The staff needs to reinforce the ideal that the patient has what it will take to succeed (Walker, Greene, & Mansell, 2006). Rewarding small initial steps is an important part of helping patients in this stage of development.
The next stage is the action phase, which usually lasts for 3-6 months (Prochaska & DeClemente, 1982). During this time, the patient is actually practicing the new behavior on a daily basis. They are in the process of restructuring old cues, relying on social support, realizing their self-efficacy in achieving the changes. During this stage, the patient may feel as sense of loss of things that they used to enjoy. The patient needs encouragement to continue on their path to healthy behavior. They need a support network upon which they can rely to help encourage them in their new life pattern. The nursing care staff can play an important role in this stage of the model.
The final two stages of the model can be discussed together. The maintenance stage can last for six moths up to five years. During this time, the patient must maintain the behavior with decreasing support from others (Prochaska & DeClemente, 1982). They become self-sufficient in their ability to maintain the lifestyle changes. If they cannot maintain their new behaviors, they will relapse and resume their old behaviors. Prevention of relapse involves counseling to help evaluate triggers that may cause a potential relapse and to help the patient develop a plan for those times. Counseling and support focuses on helping the patient to develop coping strategies that will help them to maintain their new behaviors for a lifetime.
Conclusion
Prochaska & Declemente's Stage of Change Model can serve as a guide for the nurse in helping patients to adopt healthy habits for their life. The Stages of Change Model serves as guideline for helping to assess the readiness and likelihood for success in patients who must make life changes as a result of their health conditions (Buckworth, Lee, & Regan, et al., 2007). The nurse must engage themselves as an active support system for the patient in the early stages of the change process (Rochlen, Rude, & Baron, 2005).
Many times the nurse is only involved in the early stages of the change process. Support in the maintenance...
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