Change Theory Flashcards
Precontemplation
In this stage, people do not intend to take action in the foreseeable future (defined as within the next 6 months). People are often unaware that their behavior is problematic or produces negative consequences. People in this stage often underestimate the pros of changing behavior and place too much emphasis on the cons of changing behavior.
Contemplation
Contemplation - In this stage, people are intending to start the healthy behavior in the foreseeable future (defined as within the next 6 months). People recognize that their behavior may be problematic, and a more thoughtful and practical consideration of the pros and cons of changing the behavior takes place, with equal emphasis placed on both. Even with this recognition, people may still feel ambivalent toward changing their behavior.
Preparation/Determination
Preparation (Determination) - In this stage, people are ready to take _action within the next 30 days. People start to take small steps toward the behavior change, and they believe changing their behavior can lead to a healthier life
Action
Action - In this stage, people have recently changed their behavior (defined as within the last 6 months) and intend to keep moving forward with that behavior change. People may exhibit this by modifying their problem behavior or acquiring new healthy behaviors.
Maintenance
Maintenance - In this stage, people have sustained their behavior change for a while
(defined as more than 6 months) and intend to maintain the behavior change going
forward. People in this stage work to prevent relapse to earlier stages.
Congestive heart failure pt.
Precontemplation: Characterizations, Case Study, Nurse Intervention
Individual does not intend to make a change in the foreseeable future.
Patient is in this stage for exercise and sodium restriction before admission.
Provide information regarding benefits of change and consequences of behavior.
Contemplation: Characterizations, Case Study, Nurse Intervention
Individual intends to make a change within 6 months and is aware if pros and cons of change.
After CHF admission, patient becomes awar importance of exercise and dietary change.
Provide evidence of efficacy of behavior change and supportive resources available.
Preparation: Characterizations, Case Study, Nurse Intervention
Individual intends to make a change in the near future and has a plan of action.
After discharge, patient requests assistance to formulate a plan of action for diet and exercise.
Assist patient in selecting a date to initiate change and suggest ideas for making change less uncomfortable.
Action: Characterizations, Case Study, Nurse Intervention
individual has made specific modifications of lifestle within last the 6 months.
Nurse facilitates target date for behavioral change and offers support for the behavioral change.
Provide support and intensive follow-up. Telephone follow-up may be advantageous.
Maintenance: Characterizations, Case Study, Nurse Intervention
Individuals is working to prevent relapse but may not apply change process as often as people do in action stage. This individual is less tempted and more confident. This stage lasts from 6 months to 5 years.
The heath care team and spouse will play an important role by continuing support for patient once he or she reaches this stage.
Maintain continuous support and positive feedback. Remember, this individual maystill experience a lapse. Support groups can provide support to both patients and familles.
