Anne returns to the practice nurse

• • Stop smoking services – For further information on stopping smoking see Bert in module 2 and John module 5.
  • Weight management– Losing weight can reduce your risk of some potentially serious health problems. According to national guidance people who need to lose weight can get health benefits from losing even a small amount – about 5% – of their weight.
    The best way to lose weight is to make small, realistic changes to diet and increase the amount of physical activity in a day.
  • Physical activity – remember physical activity can take many forms depending on patient needs and realistic goals. Physical activity or exercise is any movement using your muscles that helps maintain or improve your physical fitness. Examples to discuss with patients include; walking, dancing, running, swimming or taking part in a sport. Also included are activities such as housework or gardening. In fact, any movement that increases you heart rate and makes you breathe harder.
  • Alcohol – Refer to guidelines regarding assessment FAST tool or access further team support in your area.
  • Diet – Consider getting patients to keep food diaries if they are unsure of where they can make simple changes and remember overall should be low fat, low sugar and include 5 a day. See module 5 for more information on dietary changes.
    The eat well plate highlights the different types of food that make up our diet, and shows the proportions we should eat them in to have a well balanced and healthy diet.
    Learn more about eating well in Marks case and the eating well plate in Module 5.
  • Citizens Advice Bureau (CAB) – CAB operate across Scotland to provide free, independent and impartial advice on a range of subjects. Some bureau offer specialist advice on debt, income maximisation and fuel poverty, and it is worth checking to see whether Anne’s local CAB could potentially help here.
    What are the potential impacts of good advice here:
    • Sense of empowerment through taking action
    • Referring on to an appropriately qualified agency and using own skills appropriately
    • Dealing with debt can avoid potential difficulties with housing, utilities and consumer credit

    o Poor social support may be remedied through referral to any number of initiatives:

    • Job clubs
    • Drug and alcohol addiction partnerships

Access to lone parent support networks or behavioural support networks for children.