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Medical Weight Loss New Patient Packet
Thank you for choosing St. Elizabeth to help you achieve your weight loss goal! This packet will help you prepare for your first visit to get started. If you have not yet scheduled that visit, please call us at 859-212- GOAL (4625). Then review and complete this packet prior to your first appointment. Because this information is critical to successfully creating a personalized program for you, if you arrive at your first appointment without a completed packet, your appointment will be rescheduled. Checklist and survey for your initial visit at the Weight Management Center ¨ Did you complete a patient information session? (Initial and enter date of participation) _____Attended in-person patient information session. Date attended: ____________ _____Watched entire online session with Dr. Schumann and Dr. Catanzaro. Date viewed: ____________ If you have not participated in an in-person or online information session, please note that this free education is required prior to your first visit. It allows us to provide important information to you without charging you for an extensive office visit. ¨ After learning about the options during the information session, which program do you feel is right for you? (Initial your choice below) _____Very Low Calorie Diet (VLCD): meal replacement only program. Low Calorie Diet (LCD) (choose option below) _____Outlook 1: 1 meal and 2+ meal replacements. _____Outlook 2: 2 meals and 1+ meal replacements. _____Outlook 3: all food (no meal replacements). ¨ I understand the financial and follow-up requirements of the program: (Circle) Yes No o Weekly follow-up initially. § If not covered by insurance, $39 self-pay charge for nurse or dietician visit. -
Weight Management Guideline: Children and Adolescents
Weight Management in Children and Adolescents Screening and Intervention Guideline Prevention ........................................................................................................................................ 2 Nutrition ........................................................................................................................................ 2 Healthy eating behaviors .............................................................................................................. 2 Physical activity ............................................................................................................................ 3 Screening ......................................................................................................................................... 3 Diagnosis.......................................................................................................................................... 3 Interventions ..................................................................................................................................... 4 Goals ............................................................................................................................................ 4 Strategies to help with weight loss ............................................................................................... 5 Behavior change counseling using the 5A approach ................................................................... 5 Lifestyle modifications ................................................................................................................. -
Weight Management Program Welcome to the Foundation Weight
Welcome to the Foundation Weight Management Program! Foundation Weight Management Program We are glad you have decided to take the first step toward improving your health and look forward to working with you to design an individualized treatment plan that helps you achieve your long term weight loss goals. This program promotes a supportive and nonjudgemental environment and is designed for highly motivated individuals who are truly ready to lose weight and maintain an overall healthy lifestyle. What to Expect: Enclosed you will find new patient paperwork, which includes a detailed intake form. This form asks questions regarding your weight and general medical history. Please answer these questions as honestly as possible. Your answers will help our team design the best and safest treatment plan for your lifestyle and medical history. In addition to the completed forms, please bring a list of all medications and over the counter supplements to your initial visit. We also encourage patients to check with their insurance plan regarding coverage for registered dieticians (nutritionists) before their initial consultation. Our dietician has extensive experience in the field of weight management and is a valuable asset to our program. Please note: if you have Medicare, a visit with a registered dietician will only be covered if you have diabetes or kidney disease. Your initial consultation will last approximately 60 minutes. Our nurse will review your current medications and take your vital signs, including your height, weight, blood pressure, and waist circumference. Your provider will ask you detailed questions regarding your weight, your general medical history, and any surgeries you may have had. -
