Purpose The aim of this essay is to enable students
Purpose The aim of this essay is to enable students to demonstrate an understanding of and ability to apply the Transtheoretical Model of Change (Stages of Change Model) within an evidence-based framework. In addition to this, students will identify components of Motivational Interviewing and therapeutic communication which could be utilised to assist with enabling a patient to change their health behaviours. Task Details Write a formal academic essay addressing the provided prompts. The essay will require an introduction, body, conclusion and reference list. As part of this assessment, you are required to: Utilise evidence-based literature to support your discussion. For the purposes of this paper, while seminal work (early literature) may be referenced, contemporary literature is a requirement. Use at least twelve (12) credible and relevant references, and most should be research articles (reflecting the higher levels of evidence). Adhere to APA style referencing, and ensure all in-text citations have a corresponding entry in the reference list. Word limit is 1500 words (+/- 10%). Word limit excludes reference list. The reference list includes in text citations. Case Study Jacob is a 35-year-old man who will be undergoing a Right total knee replacement (TKR). This is as a result of being a competitive tennis player throughout his adolescent years and into his early 20’s. Jacob is about to become a first time father and is currently working a high-stress job in finance working long hours (up to 60 hours per week), and winds down by drinking three glasses of wine at least 5 nights per week, He also binge drinks (more than 4 standard drinks) on the weekend. Jacob is a carer for his elderly mother and shares this role with his two younger siblings, Sarah and Erica. He feels obligated to provide support to his sisters and mother. His mother Irma lives alone but requires assistance with attending appointments (she does not drive), and some household activities. Jacobs’s father Geoff died when he was 17 of complications from hepatitis related to prolonged alcohol use. You are a Health care professional working in the pre-surgery intake clinic that Jacob will attend prior to surgery. Jacob has raised concerns with his GP about the long-term consequences of prolonged and increased alcohol use. Jacob tells you, “I’m worried about my health, my work stress and drinking habit. I drink to manage my stress and my GP is encouraging me to reduce my alcohol use. I want to reduce my drinking and be healthier. My wife is having our first child in 3 months. I’m not sure how to start. I have attempted to stop drinking in the past and been able to be alcohol free for around a month. Can you please advise me on what I can do?”. You decide that Jacob is ready to make a change to his behaviour and is therefore in Stage 3, (Preparation stage) of the Transtheoretical Model of Change. You decide you need to build a therapeutic relationship with Jacob using therapeutic communication so that you can implement Motivational Interviewing techniques to assist Jacob in moving into Stage 4 (Action stage). Essay Prompts Your task is to address the following: a) Firstly, identify the life stage in which Jacob is in with regard to his age and life experiences. Consider (with rationale to support your choice) Eriksons stage of development and how this influences Jacob’s current health behaviour (alcohol use). b) Identify the key basic skills of OARS (open ended questions, Affirmations, Reflections, Summarising) and describe how the Health Care Professional (HCP) will use these skills to elicit Jacobs reasons for wanting to change c) Describe the use of one element of the spirit of motivational interviewing the HCP will use to assist and support Jacob through the stages of the transtheoretical model of change (TTM) (with reference to his alcohol use) and to work towards the Maintenance Stage. d) Summarise the new behaviours Jacob is required to engage in to be successful in the Action Stage of the TTM and to achieve improved health outcomes long term and to reach Maintenance. e) Consider Jacobs’s previous life experiences and current situation and describe how resilience will play a role in Jacob’s quest to address his alcohol use successfully. Additional Information To help you complete this task successfully, the following resources are provided: Marking Rubric — refer to this to understand how you will be assessed Checklist: Assessment 2 — follow this checklist carefully to help you complete the task. Cadmus Manual — refer to this for information about academic skills (click the book icon in the bottom right to access the manual) Case Study and Essay Prompts — use the provided Case Study and Essay Prompts to complete your assignment Checklist: Assessment 2 Copy + paste this checklist into the Notes section in Cadmus and tick off items as you complete them. Step 1: Task Understanding Read the Instructions and Task Description carefully. Read the Guide: Rubrics in Cadmus Manual and then your Marking Rubric to understand how you will be assessed. Review the Checklist: Assessment 2 to familiarise yourself with the key principles of writing a formal academic essay responding to provided prompts. Step 2: Understanding the Case Survey, skim and scan the text from the Case Study to find: Topic: What is the topic of the Case Study? Parties: Who are the parties involved in the Case Study? Key issues: What are the issues in the Case Study? Highlight and take notes on your initial findings. Read the Case Study again carefully to make sure you understand the facts, key points, and relevant theories or concepts. Review each of the Essay Prompts carefully. Decide how and in what order you will respond to the prompts. Step 3: Research Conduct research as necessary to gain a deeper understanding of the Case Study and related topics. Read the Library Search Tips guide in Cadmus Manual. Identify academic sources that you can use to support your answers. Use evidenced-based literature to support your discussion. For the purposes of this paper, while seminal work (early literature) may be referenced, contemporary literature is a requirement. Use at least twelve (12) credible and relevant references are required in this essay, and most should be research articles (reflecting the higher levels of evidence). Take detailed notes on key points and arguments made by the authors of the sources you gather, including main arguments, key concepts, and evidence presented. Include citations and references in your notes. Evaluate the credibility and reliability of the sources you gather, considering the author’s expertise, the publication, and the publication date. Analyse the sources you have gathered, looking for patterns, themes and perspectives that will help your discussion. Step 4: Develop Focus Based on your research, consider: How do you intend to give answers to the prompts? What is the main point of your discussion? What reasons do you have to support your discussion? What resources have you found to support/contradict your reasons? Step 5: Plan Essay Create an outline to organise your thoughts and ensure that your essay covers all relevant points. Consider using the following structure to organise your ideas: Introduction Provide background information on the topic. Preview the main points you will address. Body: Make sure to address the following: Firstly, identify the life stage in which Jacob is in with regard to his age and life experiences. Consider (with rationale to support your choice) Eriksons stage of development and how this influences Jacob’s current health behaviour (alcohol use). Identify the key basic skills of OARS (open ended questions, Affirmations, Reflections, Summarising) and describe how the Health Care Professional (HCP) will use these skills to elicit Jacobs reasons for wanting to change Describe the use of one element of the spirit of motivational interviewing the HCP will use to assist and support Jacob through the stages of the transtheoretical model of change (TTM) (with reference to his alcohol use) and to work towards the Maintenance Stage. Summarise the new behaviours Jacob is required to engage in to be successful in the Action Stage of the TTM, achieve improved long-term health outcomes, and reach Maintenance. Consider Jacobs’s previous life experiences and current situation and describe how resilience will play a role in Jacob’s quest to address his alcohol use successfully. . Conclusion: Summarise the main points of your essay. Conclude by restating the significance of your topic. Reference List: include a list of all references that you cited. Step 6: Submit Draft You may Submit your Assessment 2 plan as a draft as a record. Step 7: Write Essay Building on your draft, write your Assessment 2. Things to remember: Clear writing: use short simple sentences and familiar terms. Accurate writing: present accurate and complete information. Critical writing: demonstrate analysis rather than description. TIP: to avoid plagiarism, you must give credit if you use the work of others (see Referencing section in Cadmus Manual) Step 8: Review Read the Marking Rubric again to check that you have met the criteria. Review your Assessment 2 for any errors in grammar, spelling, and punctuation. Check that all citations and references match and that there are no paraphrasing errors. Make any necessary revisions to improve the clarity and coherence of your Assessment 2.
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