Management Stages of Change: How Thesis

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Although they think about the negative aspects of their bad habit and the positives associated with giving it up (or reducing), they may doubt that the long-term benefits associated with quitting will outweigh the short-term costs" (Kern 2008). The man may justify not taking drugs by saying: "what if they don't work? I will have to put up with side effects, and may still die only I will be more miserable during my final days."

Researching is part of the critical preparation stage -- the man needs to learn how medications can be very effective for many people. He can talk other HIV patients who have established effective practices of self-care. In terms of fostering the client's preparation and determination to change, connecting him with community resources that support HIV-positive patients will provide him with social affirmation for taking his medications. This is a vital part of nudging him into the next stage of action. An active lifestyle change will be evidenced by the man's willingness to follow up with contacting appropriate social services, attending support meetings, going to doctor's appointments, and above all taking his prescribed medication.

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Maintaining a healthy life style and keeping connected to such social support systems are critical parts of the maintenance phase of change.

In the stages of change model, relapse is an accepted part of life: "Relapsing is like falling off a horse -- the best thing you can do is get right back on again…it is important that you do not fall back to the precontemplation or contemplation stages. Rather, restart the process again at preparation, action or even the maintenance stages" (Kern 2008). Given that too many relapses compromise the effectiveness of the man's medication, refusing to adhere to a treatment regime could be deadly -- although no caseworker can entirely prevent relapses on the part of the patient, the caseworker can and should make clear the consequences of failing adhering to a strict treatment plan.

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