100%(17)17 out of 17 people found this document helpful
This preview shows page 10 - 13 out of 28 pages.
(Management of Overweight and Obesity Working Group, 2014) with the purpose of long-term success. Dietary modifications incorporated in the Va/DoD guidelines include a recommendation of decreasing kcal by 500-1000/day. If calories are too low, the body will not respond well, and this can actually hinder the patient’s weight loss. The plan recommends offering the patient very-low calorie diet options for short durations and under close medical supervision. The CPG
OBESITY11also recommends the patient meet with a registered dietician as part of the “comprehensive lifestyle interventions.” Patients may be asked to keep a diet diary; this helps to hold them accountable as well as keep track of the foods they are eating. While diet is only one part of the weight loss journey, it is a key factor. Physical activity will be tailored to the individual patient. Many obese patients aren’t used to strenuous activity and will need modifications to any exercise program but the goal is 30 minutes of moderate activity most if not all days of the week. Starting slow will decrease the risk for injury and increase the tolerance for longer stretches of exercising. When combined withthe proper diet, exercise increases the patient’s weight loss. Both diet and exercise added to behavior modification further increases the patient’s risk for success and patients have longer success with all three. Standard Practice of Obesity ManagementThe Department of Veterans Affairs and Department of Defense guidelines have been outlined and reference throughout this document. Currently, as a patient going through the process to obtain bariatric surgery, I wanted to assess if the medical college, where I am a patient, follows the same clinical standards as the VA/DoD. Along my personal journey to lose weight I have sought the assistance of my primary care provider-who prescribed the DASH diet, exercise, and eventually medication combined withdiet and exercise; a registered dietician who prescribed healthier eating options with a list of foods and meal ideals; a personal trainer who helped to increase my muscles and decrease my fat, while building my motivation. Over time, I slowly dropped the dietician, the cost was too great and the plan she recommended wasn’t something that I was willing to follow religiously. The personal trainer became too expensive and work and school became the priority. The medication, however, that has stayed. Unfortunately, over time, the effects are decreased and
OBESITY12without the commitment and dedication of the past, I gained the weight, slowly but surely. It is true that weight loss is a three- pronged approach-diet, exercise, and behavior modification. I have decided that the ups and downs of yo-yo dieting have become too difficult on my 43-year-old body and brain and have opted for weight loss surgery. During my journey, the initial step, like with any facility starts with the patient showing interest- I did that. Once the patient becomes established in the healthcare system, the screening process begins.