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Health Belief Model

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Using the health belief model, how can the nurse encourage a patient, who is status post myocardial infarction, to make immediate and permanent behavior changes in his or her eating habits and activity levels especially when the patient views these changes to be insurmountable? Provide a nursing diagnosis with interventions and outcomes to assess the patient's behavior changes.
The Health Belief Model (HBM) is a psychological model that attempts to explain and predict health behaviors. This is done by focusing on the attitudes and beliefs of individuals. The process of health education directs people toward voluntary changes of their health behaviors. The success of any health activity or goal will depend on the individuals perception of the situation and responsiveness to teaching. The nurse assists each person in a process of self-understanding and self direction, so the individual will experience the desire and motivation to change. Frequently, major life decisions need to be made in the process of learning. If through education and counseling the nurse can elicit logical and clear thinking, then the individuals decision-making abilities and progress in meeting life's needs will be developed further.

Nursing Diagnosis
Anxiety and fear related to new diagnosis - lack of understanding of medical condition and disease process.
Intervention

The patient needs a thorough understanding of her medical condition in order gain her attention on health education. This understanding can be achieved by explaining the heart structure and the changes occurred, using a diagram or a model. This process needs to be repeated until the patient and family voice understanding. Family involvement in all aspects of the care planning is very important since another issue related to MI is self care deficit. Patient needs lots of support and understanding from the family is very...

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