Behavior Change Assignment- Nursing

Behavior Change Assignment- Nursing

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Sample Paper

The client I chose to examine and conduct my counselling to be; is my cousin Kautham
Sriravisankar. The behaviour he decided he wanted to change was his recent overuse of nicotine
in disposable and reusable vapour products. I began the session trying to reveal the underlying
reasons to his premature addiction towards nicotine, through this I was able to discover that he
has been smoking vapour products for almost a year. Asking questions like, “How did you begin
smoking vapour products?” and “And what was the reason you continued smoking vapour
products?”. I was able to learn his sudden addiction towards nicotine came from his friends.
Throughout his 3rd year, many of his roommates and their friends were on the “new wave” by
smoking and inhaling nicotine products to give them to the so called sensation known as “head
rush”. He stated that curiosity grew into a once in a while behaviour, which soon led to him
purchasing his own device thus furthering his addiction. Throughout the interview I tried asking
questions that gave me answers to his behaviour and further tried to understand his reasoning for
further feeding his addiction. But what I was not trying to do was belittle him, or force him into
decisions he needs to make nor did I tell him what to do. I tried to open his own understanding of
his actions and through that I realized that his addiction grew because of how the nicotine made
him feel. He had discovered that the use of nicotine suppressed his appetite when he used to stay
up long hours studying for tests and exams. “Nicotine reduces body weight by raising the resting
metabolic rate while blunting the expected increase in food intake in response to the increase in
metabolic rate (Audrain-McGovern, J., & Benowitz, N. (2011, July))”. While interviewing him I
asked him a question that made me understand how he felt about this addiction. “Kautham,
agreeing that you have a mild addiction to nicotine, where do you want to move on from there?”
Whilst proposing this question I wanted to know his current stage of change, and from his
response I was able to learn that he was in the contemplation stage. Not only does this make his
life easier, but it also makes his process in changing this behaviour a lot easier for himself. It
was clear that Kautham was ready for change, but hesitant on If he could overcome the need for
the stimulant nicotine provides. Understanding that this was a process and not race to the end, I
wanted to see how he wanted to move forward with this situation. Many of the barriers we
outlined were the idea of smoking. We discussed how we can stray the human mind from
smoking without having to feed his temptation to smoke. I asked him, “Have you tried using
physical activity or any other methods to distract you from your withdrawals?” With this I was
able to open his ideas on the different paths he can take instead of actually smoking. Many of the
physical activities we came up with as a diversion method were walking as soon as the craving
hits, deep breathing and meditation techniques to help control our mind when having sudden
cravings or urges to smoke. “Studies show that even short period of physical activity, especially
aerobic exercise, reduce the urge to smoke. Aerobic exercise is physical activity that makes you
sweat, causes you to breathe harder, and gets your heart beating faster (Fight Cravings with
Exercise. )” My goal through this process was to open and guide Kautham through exploration.
Instead of telling him what to do, it was fit to let him decide how he could control his cravings
and letting him understand the different options available to subside his temptation to smoke.
Another barrier we built was the environment he was surrounded in. Since most of his friends
also vape, it was obvious that this was not only an individual determinant, but also a social one too. Kautham decided that until he knows he can control his urge to smoke, he would not meet
up with his friends to hangout because they pose a threat to his change. Although they might not
force him into smoking, just them doing it alone may encourage him into smoking. Another goal
he set himself was the use of disposable vapes. Instead of having access to a device which can be
constantly used, the use of a disposable not only ensures a minimum use, but over time with the
other methods he can slowly stop the cravings and the urge for nicotine. Using the TT Model we
were able to establish his original position in his path of changing, but our goal near the end of
the session was to promote his self-belief and set his mind into the preparation stage. Through
the various goals and barriers discussed, it was evident that Kautham was not only strong in his
belief of change but ready for change in his behaviour. A key factor in this counselling session
was the Social cognitive theory. Throughout the session it was clear Kautham observed how his
own behaviour was influenced by external factors and the environment he was in, but it was key
to use that own theory in building his change. He realized that he needed to surround himself
with people and activities that can lure his mind away from his behaviour which evidently paid
off. I can say that at the end of the 30 minutes Kautham and I were able to identify key
influences that promoted his behaviour and turned them into factors that can change it too.
Hopefully near the future, Kautham will move from the preparation stage to the action stage and
continue to engage in a healthy lifestyle.

 

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