Obesity: Surgical and Pharmaceutical Options & Navigating Diet Trends
Obesity: Surgical and Pharmaceutical options & Navigating diet trends Guillermo Higa MD, FACS, FASMBS Bariatric Surgery Medical Director Chief of Division of Bariatric Surgery St. Mary’s Hospital Tucson-Arizona What is Obesity? The Obesity Medicine Association Definition of Obesity • “Obesity is defined as a chronic, relapsing, multi-factorial, neurobehavioral disease, wherein an increase in body fat promotes adipose tissue dysfunction and abnormal fat mass physical forces, resulting in adverse metabolic, biomechanical, and psychosocial health consequences.” Obesity Algorithm®. ©2017-2018 Obesity Medicine Association. Obesity is common, serious, and costly • The prevalence of obesity was 39.8% and affected about 93.3 million of US adults in 2015-2016. • Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer that are some of the leading causes of preventable, premature death. • The estimated annual medical cost of obesity in the United States was $147 billion in 2008 US dollars; the medical cost for people who have obesity was $1,429 higher than those of normal weight. https://www.cdc.gov/obesity/data/adult.html Obesity Kills • Leading cause of preventable death • Recently surpassed smoking as leading cause • Lifespan shortened 9 - 12 years • Over 400,000 deaths per year • 46 deaths each hour Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory, BRFSS, 2017 ¶ Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared -
Optimal Resources for Metabolic and Bariatric Surgery
Optimal Resources for Metabolic and Bariatric Surgery 2019 Standards facs.org/mbsaqip AMERICAN COLLEGE OF SURGEONS AMERICAN COLLEGE OF SURGEONS AMERICAN COLLEGE OF SURGEONS AMERICAN COLLEGE OF SURGEONS AMERICAN COLLEGE OF SURGEONS AMERICAN COLLEGE OF SURGEONS AMERICAN COLLEGE OF SURGEONS A AMERICAN COLLEGE OF SURGEONS Optimal Resources for Metabolic and Bariatric Surgery 2019 Standards Copyright © 2019 American College of Surgeons, 633 N. Saint Clair St., Chicago, IL 60611-3295. All rights reserved. Table Foreword ii MBSAQIP Designations and Accreditation Pathways vi of Contents Designations vii Designation Requirements Overview viii Accreditation Pathways x Standard 1 Institutional Administrative Commitment 1 1.1 Administrative Commitment 3 Standard 2 Program Scope and Governance 5 2.1 Volume Criteria 7 2.2 Low Acuity Center Patient and Procedure 9 Selection 2.3 Ambulatory Surgery Center Patient and 10 Procedure Selection 2.4 Metabolic and Bariatric Surgery (MBS) Committee 11 2.5 Metabolic and Bariatric Surgery (MBS) Director 13 2.6 Metabolic and Bariatric Surgery (MBS) 15 Coordinator 2.7 Metabolic and Bariatric Surgery (MBS) Clinical 16 Reviewer 2.8 Obesity Medicine Director (OMD) 18 Standard 3 Facilities and Equipment Resources 21 3.1 Health Care Facility Accreditation 23 3.2 Facilities, Equipment, and Furniture 24 3.3 Designated Bariatric Unit 26 Standard 4 Standard 6 Personnel and Services Resources 29 Data Surveillance and Systems 59 4.1 Credentialing Guidelines for Metabolic and 31 6.1 Data Entry 61 Bariatric Surgeons 6.2 30-Day -
Weight Management
Weight Management Healthy Eating Tip of the Month January 2015 Ways to Avoid Diet Failures Diets can be confusing! Remember that weight loss What foods are allowed? requires a change in your life- style, not just your diet. Focusing You might feel deprived! on following a strict diet may lead You may give in to cravings! to feelings of guilt rather than But it doesn't have to be this way! satisfaction! The Diet Cycle The diet cycle explains why so many diets are unsuccessful! Any diet that requires severe restrictions of your food intake will leave you feeling deprived, and eventually you will give in! After you give in, you will feel guilty and start your diet again. Then the cycle repeats! Sound familiar? The diet fails you — you do not fail the diet! How to Break the Cycle Ways to Stay on Track 1. Change your mindset! Keep a food journal Try to think about living an overall healthy Record what you ate, how much, when, and why you ate it. lifestyle, rather than being on a diet. You can use this as a tool to hold yourself accountable—it Think about all the good foods you can will give you a visual of how much and what types of foods eat, and how they are improving your health! you are eating throughout the day. Patterns relating food choices to your emotions may 2. Set realistic goals become apparent. Setting a goal can give you motivation to keep going. Once you reach your goal you Reduce temptations will feel successful! Do not keep unhealthy foods in your house if you know Share your goal with others to keep your- they temp you. -
