Motivational Interviewing The Nurse’s Role In Helping Motivation For Change In Client With Alcohol Dependence

2914 words - 12 pages

This work will discuss about motivational interviewing (MI) the nurse’s role in helping motivation for change in client with alcohol dependence. For clarity purpose, key terms like MI and alcohol dependence shall be defined. The evidence of effectiveness of MI as a psychosocial intervention for alcohol dependence and policies underpinning the use as well as the strengths and weaknesses and ethical issues. This work will evaluate nurse’s role in providing care and treatment including health education and promotion by helping patients/client’s motivation for change. Through reflection on practise, the writer’s clinical placement practise experiences of working with alcohol ...view middle of the document...

In recent times, alcohol dependence represents an enduring problem for the individual and the wider society. (Martin, 2004).
According to Gibbins and Kipping (2006), there is general acceptance that thirty to fifty percent of people with severe mental illness also have problems with substance misuse. Research indicates that one of the common substances misused by those with severe mental illness is alcohol (Department of Health, 2002). According to Barnett et al (2007a), there is a close relationship between alcohol problems and mental health. People with mental health problems are at raised risk of alcohol problems and vice versa. Mental health problems may be a cause of problem drinking; Problem drinking may be a cause of mental ill-health problems.

Conditions in which people may try to use alcohol to cope with include: Depression and suicidal feelings, Anxiety, Obsessive-compulsive disorders, and Schizophrenia (Barnett et al (2007b). Specific physical problems associated with alcohol dependence include insomnia, sexual problems and memory loss. Withdrawal symptoms can be severe, resulting in shaking, sweating, diarrhoea, rapid heartbeat and occasionally seizures. These symptoms are often known as delirium tremens, or DTs, and can be life threatening unless medical help is found urgently. There are also social effects of alcohol dependence, like domestic violence, crime personal relationship problems which can cause problems at work and other long-term effects such as job loss, financial difficulties (Seitz & Homann, 2001).

The Alcohol harm reduction strategy for England (2004) and Choosing Health (2004) White Paper among others draws together a range of government interventions to prevent, minimise and manage alcohol-related harm. Preventing alcohol-related harm requires the accurate identification of individuals who depend on alcohol and the implementation of evidence-based interventions to reduce alcohol consumption or maintain abstinence (BMA, 2009).

Motivational interviewing (MI) is defined by Rollnick and Miller (2002b) as a directive which is client-centred counselling style that is use to elicit behavioural change by helping clients to explore and resolve ambivalence. The concept of MI originated from clinical observations about the treatment of problem drinkers (Miller, 1983). MI as a non pharmacological therapeutic approach works towards changing addictive behaviours and has been used successfully in the treatment of alcohol dependence. (Vasiliaki et al, 2006). The strategies of MI are more persuasive than coercive, more supportive than argumentative, and the overall goal is to increase the client's intrinsic motivation so that change arises from within rather than being imposed from without (Rollnick & Miller, 2002c).

The notion that behaviour change involves a process that occurs in increments and that involves specific and varied tasks as described in Diclemente & Prochaska (1985) transtheoretical model of...

Other Essays Like Motivational Interviewing the Nurse’s Role in Helping Motivation for Change in Client with Alcohol Dependence

Alcohol Dependency In Hammersmith Essay

2565 words - 11 pages ) and it is the fourth most densely populated local authority in England and Wales (LBHF, 2004), in LBHF around 40% of new admissions were alcohol dependent assessment. Within this borough, there is a high incidence of alcohol abuse as well as severe mental illness. Adult men with alcohol dependence in Hammersmith are chosen as a client group for several reasons. The Department of Health profile (DH, 2007) has indicated that alcohol dependence is

Finding Motivation For Ministry In The Words Of The Apostle Paul

1669 words - 7 pages have done their job. If our ministry is to be effective, we must truly care about people. We should be heartbroken for the lost. When this happens then our ministry will begin to change lives.Paul's seventh motivation for ministry was his new nature. When Paul was saved, the Holy Spirit came into his heart, the same Holy Spirit who created the heavens and the earth. With this power living inside of him, Paul had no choice but to share Jesus with

Supreme Court + Constitution; For This Paper I Had To Discuss The Problems With The Supreme Court Today And It's Role In Interpreting The Constitution

681 words - 3 pages Today there are many issues surrounding the Supreme Court. In fact, the Supreme Court has been the center of controversy since the signing of the constitution. The justices of the Supreme Court have carved out for themselves the role of serving as final arbiters of the constitution. The Supreme Court is truly, "the highest in the land." For this reason the decisions of the court establish precedents that bind all the courts underneath it

The Change In Cosi

750 words - 3 pages Change, a word that can mean many different things and is used in sentences loosely without us looking at the word as an individual and analyzing it. There are several words for change such as transition, modification, alter, adapt, vary but we tend to use change more often. In english the word change means "make or become different, go from one to another" which is stated in the Australian Oxford Dictionary which was probably written by some

