how can nurses help obese patients article

permission. Camden, S.G. (2005). Many nurses provide weight-related health information to the public. Puhl, R.M., Schwartz, M.B., & Brownell, K.D. Rather than labeling specific children as abnormal, strategies are directed toward promoting optimal cardiovascular health for all children. The use of underlying-cause mortality statistics alone fails to capture the majority of obesity deaths. ‘With creative thinking, you can give compassionate care’, Obesity is a public health challenge and a source of discrimination for individuals; nurses can help to tackle it by providing patient-centred, non-judgemental care. This assessment tool is not gender specific. A longer tube, or an endotracheal tube may work better for these patients.

Although outright negative stereotypes were rare, negative attitudes and beliefs were expressed, with 68.9% viewing obesity as a result of poor personal food choices and level of physical activity, while perceiving obese patients as, “greedy”, “indulging” and “lazy”; 54.7% thought these patients had no willpower, motivation or strong personality to change their lifestyles.
That's why besides obesity, evaluation of abdominal obesity in individuals as well is important for describing individual factors, preventing possible diseases and for public health. They recognised themselves as obese but reported feeling healthy and able to accomplish daily activities, and did not relate their long-term conditions to obesity. The literature shows that nurses in a variety of settings display negative attitudes towards obese patients and that this affects the quality of care. They assert that what people eat and their level of physical activity will contribute to overweight and obesity. Paje, D.T., & Kremer, M.J. (2006). (2008). As the aging population continues to grow, so does the percentage of obese older adults as well as the number of chronic conditions and diseases associated with obesity.

Nurses are expected to play an essential role in engaging the public in preventing and managing obesity (Royal College of Nursing, 2012). This section will offer suggestions to facilitate the nursing care of patients experiencing these concerns. The WHO notes that strategies currently used to prevent and manage it are either slow or ineffective. Nolan et al (2012) conducted semi-structured interviews with 22 practice nurses in the UK on their beliefs regarding their skills and responsibilities in supporting obese patients. Get the latest research from NIH: https://www.nih.gov/coronavirus. Overweight and obesity cut across gender and age, and all racial and ethnic backgrounds. Summary: WoMEnpower (WE. The delivery of healthcare in the United States has been static for the past century with care delivered through problem-based visits in an office or hospital setting. In 2007, extrapolating on trends at the time, Butland et al (2007) estimated that, by 2025, 47% of men and 36% of women in the UK could be obese. There is an emerging trend of increased certification of obesity as a cause of death in England. Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. The Lancet, 366, 1744-1749. Results: The average score was 3.8, showing high levels of negative attitudes, although 10.4% of all students scored 4.4. Mean body mass index was 26.7 ± 6.3 kg/m(2) and body fat was 29% ± 8.3%. Phillippas, N., & Lo, C. (2005). Many people in the US today consume a largely high-fat, low-protein diet taken in the form of large meals and/or snacks that include high sugar, and often supersized drinks. Bariatric Nursing and Surgical Patient Care, 3, 189 – 196. Any threat to the skin surface places the patient at risk for infection or cellulitis (Gallagher, 2007). The Body Mass Index is a mathematical formula based on height and weight, which assigns a number to an individual’s relative risk for morbidity and mortality. Nurses and doctors were perceived as focusing mainly on obesity and being indifferent to other personal concerns. Hair follicles and sebaceous and sweat glands are also found in the dermal layer. Bias, discrimination and obesity. Journal of Health, Social and Environmental Issues; 6: 1, 45-54. JAMA, 295, 1549-1555.

Pathological data have shown that atherosclerosis begins in childhood and that the extent of atherosclerotic change in children and young adults can be correlated with the presence of the same risk factors identified in adults. Obesity Research, 9, 788-803. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 2020 Aug 28;9(8):e21342. This term is used today to refer to the providing of healthcare for weight and weight-related conditions, including medical weight management, weight loss surgery, reconstruction after massive weight loss, and other associated treatments. The obese patient is more inclined to develop these complications during a long hospitalization. The focus of this issue of OJIN is overweight and obesity; five articles are presented that offer the reader a comprehensive overview of the topic and issues relevant to nursing. Obesity has been described by many, including the United States (U.S.) Surgeon General, as one of the top healthcare priorities in the US. Patient empowerment, patient-centred goal setting and motivating individuals to control their weight were not being considered. Indeed, nurses play diverse roles in educating patients about healthy diets and in promoting healthy eating habits, through their conversations with patients and families and through their work providing enteral and parenteral feeding to critically ill patients (Green & Jackson, 2002; ... Nurses are prime candidates for health educators and role models as they are normally at the bedside more often and in close relationships with patients. Falkner, N.H., Neumarksztainer, D., & Story, M. (2001). While nurses aren’t specifically responsible for the weight of their patients, they are healthcare providers and should do everything they can to improve the health of their patients. If you queried American healthcare professionals to ascertain the most pressing health issues of our time, you will hear resounding agreement and concern about the obesity epidemic. Intravenous (IV) access can also be challenging in obese patients. International Journal of Obesity, 25, 669–75. For example, many health care providers feel that obesity is the patients’ fault, that obese patients lack willpower, are lazy, or are unintelligent (Ruelaz et al., 2007).
Proceedings of the Nutrition Society, 63, 387–396. Prevalence of overweight and obesity in the United States 1999-2004. Many people will present to their clinics with obesity-related multimorbidities, such as: type 2 diabetes; cardiovascular disease; fertility, sleep, breathing or mobility problems; and weight-related impaired mental health. During emergency intubation, it may be difficult to visualize anatomic landmarks, such as vocal cords, in the morbidly obese patient. CONCLUSION: The results suggest the need for updating and expanding nursing curricula. Health organizations and policy makers use the BMI to measure and define obesity and to establish criteria for certain procedures. They felt confident in supporting patients with obesity-related long-term conditions, but inadequately skilled to motivate them to lose weight or offer specialist nutritional advice. J Clin Nurs. Confirmatory factor analysis with the 16 items that had factor loadings of at least 0.60 validated the four dietary patterns.

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