Weight Management Screening and Intervention Guideline
Weight Management Screening and Intervention Guideline Summary of Changes as of August 2018 ..................................................................................................... 2 Background ................................................................................................................................................... 2 Screening ...................................................................................................................................................... 2 Diagnosis....................................................................................................................................................... 3 Weight Goals ................................................................................................................................................. 4 Interventions .................................................................................................................................................. 5 Behavior change counseling .................................................................................................................. 5 Lifestyle modification resources ............................................................................................................. 6 Diets and commercial weight-loss programs .......................................................................................... 6 Bariatric surgery..................................................................................................................................... -
Nutrition and Weight Management Services
Nutrition and weight management services A toolkit for pharmacists 2021 pii | Nutrition and weight management services: A toolkit for pharmacists Colophon Copyright 2021 International Pharmaceutical Federation (FIP) International Pharmaceutical Federation (FIP) Andries Bickerweg 5 2517 JP The Hague The Netherlands www.fip.org All rights reserved. No part of this publication may be stored in any retrieval system or transcribed by any form or means – electronic, mechanical, recording, or otherwise without citation of the source. FIP shall not be held liable for any damages incurred resulting from the use of any data and information from this report. All measures have been taken to ensure accuracy of the data and information presented in this report. Author: Lauren Blum, PharmD (University of North Carolina Eshelman School of Pharmacy, USA) Editor: Gonçalo Sousa Pinto, Lead for Practice Development and Transformation, FIP Recommended citation: International Pharmaceutical Federation (FIP). Nutrition and weight management services: A toolkit for pharmacists. The Hague: International Pharmaceutical Federation; 2021 Cover image: © Antonina Vlasova | shutterstock.com Nutrition and weight management services: A toolkit for pharmacists | p1 Contents Executive summary ...................................................................................................................................................................... 3 Acknowledgements ..................................................................................................................................................................... -
Obesity Medicine and Bariatric Surgery
Obesity Medicine Your MOVE TIME Bariatric TEAM! • Obesity Medicine Physicians • Bariatric Surgeons • Behavioral Medicine/Psychologists • Dietitians • Physical Therapists • Nursing and Clerical staff Goals of the MOVE TIME Clinic • To help you lose weight, live a healthy lifestyle and improve your quality of life – Medical management to help those not interested in surgery or not surgical candidate – Medically optimize obesity-related comorbid conditions – Surgical management for those interested in weight-loss surgery Medical Evaluation: What do we do? • Evaluate causes of obesity • Evaluate/treat obesity-related conditions • Offer medical treatments for obesity – Weight loss medications • Pre-operative evaluation • Post-operative care Common Causes of Obesity • Inactivity- computer, gaming, TV time, commuting, desk work • Excess caloric intake- large portions, liquid calories (alcohol/sodas), unhealthy food choices Medical Causes of Obesity • Untreated Sleep Apnea (OSA) • Insomnia/Poor sleep • Hormone related- Hypothyroidism, Polycystic Ovarian Syndrome, Low Testosterone, Cushings • Depression, anxiety, PTSD, sexual trauma, stress • Medications- e.g. psychiatric medications, insulin for diabetes • Genetics/Epigenetics • Traumatic Brain Injuries Medical conditions related to Obesity • Diabetes • Heart Failure • High Blood Pressure • Kidney disease • High Cholesterol • Inflammation • Sleep Apnea • Blood Clots • Heart Burn/Reflux • Cancers • Joint • Infertility pain/Osteoarthritis • Urinary Incontinence • Fatty liver and cirrhosis • Hormone -
Effectiveness of Weight Management Programs in Children and Adolescents
