The health belief model is a paradigm used to predict and explain health behavior. The health belief model was developed to describe why people failed to participate in programs to detect or prevent disease. The model has been expanded to explain responses to symptoms, disease, prescribed treatments, and potential health problems (Glanz et al., 2003). The health belief model and social learning theory assist the nurse in formulating an action plan that meets the needs and capabilities of the individual making health behavior changes. (Edelman 248-249)
The following components of the health belief model provide guidelines for nurses to analyze factors that contribute to a person's perceived state of health or risk of disease and to the individual's probability of making an appropriate plan of action:
• Individual perceptions or readiness for change
• The value of health to the individual compared with other aspects of living
• Perceived susceptibility to a health problem, disease, or complications
• Perceived seriousness of the disease level threatening the achievement of certain goals or aims.
• Risk factors to a disease attributed to heredity, race or culture, medical history, or other causes
• Perceived benefits of health action • Perceived barriers to promotion (Edelman 248-249)

Establishing rapport with the patient is very important, assess readiness to learn, assess readiness to change, set agenda, motivation strategies. Express empathy, avoid argument, support self efficacy. The Nurse and health care team need to have the support of the patient/family on the plan/interventions and the whole package.
Nursing Diagnosis: Knowledge Deficit Myocardial infarction regarding cause/treatment of condition, and self care. Evidences By: patient saying “these changes are very overwhelming” Assess patient/family level of knowledge and ability/desire to