A clinician's guide to discussing obesity with patients / / Sandra Christensen

• Record Nr.: UNINA9910483122003321
• Autore: Christensen Sandra
• Pubbl/distr/stampa: Cham, Switzerland : , : Springer, , [2021]; ©2021
• ISBN: 3-030-69311-2
• Descrizione fisica: 1 online resource (xvii, 119 pages)
• Disciplina: 155.234
• Soggetti: Overweight persons; Patient education; Persones obeses; Educació dels pacients; Llibres electrònics
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di bibliografia: Includes bibliographical references.
• Nota di contenuto: Intro -- Preface -- Contents -- About the Author -- Chapter 1: Recognizing Obesity as a Disease -- 1.1 Introduction -- 1.2 Obesity Is a Disease -- 1.3 Pathophysiology -- 1.4 Adverse Health Consequences -- 1.5 Obesity Management -- 1.6 Evaluation -- 1.7 Comprehensive Treatment -- 1.7.1 Nutrition -- 1.7.2 Physical Activity -- 1.7.3 Behavioral Therapy -- 1.7.4 Pharmacotherapy -- 1.7.5 Bariatric Surgery and Procedures -- 1.8 Summary -- References -- Chapter 2: Recognizing Weight Bias -- 2.1 Introduction -- 2.2 Defining Weight Bias -- 2.3 Prevalence -- 2.3.1 Workplace -- 2.3.2 Education -- 2.3.3 Media -- 2.3.4 Parents and Family -- 2.3.5 Healthcare -- 2.4 Sources of Bias and Stigma in Healthcare -- 2.4.1 Clinicians -- 2.4.2 Clinicians-in-Training -- 2.4.3 Healthcare Environment -- 2.5 Consequences of Bias and Stigma in Healthcare -- 2.5.1 Compromised Care -- 2.5.2 Compromised Clinician-Patient Relationships -- 2.6 Impact on Healthcare Utilization -- 2.7 Physical and Psychological Health Consequences -- 2.7.1 Physical Consequences -- 2.7.2 Psychological Effects -- 2.8 Hope on the Horizon -- 2.9 Summary -- References -- Chapter 3: Reducing Weight Bias in Healthcare -- 3.1 Introduction -- ; 3.2 Recognizing Weight Bias -- 3.2.1 Step 1: Become Aware of Your Own Bias -- 3.2.1.1 Exploring Your Bias -- 3.2.1.2 Tools for Assessing Weight Bias -- 3.2.1.3 Weight Implicit Association Test (IAT) -- 3.2.1.4 Explicit Weight Bias Tests -- 3.2.2 Step 2: Reduce Your Bias -- 3.2.2.1 Become Educated -- 3.2.2.2 Obesity Education -- 3.2.2.3 Reduce Your Exposure -- 3.2.2.4 Collaborate with Colleagues -- 3.2.3 Step 3: Educate Others on the Healthcare Team -- 3.2.3.1 Clinicians -- 3.2.3.2 Educators -- 3.2.3.3 Obesity Competencies -- 3.2.4 Step 4: Recognize and Reduce Your Patients' Internalized Weight Bias -- 3.2.4.1 Recognizing Internalized Bias.; 3.2.4.2 Reducing Internalized Bias -- 3.2.5 Step 5: Put Your Knowledge into Practice -- 3.2.5.1 Commit to Reducing Weight Bias -- 3.2.5.2 Manage Your Weight Bias -- 3.2.5.3 Practice Curiosity and Compassion -- 3.2.5.4 Keep Your Mind Open -- 3.3 Clinical Conversations -- 3.3.1 Clinician Weight Bias -- 3.3.1.1 Biases Conveyed by the Clinician -- 3.3.1.2 Bias Conveyed by Clinician -- 3.3.1.3 Biases Conveyed by Clinician -- 3.3.1.4 Discussion -- 3.3.1.5 Discussion -- 3.3.1.6 Discussion -- 3.3.1.7 Discussion -- 3.3.2 Internalized Weight Bias -- 3.3.2.1 Discussion -- 3.3.2.2 Discussion -- 3.4 Summary -- References -- Chapter 4: Barriers to Discussing Weight -- 4.1 Introduction -- 4.2 Clinician Barriers -- 4.2.1 Lack of Knowledge About Obesity -- 4.2.2 Undergraduate and Graduate Programs -- 4.2.3 Continuing Education -- 4.2.4 Professional Self-Efficacy -- 4.2.5 Clinician