Evidence Report/Technology Assessment Number 170 Effectiveness of Weight Management Programs in Children and Adolescents Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract Number 290-02-0024 Prepared by: Oregon Evidence-based Practice Center, Portland, OR Investigators Evelyn P. Whitlock M.D., M.P.H. Elizabeth A. O’Connor, Ph.D. Selvi B. Williams, M.D, M.P.H. Tracy L. Beil, M.S. Kevin W. Lutz, M.F.A. AHRQ Publication No. 08-E014 September 2008 This report is based on research conducted by the Oregon Evidence-based Practice Center under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-02-0024). The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. The information in this report is intended to help clinicians, employers, policymakers, and others make informed decisions about the provision of health care services. This report is intended as a reference and not as a substitute for clinical judgment. This report may be used, in whole or in part, as the basis for the development of clinical practice guidelines and other quality enhancement tools, or as a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied. -
Promoting Healthy Weight
Promoting Healthy Weight Maintaining a healthy weight during childhood Definitions and Terminology and adolescence is critically important for chil- dren’s and adolescents’ overall health and well- Body mass index (BMI) is defined as weight (kilo- being, as well as for good health in adulthood. A grams) divided by the square of height (meters): 2 child’s or adolescent’s weight status is the result weight (kg)/[height (m)] . Although BMI does not of multiple factors working together—heredity, directly measure body fat, it is a useful screening metabolism, height, behavior, and environment.1 tool because it correlates with body fat and health 2 HEAL PROMOTING Two of the most important behavioral determi- risks. Additionally, measuring BMI is clinically nants are nutrition and physical activity. How feasible. In children and adolescents, BMI distribu- much and what a child or adolescent eats and tion, like weight and height distributions, changes the types and intensity of physical activity she with age. As a result, while BMI is appropriate to categorize body weight in adults, BMI percentiles participates in can affect weight and therefore T overall health. A balanced, nutritious diet and specific for age and sex from reference populations WE HY define underweight, healthy weight, overweight, regular physical activity are keys to preventing IG overweight and obesity. and obesity in children and adolescents. H T Underweight is an issue for some children and Body mass index is recommended as one of sev- adolescents, including some children and youth eral screening tools for assessing weight status. For with special health care needs and some adolescents individual children and adolescents, health care with eating disorders, but the overriding concern professionals need to review growth patterns, fam- with weight status in the United States today is over- ily histories, and medical conditions to assess risk weight and obesity. -
Weight Patterns and Genetics in a Rare Obesity Syndrome
Received: 22 May 2020 Accepted: 30 June 2020 DOI: 10.1111/ijpo.12703 ORIGINAL RESEARCH Bardet-Biedl syndrome: Weight patterns and genetics in a rare obesity syndrome Jeremy Pomeroy1 | Anthony D. Krentz2 | Jesse G. Richardson1 | Richard L. Berg1 | Jeffrey J. VanWormer1 | Robert M. Haws1,3 1Clinical Research Center, Marshfield Clinic Research Institute, Marshfield, Wisconsin Summary 2Prevention Genetics, Marshfield, Wisconsin Background: Bardet-Biedl syndrome (BBS) is a rare genetic disorder that severely 3Department of Pediatrics, Marshfield Clinic inhibits primary cilia function. BBS is typified by obesity in adulthood, but pediatric Health System, Marshfield, Wisconsin weight patterns, and thus optimal periods of intervention, are poorly understood. Correspondence Objectives: To examine body mass differences by age, gender, and genotype in chil- Jeremy Pomeroy, Marshfield Clinic Research Institute, 1000 North Oak Ave, Marshfield, WI dren and adolescents with BBS. 54449. Methods: We utilized the largest international registry of BBS phenotypes. Anthro- Email: [email protected] pometric and genetic data were obtained from medical records or participant/family interviews. Participants were stratified by age and sex categories. Genotype and obe- sity phenotype were investigated in a subset of participants with available data. Results: Height and weight measurements were available for 552 unique individuals with BBS. The majority of birth weights were in the normal range, but rates of over- weight or obesity rapidly increased in early childhood, exceeding 90% after age 5. Weight z-scores in groups >2 years were above 2.0, while height z-scores approached 1.0, but were close to 0.0 in adolescents. Relative to those with the BBS10 genotype, the BBS1 cohort had a lower BMI z-score in the 2-5 and 6-11 age groups, with similar BMI z-scores thereafter.