Monday, November 17, 2008

bad habbits

Whist on my rural placement I was treating a patient who had pneumonia. He had a 60 yr history of smoking and refused to quit while in hospital. Every day when I went to see him it would be a struggle to get him to complete any exercises and when he did he was quite negative towards the exercises and report that he just wanted to go home. I begun to develop an unenthusiastic mind set towards the patient and I found I would regularly tell him that he should consider quitting smoking and I was less motivational with my response towards treatment. I realised what was happening to y behaviour and decided to change my outlook towards the patient in a manner that I was required to educate him.

Everything I completed with him I educated him on the benefits of how he was going to return home sooner if he completed the exercises. In addition, I educated him on the negative effect s of smoking and the positive effects of quitting. We discussed options to help him quit and he begun to have a more positive approach towards quitting.
When the patient was D/C he still had not decided to quit smoking but was more aware of the options that are available to him.

I HAVE LEARNT THAT SOME HABITS ARE HARD TO BREAK AND EVEN IF THEY ARE HABITS THAT YOU CANNOT STAND, AS A PROFESSIONAL THE BEST YOU CAN DO IS EDUCATE THE PATIENT ON THE POSITIVES OF CEASING THAT HABBIT. IF I HAD ANOTHER PATIENT WHO WAS A LONG TERM SMOKER AND WAS NOT KEEN TO QUIT, I WILL ENSURE THAT I USE MY KNOWLEDGE TO GIVE THE CORRECT ADVICE, SUPPORT AND EDUCATION TO QUIT RATHER THAN DEVELOPING NEGATIVE BEHAVIOURS.

1 comment:

Bec said...

I think as a new physio we dont have the expertise to really assist soeone to quit. They would be benefit ore from attending a specific quit group with a trained health professional in the area.