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Jackman, (2012) argues that there are several health complications presently. According to him, motivational interviewing is one of the significant methodologies in engaging patients. Particularly, this relates to the patients suffering from chronic conditions. Most of these health conditions are associated with lifestyle and behavioural practices. Jackman, (2012), defines it as an interviewing methodology that is client-oriented. It is directive and applicable in the stimulation of intrinsic urge within targeted individuals. The aim is to assist them accept change (Jackman, 2012). There are other distinct features and elements associated with motivational interviewing processes. For example, the process is characterized by an element of empathy. This helps to steer the process of supportive counselling and character guidance. The terminal objective is to enhance transformational shift from risky health behaviours to more positive and healthy lifestyles. Jackman, (2012), observes that much caution must be taken during the process of motivational interviewing. For instance, the various health professionals must take precaution to evade arguments and other altercations. Analytically, such actions have detrimental impacts in the attainment of basic goals of the interviewing process (Jackman, 2012). Some empirical investigations indicate that these actions lead to an increase in the level of an individual’s defensiveness. Consecutively, patients or clients interviewed under such conditions are likely to get demoralized. Resistance is also associated with such negative interactive intercourse conditions.
According to Westlake & Glynn, (2012), motivational interviewing is associated with the development of positive results and attributes amongst patients. It is an effective methodology to engage persons suffering from con-occurring health complications. Moreover, the approach also has constructive contributions to the development of effective therapeutic associations. The process is also important in the development of an individual’s self-reflection. Through this process, patients are able to determine their individualized objectives. Forrester, Westlake & Glynn (2012), outline the critical steps in the process of motivational interviewing. Foremost, the interviewer must initially engage in the assessment of the patient’s perception. This relates to their perceptions of the specific challenge in context. Secondly, the patient’s comprehension of the specific health condition must be properly explored in the process. It is vital to note that motivational interviewing processes might not necessarily transpire during one sitting or moment (Westlake & Glynn, 2012). Therefore, all parties involved must be involved in the development of attendance schedules. Nonetheless, the moderator of the motivational interview must ensure that the client or patient attends all the counselling sessions. Monitoring the pattern of attendance is a potential indicator on the level of interest of the client in the process.
As indicated by Hunt, (2011), the process also indicates the level of efficiency of the processes of interview applied during the intervention. The clinicians are urged to expand their client’s views for the potential of a complete transformation. Investigations indicate vital lessons about motivational interviewing (Hunt, 2011). Particularly, the process seems more productive when combined with other initiatives. There is increased enrollment in therapeutic processes and constructive treatment outcomes. However, these positive results are only attainable when critical considerations are observed in the process of motivational interviewing (Hunt, 2011). From these observations, it is important to note that there are different indications about motivational interviewing. It is crucial to examine these different indications in order to develop effective motivational interviewing processes. The basic focus is its capacity to stir behavior change amongst targeted persons. The methodology helps in the examination and resolution of ambivalence within a specific category of persons. It is vital to recognize the significance of motivational interviewing. Specifically, this relates to the positive elements notable within different categories of patients (Hunt, 2011). There is a high level of application of motivational interviewing. The developments in disease trends and the modes of acquisition play a significant role in the application of motivational interviewing.
Wolber & Ward, (2010), indicates that motivational interviewing applies a very distinct approach in the indirect management of different conditions. There are fundamental requirements to be met by individual motivational interviewers. For instance, the motivational interviewers must have adequate and appropriate knowledge in the field of interview. This observation is critical in enhancing the level of confidence in the persons or patients interviewed (Wolber & Ward, 2010). The process must begin by appropriate rapport created between the people engaged in the interview. This creates a critical environment for information and knowledge sharing. The process occurs in phases. These phases aim to assist the patient to accept and gradually appreciate the importance of lifestyle transformation (Wolber & Ward, 2010). Different professionals presently apply the technique. Some of these include clinicians, supervisors and other project leaders. The observation is evident within highly performing organizations or business companies. Those clients suffering from chronic conditions associated with dug and substance abuse are mostly indulged in motivational interviewing (Wolber & Ward, 2010). Most authors indicate that the process occurs in a collaborative manner. This means that the people involved must engage in a positive interactive intercourse.
Scripted Conversation
Nurse: Welcome to the support centre. In this centre, we receive patients from different backgrounds and cultures. However, know that we are ready to engage with you in an interactive intercourse. This is aimed at assisting you to identify and adopt positive and healthy behaviours in your daily life.
