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.

Areal diffusion and genetic inheritance : problems in comparative linguistics / / edited by Alexandra Y. Aikhenvald and R.M.W. Dixon

• Record Nr.: UNINA9910971998003321
• Pubbl/distr/stampa: Oxford ; ; New York, : Oxford University Press, 2001
• ISBN: 9781383019650; 1383019657; 9781280869976; 1280869976; 9780191523014; 0191523011; 9780191515750; 0191515752
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (470 p.)
• Collana: Oxford linguistics; Oxford scholarship online
• Altri autori (Persone): AĭkhenvalʹdA. I︠U︡ (Aleksandra I︠U︡rʹevna); DixonRobert M. W
• Disciplina: 410
• Soggetti: Comparative linguistics; Areal linguistics; Language spread; Languages in contact; Linguistic change
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Previously issued in print: 2001.
• Nota di bibliografia: Includes bibliographical references and indexes.
• Nota di contenuto: Contents; Preface; List of contributors; List of abbreviations; 1 INTRODUCTION; 2 ARCHAEOLOGY AND THE HISTORICAL DETERMINANTS OF PUNCTUATION IN LANGUAGE-FAMILY ORIGINS; 3 AN INDO-EUROPEAN LINGUISTIC AREA AND ITS CHARACTERISTICS: ANCIENT ANATOLIA. AREAL DIFFUSION AS A CHALLENGE TO THE COMPARATIVE METHOD?; 4 THE AUSTRALIAN LINGUISTIC AREA; 5 DESCENT AND DIFFUSION: THE COMPLEXITY OF THE PILBARA SITUATION; 6 CONTACT-INDUCED CHANGE IN OCEANIC LANGUAGES IN NORTH-WEST MELANESIA; 7 AREAL DIFFUSION, GENETIC INHERITANCE, AND PROBLEMS OF SUBGROUPING: A NORTH ARAWAK CASE STUDY; 8 LINGUISTIC DIFFUSION IN PRESENT-DAY EAST ANATOLIA: FROM TOP TO BOTTOM9 THE ROLE OF MIGRATION AND LANGUAGE CONTACT IN THE DEVELOPMENT OF THE SINO-TIBETAN LANGUAGE FAMILY; 10 ON GENETIC AND AREAL LINGUISTICS IN MAINLAND SOUTH-EAST ASIA: PARALLEL POLYFUNCTIONALITY OF 'ACQUIRE'; 11 GENETIC VERSUS CONTACT RELATIONSHIP: PROSODIC DIFFUSIBILITY IN SOUTH-EAST ASIAN LANGUAGES; 12 LANGUAGE CONTACT AND AREAL DIFFUSION IN SINITIC LANGUAGES; 13 AREAL DIFFUSION VERSUS GENETIC INHERITANCE: AN AFRICAN PERSPECTIVE; 14 CONVERGENCE AND DIVERGENCE IN THE DEVELOPMENT OF AFRICAN LANGUAGES; 15 WHAT LANGUAGE FEATURES CAN BE 'BORROWED'?Index of authors; Index of languages and language families; Subject index
• Sommario/riassunto: This work considers how and why forms and meanings of different languages at different times may resemble one another. The book investigates the relationship between areal diffusion and the genetic development of languages.