Managing obesity and communication Flashcards
Preventing and managing child obesity?
Preventing and managing child obesity:
- early intervention is crucial (especially in disadvantaged families)
- role of parents in providing food environment
- higher rates of obesity in disadvantaged families
Risk factors for chronic disease in teenagers?
- insulin
- ALT - fatty liver
- GGT - lower levels of cholesterol
- HDL - type 2 diabetes levels
Obesity management in children?
- primary goal is to halt weight gain and allow the child to grow into their weight
- weight management can
- prevent development of short term complications
- prevent risk of long term conditions e.g. CVD, Fatty disease
- prevent progression to adult obesity
What is the 5 As framework (management of obesity)
Assess • Measure height and weight, calculate BMI
• Assess diet, physical activity, and screen time, assess parental readiness to change
Advise • Advice using simple clear messages
Agree • Agree upon goals for changes in diet, activity, television
• Provide support and encouragement if recommendations currently practiced
Assist • Offer tips, suggestions, and resources to achieve recommendations
Arrange • Follow up and referrals if required
• Refer to GP if there are any health concerns including if child is obese
Difficult conversations - how do you tell the parents?
- may be perceived as bad news
- but parents expect to be told by HCP if there is a concern about their child
- long term effects of obesity make it an important conversations
Communicating with children?
- limited communication ability and lack of understanding
- emotional and psychological support
- family essential to communication process
- Different age groups require different communication techniques
Stages of development and communication in children?
Infants = Primarily use and understand nonverbal communication
• Crying primarily used to communicate distress
Toddlers = Egocentric and worried about separation
• Limited understanding and concrete thinking lead to literal interoperation of words
School age = Require explanations and reasons for everything
• Afraid of what may happen and will “fill in the gabs” of what they don’t understand
Adolescents = Fluctuation between child and adult thinking and behaviour, affecting communication
• Quick to reject those who they feel don’t listen
Communicating with families
- family is essential to Childs support system
- listen to parents (they know them best)
- poor communication generates fear, anxiety
- respect parent as partners in care
list some of the general principles: communicating with children
- Allow time for the child to feel comfortable
- talk in calm, quiet & friendly voice
- Speak clearly in simple words and sentences appropriate for age
- always tell the truth
- state directions and suggestions positively
- allow children to express their concerns and anxieties
- use of play, writing, drawing, story telling and other non-verbal technique
- communication through transition object (doll, toy)
list some of the general principles: Communicating with adolescents
- spend time to build relationships
- listen
- respect privacy and confidentiality
- be courteous, calm and open minded
- respect their views
- tolerate differences
Repeat back method:
Repeat back method:
- medical officer: give a 5mg salbutamol nebuliser and I will be there in 5 mins - Sarah: just to confirm you would like me to give a 5mg salbutamol nebuliser
Closed loop communication
- surgeon: Sarah could you hang another unit of blood
- Nurse: hanging another unit of blood
- Nurse: Blood has commenced
PACE method
- P = probe
- A = Alert
- C = Emergency
- D = Doc
