You are a nurse caring for a 42-year-old mechanic who is hospitalized for a gangrenous wound on his foot. His history includes unmanaged diabetes, smoking (20 pack-years), and hypertension. He denies alcohol use. He supports himself with full-time work. Socially, he belongs to a motorcycle club and enjoys riding whenever his work schedule allows. When asked how he would rate his overall health, he reports, “I may not have much money, but I’ve got my health!” What strategies could you propose to the patient to promote health and prevent illness? What factors can be useful in predicting a patient’s use of health- related behaviors?

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