Client: Thanks very much for the noble introduction and explanation of the motive of our intended conversation. I am ready and willing to participate in this counselling process.
Nurse: Now, “Chronic Obstructive Pulmonary Disease,” (COPD) is a very common long-term condition that affects various personalities within the population. I know you have undergone several tribulations due to your health condition. However, I would like to inform you that the condition is manageable. Nevertheless, there are critical observations that a patient like you must consider in order to attain the effective management of this condition. Some of these considerations are important and I will only be able to provide further details following your informed consent.
Client: Once more, I want you to know that I am open to any suggestion and discussion that might help me. I am grateful for your sense of empathy and concern. Consequently, am readily willing to participate and provide for you any vital information that you may require about my health condition.
Nurse: Perhaps, it would be very appropriate for us to examine the COPD condition. This complication is one of the prevalent conditions affecting the human lungs. Ideally, the complication makes the breathing process to be very difficult. It is noteworthy that there exist two basic forms of the condition. Chronic bronchitis is one form that entails coughs that emit mucus. This is notable within long-term periods. On the other hand, another COPD condition is the emphysema. This entails the extensive annihilation of the human lung. Observably, the destruction process occurs within a long period. However, these two conditions occur in synergy with most individuals. This culminates our discussion about the general characteristics or nature of the COPD.
Client: That is very interesting to me. Therefore, I can realize the level of danger that I face by harbouring this condition. Indeed, it is true that I have encountered severe breathing complications. So could you kindly highlight for me some of the risk factors or causes of this condition?
Nurse: Well, I want you to note that most of the risk factors are associated with the general lifestyle of an individual. For example, smoking is a lead causative factor in the development of this critical condition. The susceptibility to this lung condition increases with the rate or level of smoking amongst users. So at this point, you might be able to know the reason behind the development of this condition in your body. Do you smoke?
Client: Yes, it is true that I smoke. I have practiced this behavior for a considerable time. Actually, I began this habit during my days in high school. I believe it is the main cause of my illness. However, I am already an addict and cannot recuperate from this condition even if I stopped smoking now.
Nurse: You must now appreciate the importance of behavior transformation. However, the decision depends upon you. The recognition and practice of positive or healthy lifestyle will help you to recover from this condition. In this perspective, you are bound to reduce and avoid further smoking. This is because smoking is a major causative factor in the development of COPD. Behavior change is an effective systematic individual initiative. If you agree to stop smoking, I may also assist you in the process. However, you must realize that the decision solely lies with you. It is a positive behavior towards safer health. At this point, do you still have any comments?
Client: Thanks for this noble enlightenment. Indeed, I now appreciate the significance of behavior change in the development of healthy life. Consequently, I acknowledge the fact that I bear solitary obligation for my personal health. Therefore, you should note that I am ready to change and transform my lifestyle in order to be healthy. Kindly assist me in this process so that I may be able to counteract this powerful addiction.
Nurse: I can see you are at the acceptance stage of change. You should note that change in one’s lifestyle does not involve just a mere will. However, a person must be ready to endure all the occurrences initiating the transformation process. You must now accept to substitute the smoking behavior with another positive and constructive activity. Other strategies that might be applicable in the change process include your enrollment into community support groups and joining group therapy sessions. At a personal level, you must learn to develop resistance and an in-built resiliency. This helps to counteract the internal urge or drive for smoking. However, you must now attend the next session so that we begin initiating the lifestyle transformation process. Otherwise I am grateful for your cooperation and acceptance to change. Thanks.
References
Forrester, D., Westlake, D. & Glynn, G. (2012). Parental resistance and social worker skills: towards a theory of motivational social work. Child & Family Social Work, 17 (2), 118–129.
Hunt, J. (2011). Motivational interviewing and people with diabetes. Eur. Diab. Nursing, 8(2), 68–73b.
Jackman, K. (2012). Motivational Interviewing with Adolescents: An Advanced Practice Nursing Intervention for Psychiatric Settings, Journal of Child and Adolescent Psychiatric Nursing, 25 (1), 4–8.
Wolber, T. & Ward, D. (2010). Implementation of a diabetes nurse case management program in a primary care clinic: a process evaluation. Journal of Nursing and Healthcare of Chronic Illness, 2 (2), 122–134.
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