Self-monitoring improves adherence by allowing clients to track information, raise
awareness of nutritional consumption, physical activity, and body weight, and
assess progress toward goals.
Ideally, the frequency of self-weighting should be: - At least once a week, but
never more than once per day.
The health care practitioner should monitor the client's weight loss, therefore
preferably during obesity therapy, weight is assessed by the health care provider. •
ANSWER on every visit
During obesity therapy, the health care professional observes the following: -
ANSWER weight
Dietary and physical activity records
Other behaviour or health parameters
Common causes of lapses include: dining away from home.
Celebrations and Parties
A patient wants you to assist her pick which bariatric treatment to have; she is 42
years old, has a BMI of 42, and has obesity-related problems such as type 2
diabetes, hypertension, and fatty liver. What would you tell her? - ANSWER The
current research does not provide sufficient information to predict which approach
would produce better results.
, A patient's surgeon advises her to lose weight before surgery. The patient's
operation is scheduled in one month; why would the surgeon want her to lose
weight before the procedure? - ANSWER To minimize the size of her liver.
A patient is 2 months post-bariatric surgery and calls you complaining of vomiting
and dizziness for the past 2 days. You inform the patient: - ANSWER: Go to the
ER to see if she's dehydrated and needs IV fluids.
Ms. B leaves you a message saying she was admitted to the hospital for nausea and
vomiting, and that the in-patient dietician informed her she was drinking and eating
too quickly. You recommend that the inpatient dietitian and surgeon meet with the
patient's physicians to: Check the patient's vitamin B1 levels and make sure the IV
fluid contains 100 mg of thiamine.
A patient is one-year post-surgery; he comes to your office and states he has not
followed up with the Surgical Center where he had his surgery because he moved
and no longer lives in the city his surgery was performed in; he states he is only
taking an OTC multivitamin daily; you recommend that he: - ANSWER first, find a
surgical center close to his new location and schedule an appointment.
Second, ask for permission to talk with the patient's new PCP so that you can
present them with a list of nutritional labs that should be tested annually.
Finally, instruct the patient to resume the post-op vitamins and minerals that his
surgical center suggested.
A patient who has gastric bypass surgery comes to visit you eight years later. She
says she is embarrassed to return to her Surgical Center because she has gained 50
pounds of the 120 she lost. What are you doing? - ANSWER first, reassure the
patient that weight rebound after bariatric surgery is not uncommon, and undertake
a nutrition assessment - identify lifestyle factors that may be contributing to her
weight increase, give a nutrition diagnosis, and set up follow-up goals.
Second, recommend that her PCP check her post-operative nutrition labs.
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