Responsibility to Linda Is to Assessment

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I want to start Linda on medication for her diabetes and while I will remind her that her smoking is unhealthy, I will address that issue more fully at a later point in time. Linda has not approached me for help with her smoking, so she is unlikely to be motivated to deal with that addition at present.

Linda's bipolar diagnosis presents an additional challenge. I expect that this could cause her motivation level to fluctuate and may prevent her from staying on her diabetes medication, if I can get her to start that medication. My approach to this would be to provide her with the information and support that she needs. I will take the approach of making incremental gains with Linda, since the likelihood of setbacks is high given her state.

I would also let Linda know that if she is sufficiently motivated to take medication for her diabetes, I would be willing to work with her to set up a system that would encourage her to take her medication regularly.

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She lives alone, so will not have anybody to watch over her -- but if we can make the medication part of her routine, there is greater chance that she will stick with it, even if she is having a bipolar episode.

Overall, my approach with Linda is that I want to ensure that she has the information she needs to equate her actions with respect to her diabetes and the pain she is now suffering -- the pain seems to be an important source of motivation for her. I will not address the issue of the smoking yet, as this is a more difficult challenge and I want Linda to focus on diabetes medication first and foremost. I do not intend to tell Linda what to do, but just to provide her with the lifestyle guidance she needs, and to impress upon her that I can help act as a support network for her, even if she has trouble following the….....

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