What resources and counseling techniques would you use to teach Mrs. Joaquin about her diet?
What will be an ideal response?
• There are many resources available but the Renal Food Lists developed through the Renal Dietitians dietetic practice group and the National Renal Diet are appropriate for her.
• She has previously been taught using the ADA exchanges.
• The renal food lists are similar and will be easy for her to understand.
• Strategies from Motivational Interviewing (MI), the Transtheoretical Theory (stages of change), and the Health Belief Model would be essential for Mrs. Joaquin. This is because she lacks concern/dedication/interest in regards to behavior/lifestyle/dietary change.
- MI - allowing Mrs. Joaquin to direct the counseling session and providing her with authority to make decisions should improve her "buy-in" or adherence to nutrition therapy
- Stages of Change - acknowledging that she is in the pre-contemplation stage will allow you to encourage her re-evaluation of her behavior and consider the risks
- Health Belief Model- explaining to Mrs. Joaquin the risks of noncompliance with her nutrition therapy may sway her into considering it important; helping guide her through ways to incorporate her renal/diabetic diet may pave the way for her (reduce her perception of barriers/improve self-efficacy)
• Providing Mrs. Joaquin with skills of self-monitoring and problem solving may help with T2DM and renal diet due to extreme difficulty to comply with.
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