The patient must affirm that he or she will actually accomplish the goal, not just try.
Many times these courses of action are confusing, contradictory and deeply personal.
Allowing the patient to explore these issues increases the chances that the patient may find an acceptable resolution..
Often, what patients “should do” is obvious to the physician – e.g., lose weight, stop smoking or start exercising.
What is not so obvious is they are so reluctant to take the next step.
Summaries can occur throughout the visit but are particularly helpful in bringing the visit to a close.