MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A patient with diabetes smokes and spends long workdays seated. An overly intensive exercise programme was abandoned, and they feel unable to follow every recommendation. They are willing to discuss fatigue and tobacco.
How can a manageable first step be agreed?
Agree on a limited goal, such as suitable active breaks, and offer cessation support rather than an isolated instruction. Check medical and practical constraints, arrange review and adjust progressively. Activity resumes progressively, remains compatible with the patient's condition and is reviewed according to tolerance; cessation support continues at subsequent consultations.