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The first book to provide APNs with the tools to effectively treat obese patients
This book is the first resource to give the APN the practical tools with which to communicate, assess, and treat obese patients. Designed to help APNs to easily broach an uncomfortable topic, the book walks practitioners through the exam, providing tips on effective communication, understanding lifestyle constraints, and working with the patient to improve their condition without shame. Emphasizing multidisciplinary approaches and evidence-based treatment, the book addresses prevention, provider recognition, and treatment of adult and pediatric obesity with the goal of improving overall quality of life.
The resource offers practical information on diet and exercise that foster healthy weight loss along with psychological, pharmacological, and surgical recommendations. Effective tips on all facets of working with obese patients, bolstered with real-life examples that provide the patient's perspective, help APNs understand and provide a better quality of care to these vulnerable patients. Additionally, the book includes substantial information on comorbidities, which add to the complexity of obesity treatment. Chapters address current trends and causes of obesity; communication "dos" and "don'ts;" the technical aspects of obesity including genetics and pathophysiology, obesity as an addiction; eating disorders; assessment from the APN point of view; disease management; pharmacological, surgical, and medical management; and costs and insurance coverage. Several tools that can be used to enhance clinical practice are featured in the Appendix.
Key Features:
Written specifically for the Advanced Practice Nurse
Covers all facets of communication with, assessment of, and treatment of obese patients
Includes case studies and treatment plans from a nursing perspective
Highlights a multidisciplinary approach
Lisa L. M. Maher, DNP, ARNP, FNP-BC, is a nurse practitioner (NP) at the Cedar Valley Cardiovascular Center.
Part I: Introduction - Lisa LM Maher, DNP, ARNP, FNP-BC
Chapter 1: Obesity: The Epidemic, Trends and Causes
Chapter 2: Definition of Obesity and Obesity Terms
Chapter 3: The Many Roles of the Advanced Practice Nurse
Case Study 1
Part II: Communication - Lisa LM Maher, DNP, ARNP, FNP-BC
Chapter 4: Addressing Pediatric Obesity
Chapter 5: How to Initiate the Weight Conversation with Patients
Chapter 6: Patients' Stories
Case Study 2
Part III: Assessment - Lisa LM Maher, DNP, ARNP, FNP-BC
Chapter 7: Overview of Genetics and Pathophysiology of Obesity
Chapter 8: Behaviors, Addiction and Eating Disorders
Chapter 9: Which "Way" is the Right "Weigh"
Chapter 10: Physical Assessment of the Adult Obese Patient
Chapter 11: Physical Assessment of the Pediatric Obese Patient
Chapter 12: Physical Activity, Exercise Assessment and Patient Recommendations
Chapter 13: Dietary Assessment and Patient Recommendations
- Jennifer Roth, MS, RD, LD
Chapter 14: Psychological Assessment
Case Study 3
Part IV: Disease Management - Lisa LM Maher, DNP, ARNP, FNP-BC
Chapter 15: Disease Management and the Role of the Advanced Practice Nurse
Chapter 16: Obesity-Related Diseases
Hypertension
Dyslipidemia
Cardiovascular Disease
Diabetes Mellitus
Obesity and the Pulmonary System
Osteoarthritis
Polycystic Ovarian Syndrome
Metabolic Syndrome
Chapter 17: Obesity-Related Diseases: A Pediatric Focus
Obstructive Sleep Apnea
Asthma
Chapter 18: Prevention
Chapter 19: Weight Cycling
Case Study 4
Part V: Treatment - Lisa LM Maher, DNP, ARNP, FNP-BC
Chapter 20: Treatment of Addiction and Eating Disorders
Chapter 21: Pharmacological Therapy
Chapter 22: Surgical Therapy
Chapter 23: Costs Associated with Obesity Treatment and Insurance Coverage
Chapter 24: Treatment of the Obese Pediatric Patient
Chapter 25: Clinic Establishment, Medical Therapy and a Multi-disciplinary Approach
Chapter 26: What is Lifestyle Medicine?
Case Study 5
Part VI: Appendix - Lisa LM Maher, DNP, ARNP, FNP-BC
Comprehensive Case Study
Recommended Answers to Case Studies
Weight Management Tools and Resources
Appendix A - SWOT
Appendix B - Implementation Plan/Theory Outcomes Model
Appendix C - Timeline
Appendix D - Risk Management Matrix
Appendix E - CLM Patient Letter
Appendix F - CLM Provider Letter
Appendix G - CLM Description of Services
Appendix H - Staff Education
Appendix I - Nutrition and Exercise Journal
Appendix J - Baseline Assessment
Appendix K - The BORG Scale
Appendix L - Insurance-Based Package
Appendix M - Non-Insurance Based Package Options
Appendix N - Group Fitness Class Prices
Attachment - CLM Sample Business Plan
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