Practice Guidelines Essay

1814 words - 8 pages

Practice Guidelines
Medical Management of Obesity
According to Drs. Ethan Berke, and Nancy Morden, obesity continues to be a leading preventative medical condition, which contributes to more than 400,000 deaths each year in America. Obesity is diagnosed when an individual’s body mass index (BMI) is greater than thirty. Medical conditions stemming from the core condition include: high blood pressure (hypertension), cardiovascular issues, joint discomfort, and diabetes. In the article, the “Medical Management of Obesity” the physicians link the National Guideline Clearinghouse (NGC) obesity clinical practice guidelines, with evidence based research from the World Health Organization ...view middle of the document...

However, America still has the largest number of obese people in the world. The medical management of obesity is slowly evolving to a preventative approach in comparison to the reactive approach used in previous cases. In 2009, Schaub & Marian reported that Americans spent over 35 billion dollars in the consumer diet industry. In 2011, the U.S. fitness industry reached $21.4 billion. Obesity related “health care expenses total anywhere from $147-210 billion annually” (Cecchini, Franco, 2012). Health care related expenses also include systemic problems such as decrease production in the workplace, employment discrimination, and the increase of disability claims. Many patients are self-treating obesity with diet, exercise, and better life choices after consulting with physicians. Others need more substantial treatment in the form of medication to balance hormones, vitamin, and nutrition intake. Nic (2011) suggest that physicians find treating obesity difficult for many reasons. Physicians not only have to treat the diagnosis, but also the associated ailments with a person’s mental state, and other systemic issues.
Understanding how to diagnose obesity involves the identification, and tracking of patients with normal to overweight BMI. This implements a preventative, or proactive method that also improves the communication between patient, and provider. In addition, providers can predict the patient’s risk factors leading to obesity based on lifestyle, personal, and family medical history. Drs. Burke, and Morden go on to state the root causes of obesity pertaining to excessive food intake, low physical conditioning, genetics, environment, psychological mental status, and hormone levels. The Drs. analyze the common weight loss of “10-15% of body weight” to the successful management of root causes (Nic, 2011). Though the main factors include eating the right portion of the correct foods, and included physical stimulation to balance hormone, and fat levels within the body. Physicians choose medication as a secondary treatment after traditional treatment regimes have proven positive, stagnant, or no change in a patient’s BMI. However, multiple medications are available to serve only as an initiator of weight loss and not a long-term solution. Volkow, Wang, Fowler, Tomasi, & Baler (2012) argue this as an area of concern for patients, since many obese people also have addictive personalities. Providers also focus on the psychiatric ailments that obesity patients endure, which in many cases have a psychosomatic effect that prevent seeking or staying with a treatment plan. The article does conclude that most professional organizations in the fight against obesity do follow clinical practice guidelines, however can not account for the patient’s own lack of accountability when sticking to a treatment plan.
Analysis of Purpose, Focus, and Rationale of Guidelines
The National Guideline Clearinghouse lists the clinical practice...

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