|
After looking at baseline data, consider
- Level of motivation & position on cycle of change
- Integrated planning
- Healthy eating dietary advice, preferably written. Encourage an energy deficit of approx 500 kcals/day
- Physical activity programme
- Behavioural counselling. Encourage self monitoring of goals using a food and activity diary
- Local support network ( family, friends)
- Community support network
- Use of commercial enterprises
- Need for pharmacotherapy
- Offer detailed advice regarding risk factors and co-morbidity
Refer if special considerations
|
Special considerations |
Refer to |
|
Diabetes |
Diabetes integrated
care service |
|
CHD |
Check if patient is
under care of cardiac
specialist nurse |
|
Poor mobility |
Refer to physiotherapy
or rheumatology clinics |
|
Lack of exercise |
Give general advice but
also use exercise
referral schemes,
walking for health,
green gym etc |
|
Special dietary
requirements/restrictions |
eg renal disease,
allergies, coeliac
disease. Enlist
specialist dietetic
support |
|
Psychological problems |
Refer for counselling |
|
Mental health problems |
Refer to psychiatric
service |
Review 2
- Preferably within a month
- Review food & activity diary
- Discuss specific difficulties i.e. triggers etc
- Weight, waist circumference, Blood Pressure
- Use of patient held record cards
- Motivation and positive encouragement
- Behavioural and lifestyle changes
- Treatment plan changes
- Agree realistic goals for next visit
|
