Health Promotion Reflection Using Gibbs Model

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Health Promotion Reflection
In this reflection I will be using Gibbs Model of Reflection (Jasper M, 2003). I will be talking about a patient who was advised to give up smoking, as part of promoting health to the patient but not directly linked to their illness and treatment.

What Happened.
I had a patient come into the ward who had had surgery, but this patient was overweight and a smoker which always effects the procedure and recovery. During the nights they had to sleep with a machine to help him breath but during the days he would still manage to get outside for a smoke while he was in recovery.

Feelings.
Obviously this was a bad thing that was happening to this patient as smoking can slow down recovery because it effects how
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As this is important because to change, the patient has to want to change (Cocoran N, 2007). The model from Prochaska and diclemente (1984) illustrates this point very well with their trans theoretical model of change.
We tried to explain how smoking could effect this patient’s ability to heal and also problems caused to their breathing during the night. I understood why the nurse was suggesting this and that I should be promoting health also but if the patient needed to smoke for that short term fix, then why shouldn’t they be able
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The nurse said that I wasn’t understanding health promotion properly. She explained that if the patient chooses to smoke whilst in hospital it is up to them, but that she was concerned with the long term effects of smoking, so the nurse was thinking about him even when he would be discharged from our ward. I understood what the nurse was doing now and saw logic behind what she was saying the patient and explaining to myself.
My understanding as to why smoking effects the bodies healing ability is due to a number of reasons. Smoking destroys the cilia in the throat which helps us fight infections and rids us of bacteria and micro-organisms (Layman 2004). Also when people smoke they intake carbon monoxide and other substances that obstruct and kill alveoli which passes oxygen into the blood (Norris and Siegfied 2012) and for tissue to heal it needs a good blood supply that is richly saturated with oxygen (Chambers and Leaper, 2011). We tried to explain this to the patient in a simple way so that there was not any medical

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