Obesity Case Study. What is your history with weight gain and weight loss? Would you like to manage your weight differently? If so, how? What do you think.

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Presentation transcript:

Obesity Case Study

What is your history with weight gain and weight loss? Would you like to manage your weight differently? If so, how? What do you think contributes to your weight? What sort of barriers do you feel impede your weight loss efforts? When assessing patients with obesity, you should ask the following questions.

When assessing patients with obesity, you should ask the following questions. What does food mean to you? How do you use food (e.g., to relieve stress, provide comfort)? Are other family members overweight? Are there any environmental or genetic factors influencing the weight gain? How has your health been affected by your body weight?

The overall goals are that the obese patient will (1) modify eating patterns (2) participate in a regular physical activity program (3) achieve weight loss to a specified level (4) maintain weight loss at a specified level (5) minimize or prevent health problems related to obesity. Planning for an Obese Patient

Before selecting a weight loss strategy with the patient, you should discuss the following questions: What is the patient's motivation for losing weight? Are there any major stresses that will make it difficult to focus on weight control? Does the patient have any psychiatric illnesses, such as severe depression, substance abuse, or a binge eating disorder, that will derail weight loss efforts? How much time can the patient devote to exercise on a daily or weekly basis?

Before selecting a weight loss strategy with the patient, you should discuss the following questions: What financial considerations must be factored into the patient's choices? What type of support does the patient have from family and or friends for losing weight? Assess motivation because it is essential for a favorable outcome. Lack of motivation is a huge barrier to change. However, focus on the reasons for wanting to lose weight as the patient faces the challenges in dealing with obesity.

Bariatric surgery is a surgical procedure that is used to treat obesity. Bariatric surgery is currently the only treatment that has been found to have a successful and lasting impact for sustained weight loss for severely obese individuals. The majority of people who undergo bariatric surgery successfully improve their overall quality of life. A great deal of excess weight is lost, and patients experience resolution of co- morbidities and improve their appearance, social opportunities, and economic opportunities. 26,27 Criteria guidelines for bariatric surgery include having a BMI ≥40 kg/m 2 or BMI > 35 kg/m 2 with one or more severe obesity related medical complications (e.g. hypertension, type 2 diabetes mellitus, heart failure, or sleep apnea) Bariatric Surgery