Mr. Ppb, An Overweight Who Was Diagnosed With Type 1...

Hello classmates, Let me begin the story by introducing Mr. PPB, an overweight male who was diagnosed with Type 1 diabetes mellitus [DM] approximately 10 years ago. Along with having DM, he has hypertension. Mr. PPB takes about five pills per day, manages blood glucose monitoring and keeps track of his blood pressure. He does not miss any of his medical appointments, always up to date with checking his regular HbA1c level. In short, Mr. PPB is a quintessential example of a compliant patient. However, the only problems with Mr. PPB- are the lack of activity as well as poor managing of food intake. According to Bully, Sanchez, Zabaleta, Pombo and Grandes (2015), lifestyle factors have the most impact on health and receive the least†¦show more content†¦PPB. I decided this model is the most applicable and relatable to Mr. PPB’s two main obstacles, which are inactivity and unhealthy food choices. Ruggiero (2000) declared that TTM is being used in application of diabetic care since 1993.In addition, it is based on a premise that people are at different stages of motivational readiness for engaging in health behaviors and intervention approaches are most useful when they are matched to a person s current stage of change. It was also mentioned that a linear process is not expected as people may move forward and backward multiple times before changing for good. As Marshall and Biddle (2001) further emphasized that TTM is a dynamic rather than an â€Å" all or nothing† phenomenon where evidence implied that individuals attempting to change their physical activity behavior move through a series of stages. The different five stages of TTM are: Precontemplation phase where Mr. PPB may not be considering change, and reluctant to listen to health education on healthier food options and increasing activity. On the other hand, being a good patient, he still manages his blood glucose by self-monitoring. Second, contemplation as Mr. PPB is considering change to initiate walking around the neighborhood to increase physical activity. Third, preparation stage as Mr. PPB has tried to make adjustment by agreeing to reduce calorie intake: portion control in eating and increasing fruits and vegetables intake