try to create a living situation that would lead to best health and that they have the capacity for self-awareness and assessment of their own competencies. Pender also stated that people place a high value on positive growth and that they do try to achieve this by regulating their behavior and interacting in a positive manner with the environment. Pender stated that patients are influenced by health professionals and nurses that incorporate the HPM model will be aware of the need to understand and help the patient identify and assume responsibility for self-initiated reconfiguration of the person-environment interactive patterns based on patient cognitions since this is required before behavior change and su
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