What should we tell patients with heart failure about sodium restriction and how should we counsel them?

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19 Scopus citations

Abstract

This article is a review of current evidence regarding the recommended level of dietary sodium, involvement of family members in adoption of a low sodium diet, and evidence-based strategies to increase patient and family member willingness and ability to a follow a low sodium diet. The available evidence suggests that recommending a 2.5 to 3 g sodium diet will meet nutritional needs and decrease risk of hospitalizations. The best strategy identified for patient success is to fully involve both patients and family members in jointly reducing sodium intake. Motivational interviewing techniques should be used before counseling begins to guide patients and family members toward realization of the need to follow a low sodium diet. Successful counseling starts with determining perceptions, barriers, and individual characteristics that impede adherence. This information is incorporated into theory-based teaching strategies to promote behavior change and successful adoption of a low sodium diet.

Original languageEnglish
Pages (from-to)219-226
Number of pages8
JournalCurrent Heart Failure Reports
Volume10
Issue number3
DOIs
StatePublished - Sep 2013

Keywords

  • Counseling strategies
  • Heart failure
  • Low sodium diet
  • Motivational interviewing
  • Nutrition
  • Self-management

ASJC Scopus subject areas

  • Emergency Medicine
  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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