Weight Bias -- 4.2.6 Low Prioritization of Obesity -- 4.2.7 Lack of Obesity-Specific Communication Strategies -- 4.2.8 Fear of Making Patients Uncomfortable -- 4.2.9 Credibility Concerns Based on Clinician BMI -- 4.2.10 Lack of Time -- 4.2.11 Reimbursement Concerns -- 4.3 Patient Barriers -- 4.3.1 Lack of Knowledge -- 4.3.2 Belief that It's Their Responsibility -- 4.3.3 Fear of Being Judged and Blamed -- 4.3.4 Fear of Being Given Simplistic Solutions -- 4.3.5 Internalized Bias and Stigma -- 4.3.6 Uncomfortable Healthcare Environment -- 4.3.7 Patients Want Clinicians to Initiate Discussions -- 4.4 Dismantling the Wall and Paving a New Path -- 4.5 Dismantling Clinician Barriers -- 4.5.1 Education -- 4.5.2 Undergraduate and Graduate Education -- 4.5.3 Continuing Education -- 4.5.4 Lack of Time -- 4.5.5 Reimbursement -- 4.6 Dismantling Patient Barriers -- 4.7 Paving a New Path -- 4.8 Summary -- References -- Chapter 5: Creating an Environment for Effective Conversation -- 5.1 Introduction.; 5.2 Creating a Positive Physical Environment -- 5.2.1 Furniture -- 5.2.2 Scales -- 5.2.3 Equipment -- 5.3 Creating a Positive Emotional Environment -- 5.3.1 Clinic Websites and Literature -- 5.3.2 Office Staff -- 5.3.3 Clinical Staff -- 5.3.4 Training Modules and Procedures -- 5.4 Clinical Scenarios -- 5.4.1 Discussion -- 5.4.2 Discussion -- 5.4.3 Discussion -- 5.4.4 Discussion -- 5.4.5 Discussion -- 5.5 Summary -- References -- Chapter 6: Creating a Framework for Effective Conversations -- 6.1 Introduction -- 6.2 Build a Partnership -- 6.3 Seek the Patient's Perspective -- 6.4 Select Appropriate Patients -- 6.5 Guiding Concepts for Conversation -- 6.5.1 Focus on Health -- 6.5.2 Focus on the Long Game -- 6.5.3 Use Appropriate Language -- 6.5.4 People-First Language -- 6.5.5 Patient Preference -- 6.6 Motivational Interviewing -- 6.7 The "Spirit" of Motivational Interviewing -- 6.7.1 Collaboration -- 6.7.2 Evocation -- 6.7.3 Autonomy -- 6.8 The Principles of Motivational Interviewing -- 6.8.1 Resist the Righting Reflex -- 6.8.2 Understand Your Patient's Motivation -- 6.8.3 Listen to Your Patient -- 6.8.4 Empower Your Patient -- 6.9 Bringing MI Principles to Life -- 6.10 Strategic Actions -- 6.10.1 Express Empathy -- 6.10.2 Support Self-Efficacy -- 6.10.3 Roll with Resistance -- 6.10.4 Develop Discrepancy -- 6.11 Micro ; Counseling Techniques -- 6.11.1 Open-Ended Questions -- 6.11.2 Affirmations -- 6.11.3 Reflections -- 6.11.4 Summaries -- 6.12 The 5As -- 6.12.1 Ask -- 6.12.1.1 Ask Permission -- 6.12.1.2 Ask About Readiness -- Readiness to Change -- 6.12.2 Assess -- 6.12.3 Advise -- 6.12.4 Agree -- 6.12.5 Assist -- 6.13 Summary -- References -- Chapter 7: Clinical Scenarios -- 7.1 Introduction -- 7.2 Clinical Scenario 1 -- 7.2.1 Discussion -- 7.3 Clinical Scenario 2 -- 7.3.1 Discussion -- 7.3.2 Four Months Later -- 7.3.3 Discussion.; 7.4 Clinical Scenario 3 -- 7.4.1 Discussion -- 7.5 Clinical Scenario 4 -- 7.5.1 Discussion -- 7.6 Summary -- Chapter 8: Taking the Next Step -- 8.1 Introduction -- 8.2 What You've Learned -- 8.3 The Next Step -- 8.4 Patient Education -- 8.5 Obesity Treatment Options -- 8.5.1 Primary Care Settings -- 8.5.2 Specialty Care Settings -- 8.5.3 Obesity Specialists -- 8.5.4 Bariatric Surgery Centers -- 8.6 Summary -- Reference.