Health vs. Wellness Coaching: Chronic Condition Interventions

In this penultimate blog for this series, we are going to touch on arguably one of the most important topics, health coaching for chronic conditions. Wellness, tobacco cessation, etc. are certainly important, but clients/patients who are battling their bodies daily due to chronic conditions are often desperate for change and we can help!

So, here are some health coaching tips and tricks for several conditions:

  • COPD
    • Be aware of changes in secretions or increased wheezing
    • Use relaxation techniques (guided imagery or music therapy)
    • Teach airway clearing techniques
    • Encourage safe exercise
    • Work on smoking cessation and decreased alcohol consumption
  • CHF
    • Be aware of sudden changes in weight, edema, dyspnea, orthopnea, fatigue/muscle weakness, mental status
    • Lower sodium intake to 2000-2500mg/day, caution about salt substitutes
    • Safe aerobic exercise
    • Strength training 2 times/wk
  • CAD
    • Be aware of changes in dyspnea, fatigue, dizziness, palpitations and angina in women
    • Encourage heart healthy eating
    • Cholesterol management
    • Safe aerobic exercise
    • Strength training 2 times/wk
    • Rest and managing every day activities for client with mycardial infarction
  • Depression
    • Be aware of changes in suicidal thoughts, agitation or confusion, vision, irregular heartbeat, fainting, flu-like symptoms, difficulty urinating
    • Encourage well-balanced meals
    • Encourage supplements if intake is moderate to poor
    • Safe aerobic exercise
    • Strength training 2 times/wk
  • Diabetes Mellitus
    • Be aware of changes in hyperglycemia, hyopglycemia, and teach about ketoacidosis
    • Create an individual meal plan
    • Discuss protein intake, lipid management and triglyceride management
    • Create a sick day plan
    • Resistance exercise 2 times /wk
    • Safe and moderate aerobic exercise, and weight loss exercise if applicable
  • HTN
    • Be aware of sudden/severe headache, dizziness, trouble speaking/seeing/walking, changes in shortness of breath, and fatigue
    • DASH Eating Plan
    • Decrease salt and sodium to 2300mg/day
    • Safe aerobic exercise
    • Strength training 2 times/wk
  • Chronic Pain Management
    • Be aware of constipation, changes in mobilization
    • Have a physical plan (massage, heat, cold, TENs)
    • Cognitive-Behavioral Therapy (including guided imagery and music therapy)
    • Healthy eating plan
    • Regular, safe physical activity
  • Pressure Ulcer
    • Be aware of signs/symptoms of infection
    • Have a pain control plan
    • Manage draining
    • Health eating plan including 1/1.5 grams protein per kg of weight per day
    • Active/Passive ROM activity plan
    • Teach transfer skills

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