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Assignment: Health Promotion Contracting and Goal Setting

Assignment: Health Promotion Contracting and Goal Setting

 

Health promotion contracting has the sole motive of ensuring that patients find medical guidance on how they could cope with a given health condition. The guidance of a patient who is diagnosed with pre diabetes needs to go through health promotion coaching by the nurse coach to get perspectives of how he could manage the condition and have access to quality medication. The contracting process further entails going through elicit motivation that is intended at changing the behavior of the patient and formulating goals on how he or she could improve his or her health outcomes (Sutton et al., 2018). Weight loss owing to a preexisting medical condition is a basis for motivational interviewing and health promotion contracting that will involve both the nurse coach and the patient.

Patient and Nurse Interview

Nurse: Good Morning John. My name is Maria, a nurse coach. I have been referred to you by Dr. Anderson to speak to you regarding your weight loss owing to the pre-diabetes condition. I affirm that the conversion between the two of us will be confidential, adhere to ethical codes of practice and help you set goals on how you could accomplish your weight loss program.

John: Thank you for your concern, I don’t know whether, I will manage it.

Nurse: That is our purpose of having this conversation. We hope that we will come together with goals that would enable you avoid being diagnosed with type 2 diabetes. Weight loss is one of the ways that you can utilize in managing the situation.

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John: What should I do to manage the situation?

Nurse: Change in lifestyle is ideal. First, not getting adequate sleep, going to bed late and not taking a balanced diet could lead to

Assignment Health Promotion Contracting and Goal Setting

Assignment Health Promotion Contracting and Goal Setting

rapid weight gain amongst those diagnosed with prediabetes. Such would also pose a health risk to such patients, thus, the need to take up weight loss programs and to lead a healthy life.

John: At times my job entails working late night, how then can I balance my diet and the instructions that you issuing regarding the weight loss program.

Nurse: interrupted sleep patterns is one area that you need to look into. After work, there is need to have adequate rest for at least seven hours since you are an adult. However, it would be ideal to talk to your shift manager to enable you work during day shifts and have adequate rest during late evenings.

John: I get that, what else can I do to cut on weight?

Nurse: Weight loss program needs to be systemic and should not entail taking drastic steps that could have deleterious impacts on your health. Having regular physical exercises is ideal on checking your Body Mass Index. Additionally, there is need to check on your diet, having a meal that has carbohydrates, proteins, healthy fats and vegetables are essential in reducing your weight. However, your carbs should not exceed two servings per meal as excess carbohydrates in the body could lead to weight gain. Taking a lot of water and avoiding stressful situations would also work for you in accomplishing your objective of weight loss (Janney, et al. 2018).

John: Could I still be diagnosed with type 2 diabetes one I adhere to the weight loss schedule?

Nurse: Weight loss is one of the ways that would minimize your susceptibility to type 2 diabetes. Lifestyle choices such as reducing sugar consumption and avoiding smoking and taking alcohol would eliminate your likelihood of being diagnosed with type 2 diabetes.

 

Assignment reads as follows:
John is a 42-year-old male who was just diagnosed with pre-diabetes. He made an appointment with you, the nurse coach, to discuss weight loss. Utilizing the Motivational Interviewing guidelines and skills discussed in the reading/lecture for this week, in 1-2 pages, write a sample dialogue between the nurse and patient. Include how you would \”contract\” with the patient.

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