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An error occurred, please try again. Like New: A book that looks new but has been read. Improvements in diet and exercise has been shown to have a majority positive effect. This book has been designed to take the thinking out of the equation. It provides a complete, illustrated, step-by-step solution. It offers a route out of the confines of depression back to a more normal fulfilling life.
Change country: -Select- United States There are 1 items available. Special financing available Select PayPal Credit at checkout to have the option to pay over time. These techniques have proven effective to motivate healthy behavior change in patients. When initiating fitness conversations with patients, the first objective is to assess their current levels of activity, healthy eating and emotional well-being and their readiness to change. Study results indicated that addressing each domain separately is more manageable and less overwhelming to patients.
An assessment like the one shown below can be helpful. The next step is to help patients set small, reasonable goals. To address the first domain of fitness, physical activity, goals do not need to involve joining a rigorous exercise program at an expensive gym or developing an athletic, muscle-bulging body or a model's figure.
Rarely does lecturing patients on the importance of engaging in 30 to 60 minutes of uninterrupted physical activity every day result in long-term health behavior change. If the patient is leading a sedentary lifestyle, taking one flight of stairs instead of the elevator, parking the car at the far end of the lot to increase steps, or walking the dog briskly can all be part of increasing physical activity.
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The idea is to build confidence and capacity, while avoiding injury or a sense of failure. Patients should feel positive about the goals they have selected.
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Ask them how confident they are in their ability to complete each goal. If their confidence is high, write the goal on a fitness prescription for the patient to take home, and note it in the patient's record so you can ask about it at future visits.
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If their confidence is low, work with them to select a more doable goal. Patients also need to understand the thought processes associated with their eating habits, and many will need to restore their physiological identification of hunger and learn to respond appropriately to it. In the AIM-HI program, patients were encouraged to think about why they were eating and to eat only when they were hungry. This non-diet approach allows patients to let go of rigid diet rules or strict weight-reduction diets that seldom work in the long run.
Emotional well-being is the third fitness domain. Because physical activity and healthy eating are often tied to patients' emotional health, addressing this domain can often jump-start their motivation to tackle the others. Some family physicians may feel uncomfortable questioning patients about their emotional well-being. However, failure to do so could be a missed opportunity to inspire healthy behavior changes. Ask patients if they are feeling sadness, stress or anxiety, and help them understand possible causes, such as a broken relationship, too many activities or even a lack of sleep.
Share strategies for coping, such as learning to express feelings in appropriate ways, talking to a close friend, counselor or religious adviser, using relaxation methods and taking time for self-care. Another way to address emotional well-being is through a food and activity journal in which patients record what they eat each day and how they feel.
This can help patients understand how their emotions play a part in what they eat, and it can teach them not to reach for food in order to deal with stress or other emotions. Patients should also be encouraged to set small, achievable goals related to their emotional well-being, such as spending five minutes each morning in prayer or meditation or having lunch with a friend once a week.
A fitness inventory. A fitness prescription. This form is used to record one or more simple, measurable fitness goals that the patient and physician have agreed upon. The patient then takes this form home as a reminder of what was discussed. The form also lists follow-up dates. A food and activity journal. Patients can use this template to record what they ate, how they felt and what they did to be active for one week. Follow up. Most people change their behavior gradually.
They may move forward and backward through the four stages of change — pre-contemplation, contemplation, preparation and action — before moving on to the maintenance stage, where the goal is to minimize relapse. The plan should address how and when you will evaluate the patient's progress or renegotiate goals.
In some cases, a face-to-face visit will be required. In other cases, follow-up can occur by phone or e-mail with a nurse, dietitian or health educator. Follow-up should occur within three weeks in most cases. The plan should also list resources in your community that can assist your patient, such as physical activity centers, walking groups, psychologists and health educators.
In the same way, small, incremental changes are the best approach for your practice as it transitions into a fitness culture.
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