back on track. I felt that this model covered everything I would need to address and help patients create a strategic plan for arthritis management.
1. Precontemplation: Educate and raise awareness about how arthritis can impact quality of life.
2. Contemplation: Encourage patients to consider the benefits of physical activity, diet, and medication adherence.
3. Preparation: Help patients set SMART goals for incorporating activity and provide resources on medications and diet.
4. Action: Support patients in making and implementing a plan.
5. Maintenance: Encourage patients to follow-up and provide support.
The model that I chose is the Social Ecological Model. The fundamental concept of this model is that behavior is affected by the social environment (Unknown, 2021, p. 18). This model “helps understand factors affecting behavior and also provides guidance for developing successful programs through social environments” (Unknown, 2021, p. 18). Five levels influence behavior: intrapersonal or individual, interpersonal and relationship, organizational and institutional, community, and societal or public factors (Bastable, 2022, p. 340). This theory allows not only the individual but also family members and the community involved in the care of the individual to be educated for change to be implemented and carried out. It helps to positively influence health behavior to prevent unnecessary admissions or readmissions to the hospital and other preventable complications. I can use this model to address Older Adults topic from Healthy People to “reduce the rate of emergency department visits due to falls among older adults” (Office of Disease Prevention and Health Promotion [ODPHP]. n.d.) objective. With this model, I can educate the families, patients, and their caretakers about fall precautions. Even though the patients had already fallen when they came to my unit, it is essential to reinforce education to prevent more falls and related complications from occurring.
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