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My foot used to fit a toe in the cracks [...] after I learned to take care of myself, it healed. (P12) I’m walking. (P11) I went to the prevention exam wearing flip-flops, and the nurse told me that I shouldn’t wear them, so I try not to wear them anymore. (P7) |
Express desire to improve self-care. Expresses desire to increase knowledge about self-care strategies. |
4. Activity/resting |
Disposition to improve self-care |
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I participated in the smoking group. I didn’t quit, but I reduced smoking. (P4) |
Express desire to improve goal setting. |
9. Coping/ stress tolerance |
Improved disposition for resilience |
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I learned that my glycated [hemoglobin] must be below 7. (P3) My glycated [hemoglobin] was 9.5... normal is between 6 and 5. (P11) I have learned to always look at my feet. I look at them every day. (P3) |
Express desire to increase understanding of health information to make health care choices. |
1. Health Promotion |
Improved disposition for health literacy |
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Walking in closed shoes, which I have changed since I was told to. I used to wear flip-flops. (P1) After I went back to taking the medicine, the heat in my legs decreased. (P10) |
Express desire to improve daily life choices to achieve goals. |
1. Health Promotion |
Improved disposition for health maintenance |
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I need to eat every 3 hours. (P7) |
Express desire to improve nutrition. . |
2. Nutrition |
Improved disposition for nutrition |
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We know, but we don’t take care of ourselves. (P11) I smoke. But I don’t smoke in front of others. (P5) |
Lack of adherence to health activities |
4. Activity/resting |
Self-neglect |
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I was doing it [exercising] at the academy, but stopped because it is too busy at the farm. (P10) |
Insufficient motivation for physical activity. Insufficient knowledge about the benefits of physical exercise |
1. Health Promotion |
Sedentary lifestyle |
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They [health professionals] already told me not to do that [smoking] anymore, but I never had a problem because of that. (P1) They [health professionals] told me that I can’t eat dulce de leche, but I do. (P12) |
Negative perception of the recommended health care strategy |
1. Health Promotion |
Risk-prone health behavior |
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It’s no use to take care of my diet, because the more I take care of myself, the more it [the blood sugar] goes up. So, I don’t care anymore. (P5) |
Lack of interest in improving health behaviors |
1. Health Promotion |
Inefficient health maintenance |
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My diabetes is low in the morning, and high at night. (P2) |
Lack of adherence to the diabetes control plan |
2. Nutrition |
Risk of unstable blood sugar |
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I get up all night to pee. (P10) |
Nocturia |
3. Elimination and exchange |
Impaired urinary elimination |
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I walk holding the broomstick. (P1) |
Increased susceptibility to falls |
11. Safety/protection |
Risk of falls |
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It looks like you have fire in your leg and burning in your feet. (P8) Sometimes I can’t cover my foot because it burns so much. (P3) |
Insufficient knowledge about the disease process |
4. Activity/resting |
Risk of ineffective peripheral tissue perfusion |
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I heard that sweetener could do more harm than sugar, so every day I use one. (P6) Who has diabetes cannot go out alone in the street. (P7) [Who has diabetes] can’t do anything. (P9) |
Incorrect information or information provided by others |
5. Perception/cognition |
Poor knowledge |
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My sister had a heart attack because of diabetes. I am afraid I will die early like her. (P4) |
Fear of premature death |
9. Coping/ stress tolerance |
Death-related Anxiety |
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When I want to stop smoking, I will stop. (P5) |
Denying weaknesses |
9. Coping/ stress tolerance |
Defensive coping |
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Some people think we are cocky, because we only wear shoes on the street, we don’t wear flip-flops. That’s why sometimes we must wear flip-flops. (P6) |
Perception of community vulnerability |
9. Coping/ stress tolerance |
Ineffective community coping |
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I don’t like to talk about it [complications]. (P1) |
Does not admit the impact of the disease on life |
9. Coping/ stress tolerance |
Ineffective denial |
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My entire heel is cracked. (P5) My foot is dry, the heel cracks, so it can develop a wound, I’m afraid. (P6) |
Alteration in skin integrity |
11. Safety/protection |
Risk of Infection |
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When my foot is very cracked, I roll it over the tile. (P8) |
Insufficient knowledge about protection of tissue integrity |
11. Safety/protection |
Risk of impaired tissue integrity |
