Question

Practice X Get Ou tab practice Health and Wellness Preparing for Clinical Practice Ms. Thom, age 46, works as an RN in the intensive care unit at a large busy medical center. Over the last three years she has gained 30 tbs and quit attending the fitness classes at the local recreation center. Her co-workers keep trying to get her to come back to fitness class, but she says that she is too tired after work and just wants to go home. She has smoked for 15 years, but says that she is trying to cut back on the number of cigarettes each day because she watched her mother die from emphysema. She has picked up some literature from Employee Health on smoking cessation. She was recently diagnosed with hypertension. 1. Using the health belief model, identify the modifying factors impacting Ms. Thom's likelihood of taking a preventive health action. 2. Which primary intervention activities are important for Ms. Thom 3. Using the transtheoretical model of change, in which stage is Ms. Thom most likely related to her smoking? Explain your answer Caring in Nursing Practice

Answer 1

1.The modifying factors impacting Ms. Thom's likelihood of taking a preventive health action are :-

- cessation of smoking

- attending fitness classes

- weight loss

2. The Primary Interventions activity is to change the present behaviour .

The main issue in Ms. Thom's case is her unhealthy behaviour including weight gain , cigarette smoking , not attending fitness classes which has lead to development of hypertension .

3. The transtheoritical model of change is the model used to change behaviour . It has five steps :-

- precontemplation ( no need to change the behaviour)

- contemplation( decides to change the behaviour)

- action ( changes the behaviour)

- relaspe ( goes backs to the pre existing conditions)

- maintainence

she is the contemplation stage of transtheoriticalodel model of change means she has determined to change her behaviour because she has watched her mother swing of emphysema .