There is no doubt about it, achieving and maintaining weight loss long term is a great challenge. Primary care nurses have a significant role in motivating patients to adopt a healthy lifestyle and to persevere with weight management programmes. In the last issue of BJPCN we looked at how to raise the tricky subject of obesity with patients. This time, we continue the issue by exploring how practice nurses ensure a positive working relationship with their patients with weight problems and encourage them as they tackle the long-term issue of obesity.
There is no argument about the fact that childhood obesity in the UK is a serious problem. According to the Department of Health, childhood obesity affected 14.3% of 2-10 year olds in England in 2004. This was almost 5% more compared to the 1995 figures, and the estimated prevalence for 2010 is 20% if nothing is done, meaning that one million children will be obese. What can we do to reverse this growing epidemic of childhood obesity?
Stories in this Evidence in Practice include:
- Health survey for England, 2016: The good and the bad news
- Healthy lifestyle changes have a long-term benefit for type 2 diabetes prevention
- Weight loss diets reduce the risk of premature death for people with obesity
- Very low calorie diet can achieve a remission of Type 2 Diabetes
- Dash diet plus sodium reduction lowers systolic blood pressure
- Long-term follow-up underscores benefits of lowering LDL-C in CVD primary prevention
- Blood pressure self-monitoring is more effective with professional support
- AF and other chronic conditions = higher risk of death
- Clinical trials underestimate the real-world impact of Atherosclerotic CVD
- The burden of heart failure continues to rise in the UK
A new NHS service to provide a non-surgical reversible weight loss device for people who have both poorly controlled type 2 diabetes and obesity is safe and effective and should be rolled out across the NHS, according to new research presented at the recent EASD annual meeting in Lisbon, Portugal.
The Royal College of General Practitioners (RCGP) has released an online course exploring low glycaemic-index (GI) diets in type 2 diabetes. The 30-minute e-learning module ‘Type 2 Diabetes – a Low GI Approach’ is aimed at GPs, practice nurses, diabetes specialists nurses and other healthcare professionals working in primary care interested in helping people living with type 2 diabetes.
A new App called NURSING YOU has been designed for nurses to help them care for themselves to achieve and maintain a healthy weight so they can care for others more effectively. NURSING YOU is a key part of the Healthy Weight Initiative for Nurses (WIN) joint funded by the Royal College of Nursing Foundation.
A new NICE guideline provides valuable information on the assessment and management of non-alcoholic fatty liver disease (NAFLD) caused by a build-up of fat in the liver.
A meta-analysis of 189 studies including 3.9 million adults across four continents shows that being overweight or obese is associated with an increased risk of premature death. The risks of coronary heart disease, stroke, respiratory disease and cancer are all increased.
Practice nurses are in the frontline of the fight against obesity, yet they face a moving target. Around 10 years ago, the 'centre ground' of the battle comprised patients with around 10 kg to lose; today, it is 20 kg. This has profound implications for weight management and a range of related conditions, but recent research is highlighting new solutions for this group of patients.