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Health Belief Model

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Submitted By Jaki1995
Words 426
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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.

Using the health belief model the nurse has to determine the patients understanding of how changes in his eating habits and activity can affect his recovery status post myocardial infarction
(MI). Follow the health beliefs model of
“individual perceptions or readiness for change.” (Edelman, Mandel, P. 248,
2010) The nurse would develop a plan around the information obtained regarding patient’s previous behaviors and the necessary changes needed to recover post MI. The plan would include multiple small changes that would equal a healthier lifestyle. The most appropriate plan would be negotiated between the patient and the nurse. The small changes won’t be as overwhelming to the patient as a huge instant change would be and would be easier for patient to comply with. An example would be teaching the patient to not fry foods in butter, try broiling or baking instead. Don’t add salt when cooking instead use a salt substitute. Explain the effects of butter and salt on the damage heart and provide a list of alternatives that could be used. Slowly increase activity. Participate in cardiac rehab and follow their recommendations for activity increase.

Nursing Diagnosis for status post myocardial infarction patient:

Activity intolerance related to imbalance of oxygen supply and demand as evidence by fatigue and weakness.

Nursing Intervention: patient to participate in cardiac rehab, alternate activity with periods of rest. Patient to increase activity

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