Assess the Role of Law in Initiating and Responding to Change

1053 words - 5 pages Using two examples from the Australian media (within the last two years) assess the role of law in initiating and responding to change. The law is a set of constitutional rules that govern how citizens live, in conjunction the law is written considering the trends and issues that are present in Australian society. The media is a central tool in exposing and informing issues to the general public, this creates awareness thus; pressure. The

Motivational Theory in Practice at Tesco

2550 words - 11 pages Motivational theory in practice at Tesco Curriculum Topics • Motivation • Taylor’s theory • Mayo effect • Maslow and Herzberg Introduction Tesco began in 1919 with one man, Jack Cohen, a market stallholder selling groceries in London. TESCO was formed out of a merger with T.E. Stockwell from whom he purchased tea for sale on the stall. The first store opened in 1929. Since then, Tesco has expanded across the world. It now has over 2,200

Human Motivation in the Work Organization

4328 words - 18 pages managers by two important of considerations of production and people, which in turn are based on the three factors motivation, participative management, and competence. Good managers are interpersonal driven mainly by the need for self-actualization, and are deeply interested in both people and production. They are both high-task and high-relationship oriented. Average managers are concerned with ego status, and are high-task, low-relationship

Alcohol Consumption in College

2795 words - 12 pages alcohol concentration (BAC) laws, Administrative license revocation laws, Policies that increase the price of alcohol and prevent increases in outlet density (the number of bars, liquor stores and restaurants serving alcohol around campuses), Parental notification, Mandated brief motivational trainings for students who violate alcohol policy, Resident assistant training, Working with other campuses for policy change at the state level, and Develop

Motivation Problems in the Work Place

1481 words - 6 pages to get to her current position. The Intervention for Change To intervene and change the motivation of the employees, the VP will have to have a need for socialized power. This is associated with an effective leader. His power can be directed in a positive way that will benefit the employees and the organization rather than only contributing to his own status and gain. He should use his power to build bridges and not walls. He should not use

Alcohol Consumption in Russia

777 words - 4 pages Alcohol Consumption within Russia Many nations around the world are renowned for their associations with particular alcoholic beverages. France, for example, is well known for its phenomenal wine, Germany for its abundance of high quality beers and Ireland for its specific perfection in regards to Guinness. Few nations, however, are as easily associated with a product as Russia is with Vodka. As a major factor in the country’s economy

Motivation in Organizations

2000 words - 8 pages 'ivory tower' they must be motivated or driven to it, either by themselves or through external stimulus. Are they born with the self-motivation or drive? Yes and no. If no, they can be motivated, for motivation is a skill which can and must be learnt. This is essential for any business to survive and succeed. Performance is considered to be a function of ability and motivation, thus: • Job performance =f(ability)(motivation) Ability in turn

Related Papers

Role In Organizational Change Essay

595 words - 3 pages Role in Organizational Change Anthony Borge (A00504187) Walden University Introduction Certain attributes held in navigating change can allow for a smoother transition and a better outlook for the organization. Most people do the same old thing but in superficially tweaked ways and will fall short of effective transformational learning when faced with change (Coutu, 2002). The ability to channel the skills and

Motivation In The Making Essay

704 words - 3 pages scenario one, Caitlin’s lack of motivation seems to stem from the divorce of her parents, in addition to moving to a new area with her mother, which resulted in attending a new school. The lack of motivation to be engaged in the classroom is certainly understood, however, the potential to become motivated can be accomplished through understanding, compassion, and being educated on motivational approaches by Daran Brown. Abraham Maslow’s “Theory of

Issues And Ethics In The "Helping" Professions

2338 words - 10 pages . References Corey, G, Corey, M, & Callanan, P. (2010). Issues and ethics in the helping professions (8th ed.). Belmont, CA: Brooks/Cole Pub Co. Kim, B. S. K., Ng, G. S., & Ahn, A. J. (2005). Effects of client expectation for counseling success, client-counselor worldview match, and client adherence to asian and european american cultural values on counseling process with asian americans. Journal of Counseling Psychology, 52, 67-76. Schank, J. A., & Skovholt, T. M. (1997). Dual-relationship dilemmas of rural and small-community psychologists. Professional Psyhcology: Research and Practice, 28, 44-49.

3.1 Discuss The Impact That Different Leadership Styles May Have On Motivation In Organizations In Periods Of Change

2257 words - 10 pages with out being in the same place, also they use mobile phones to communicate when they are unavailable or outside the office. However, Tesco use computers for the reason that it allows team members to communicate more effectively and carry out their different tasks. IT is the key role of Tesco, which helps them to deliver strong profits, and their improved scanners; checkout cameras were helping it reduce queues and better self service tills