Table 2

Individual counseling for climacteric stage women



1) Evaluation of the current status of women (physical, emotional, cognitive, etc.) within their social environment

• The nurse and the woman collaboratively assess the woman's health and health-related self-care practices (diet, leisure time physical activity, use of screening services).

• The nurse provides relevant information on climacteric self-care: a) explains the definition of the climacteric stage and menopause and health problems the woman may experience during and after the climacteric stage; b) describe the factors (activities) that cause or protect against the occurrence of such problems; c) answers the woman's questions.

2) Facilitation of the woman's recognition of her personal health risks and responsibility for health-related self-care

• The nurse guides women on specific personal health-related values, beginning with the question: What health would you like to have in the next 10 years?

3 and 4) Guidance on the health-related goal setting and elaboration of a feasible action plan for women's self-care

• The nurse guides women to choose their personal health-related self-care goals.

• The nurse guides women to choose strategies/actions to overcome barriers, using the problem-solving model.

• The nurse facilitates the agreement of women to carry out the action plan.

• The nurse and women jointly assess the level of womens' self-efficacy regarding the achievement of the agreed actions (on a scale of 0 to 10).

5) Monitoring of the progress of the action plan

The nurse and women jointly:

• Evaluate progress in achieving the health-related goals and specific actions for development and maintenance of healthy behaviors.

• Resolve problems related to barriers for implementing the action plan, translating such barriers in the "learned lessons."

Modified from Funnell MM, 2004 to counsel women at the climacteric stage.

Doubova et al. BMC Women's Health 2011 11:6   doi:10.1186/1472-6874-11-6

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