NUR1 220 Lecture Notes - Health Promotion
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Since there has been a shift in the causes of diseases, more focus is
now placed on preventative measures while also helping individuals
live healthy lives – in their habits and in their attitudes.
- Just telling patients what to do will not do anything. What we
have to change is or methods and strategies to try to encourage
patients to collaborate in their care.
- Try to move away from authoritarian model
- By having the patients make decisions and feel like they own
their health – they are more likely to maintain the appropriate
Some people feel that they are so habituated to certain aspects of their
lives that they can’t change – that trying would lead to inevitable
failure anyway, so there is no point.
- They are uncomfortable with the idea of putting themselves
through that experience
KEEP in MIND that all interventions
mentioned in the article keep
COLLABORATIVE approach (not
What It Takes to Make Meaningful, Lasting Changes
- acknowledge the need for change
o If the clients had internal reasons as opposed to
external reasons to change, the more likely they are to
succeed to achieve their goals (and proceed to continue
Eg of internal reason – feeling ownership.
Eg of external reason – being told that they
would have a healthier life if they follow
- feel that there is more to gain than to lose if they take steps
into making the change
- lack of self-esteem: may lead some ppl to self-destructive
o Try to boost up their self-worth
o Again, they should feel ownership
- Realistic goals and workable plans
o Increase the chances of the clients to succeed.
o It should be tailored to the resources available to them
and their life demands
o They should not be set up for failure
- Positive Reinforcements (rewards)
o Makes changing behaviour easier
o Internal rewards: self-satisfaction by reaching goal
This should be encouraged
o External rewards: money/gift
o Social support
- Strategy for timely monitoring their progress and for
making needed changes in their plan
o Constructive feedback
o These help address certain aspects of their plans that
may hinder the patient from achieving their goal.
o (By doing these, it will allow the patient to see the work
and effort being put into the plan to help them succeed.
They also see the care given to them because the plan is
tailored to their current situation/status)
- Mechanism for Follow-up:
o It’s like a reminder.
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