COUNSELLING
Carrot – Positive impact from behaviour change
Stick – Negative impact of not changing behaviour
PSYCHOSOCIAL
PMHx
ICE
ACKNOWLEDGE barriers
• I can understand it is difficult to achieve a balanced diet with modern-day
challenges
• You mention the canteen serves unhealthy food - how about considering packed
lunches
• Habits are difficult to change sometimes – small but regular changes that don’t
impact your lifestyle are often easier than big changes that don’t last
RISK
• One of the main reasons we’re talking about changing your diet is to reduce the
risk of you having another heart attack
Give ADVICE
• Could you tell me about your diet?
• White meat instead of red meat
• Grilled instead of fried
• Olive/rapeseed oil instead of butter
• 5 fruits/vegetables a day
• Reduce salt (6g per day) and sugar
SUPPORT system
• Who’s at home with you?
• You mentioned your ____, could your family get involved with this
• Sometimes having family meal time or cooking together could sometimes make
a huge difference
Other SUPPORTS
• Is there another way that you think we can support you here?
• Sometimes talking to other people can help making this changes
• I can refer you to my senior colleague who is a dietician, he may be able to
help you immense in this
• I will later give you some leaflets