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Obesity as a threat to health: how can nursing and nursing research contribute to prevention and care?: 

Obesity as a threat to health: how can nursing and nursing research contribute to prevention and care? Jane Munro Lorraine N Smith University of Glasgow

A bit of background………: 

A bit of background……… Morbidly obese patients’ experience of bariatric surgery (Munro PhD) Workgroup of European Nurse Researchers’ 2007 report: ‘Obesity as a threat to health: how can nursing and nursing research contribute to prevention and care?’

Intended learning outcomes: 

Intended learning outcomes   1. identify that obesity is a threat to health 2. explain the nurse’s role in relation to obese patients and the public 3. describe strategies for nursing intervention

Warning!!!: 

Warning!!! This is not a politically correct session…………….. Is obesity the new smoking????? Is it ok to be obese?????

Slide5: 

Dangers of obesity : 

Dangers of obesity For the individual For the health professional For the NHS For the health and wealth of the nation

What does being obese mean for the individual?: 

What does being obese mean for the individual? Is it a life style choice? What about the 'fat gene?' Does it matter if my life is shorter? What does it mean for my family, my children, my parents? Do what extent is being obese an issue of personal responsibility? Food is one of the mainstays of society (e.g. parties, nights out, comfort, 'take-aways', celebrations) but is there a real relationship between food and obesity

Obesity: what does it mean for the health professional?: 

Obesity: what does it mean for the health professional? Do HPs ask about a patient’s weight? 'let’s talk about your weight…….' Is it OK not to talk about an obese patient’s weight? What are the attitudes of HPs towards obese patients? e.g. fat people are lazy, lack motivation, self-indulgent, a ‘bit thick’ How is ‘moving and handling’ affected by excessive weight?

Obesity in the context of the NHS: 

Obesity in the context of the NHS How should the NHS adapt to obesity? How should obesity be managed within the NHS? How do you prioritise? e.g equipment in that one size does not fit all

Slide10: 

Obesity and the health and wealth of the nation: 

Obesity and the health and wealth of the nation Increased health costs More chronic health Death at an earlier age

What does obese mean?: 

What does obese mean? Body mass index (BMI) of andgt;30 BMI is based on height and weight

Are these people obese?: 

Are these people obese?

Advice usually focuses on: 

Advice usually focuses on Regular exercise Keeping physically active Balanced diet Societal issues

Workgroup of European Nurse Researchers [WENR] (2007) Obesity: A threat to health. How can nursing research contribute to Prevention and Cure Stockholm WENR ISBN 978-91-633-0362-3: 

Workgroup of European Nurse Researchers [WENR] (2007) Obesity: A threat to health. How can nursing research contribute to Prevention and Cure Stockholm WENR ISBN 978-91-633-0362-3

Nursing (WENR 2007): 

Nursing (WENR 2007) Needs to develop strategies to ensure that obesity is on the nursing and other health professionals’ agendas in a meaningful and relevant way Emphasize the topic of obesity as relevant for nursing action in the workplace, patient care centres and in nursing curricula The importance of school nurses in working with children, ensuring adequate nutrition and exercise and health life styles Developing awareness among nurses about potential obesity risk factors such as stress, depression, despair, isolation Working in partnership with others to achieve a more co-ordinated approach to obesity Focus on patients, listening, empowering, respecting them and their attitudes

Nursing Assessment & Interventions (WENR 2007): 

Nursing Assessment andamp; Interventions (WENR 2007) Nurse assessment and identification of obesity problems and habits, beliefs, how patients see themselves and their life-style, family context. Few effective interventions identified for obesity e.g. in the evaluation and monitoring of outcomes and the process of implementing interventions Need to develop specific interventions as they relate to specific groups Effective interventions may include cognitive behavioural therapy with a family, guided self-determination on an individual level

Nursing Research (WENR 2007): 

Nursing Research (WENR 2007) Obesity as a pan-European issue is ideal for study under the 7th FWP and collaborative and partnership projects There are few nurse researchers doing research in this field Multi-centre and cross-country research to test the effectiveness of interventions is needed Identify/develop tools for data capture including, surveillance, effectiveness of interventions with children, cost effectiveness of interventions Systematic reviews of qualitative work in the obesity field under specific headings e.g. children, adults etc How to understand and how do obese people manage their illness? What is the understanding of the family context in relation to obesity? What is the relationship between breast feeding and obesity? Meta analyses e.g. Cochrane Systematic Reviews

Is this the future?: 

Is this the future?

References: 

References Mann T: Tomiyama J. American Psychology. pp. April 2007 Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children. National Institute for Health and Clinical Excellence. December 2006 http://www.nice.org.uk/guidance/CG43