For the purpose of the assignment the contents will discuss Prochaska and DiClemente’s Stages of Change Model in conjunction with empowerment and self-efficacy. To support the assignment a case study will be used to aid the application of the theories and models when applied to nursing practice.
The case study used in this assignment is 50 year old woman, Alison Stevenson, a single, unemployed mother of three young children who lives in East Belfast. Alison has been smoking for 30 years and a year ago was diagnosed with bilateral lung carcinoma. Currently she has been admitted to hospital with Chronic Obstructive Pulmonary Disease (COPD). Smoking not only affects you physically but it affects those around you in the form of passive smoking caused by side stream smoke. Alison wants to prolong her life for as long as possible, for the sake of her two children. Alison will liaise with nurses on the ward and services available to be provided with suitable advice and aids. This is to help her to quit smoking and change her health behaviour.
COPD is the 5th biggest killer in the UK and worldwide. There are an estimated 3 million people with COPD in the UK (British Lung Foundation, 2011), smoking being the main cause (HSE, 2010). Smoking cessation is the only therapeutic intervention which slows the rate of decline of lung function (Booker, 2007). Cancer research UK indicated that 107,000 people dying in 2007 from smoking-related diseases and around 86% of lung cancer deaths in the UK are caused by tobacco smoking.
Social and psychological aspects in addition to pharmacological addiction can cause smoking to be triggered by a complex combination of behaviours (Croghan et al. 2005). When a chemical is depended on to suppress stress, help deal with mental/emotional conflict or provide enjoyment, is seen to be a person who has psychological dependence