In order to meet the holistic needs of the client with chronic illness, the nurse is required to adopt many different approaches to care. This article will explore one client-centred counselling approach that can be used
by community practitioners to address behavioural change and improve concordance. The techniques are illustrated with an example of where motivational interviewing has been used to great success—in the ‘Look After Your Legs’ (LAYL) programme undertaken by West Gloucestershire
primary care trust.
Interventions such as motivational interviewing have the potential to empower clients and so enhance care delivery