The book is needed for several reasons. Bariatric surgery is one of the most clinically effective and cost effective services in any field of medicine, and is growing in popularity, and the non-specialist family practitioner, allied health professional and pharmacist need to know exactly what it involves. Bariatric surgery is in everyone’s interest – whether medic or patient, as it offers improvement in diabetes, heart disease, sleep apnoea, fatty liver and many cancers, whilst reducing benefits, housing costs and the general burden on the economy.
Author(s): David Haslam, Aseem Malhotra, Matthew S. Capehorn
Series: In Clinical Practice
Publisher: Springer
Year: 2022
Language: English
Pages: 180
City: Cham
Eulogy to Prof David Haslam
A Personal Tribute to David Haslam, Physician and Friend
Contents
About the Editors
Part I: Background to Obesity as a Disease
1: Obesity in Context; What Is the Need for Assessment and Management of Obesity and Related Conditions
2: Winning the Battle But Losing the War on Obesity?
3: Obesity in Practice: The Opportunities
Obesity Paradox
4: Obesity Is a Disease
References
5: Obesity and Periodontal Disease
Introduction
Diabetes
Immune Response
Role of the Dental Professional
References
Part II: Commercial Weight Management Services
6: The Role of Commercial Weight Loss Programmes
References
7: The Role of Formula Very Low and Low Energy Diets in Obesity and Type 2 Diabetes Management
Introduction
Very Low Energy and Low Energy Diets in Obesity Management
Low Energy and Low Energy Diet in Type 2 Diabetes Remission
Summary
References
Part III: Primary Care Role in Obesity Management
8: Role of the Nurse in Managing Obesity
Screening
Surgery
Long-Term Conditions; Diabetes
Obesity and Cancer
References
9: The Role of Community Pharmacy and Pharmacotherapy in Obesity Management
Introduction
The Role of the Pharmacist
Pharmacies Are Accredited on Completion of a Certified Training Programme
Pharmacotherapy
Orlistat
References
10: Physical Activity and Exercise: Challenging Misconceptions and Considerations for People with Obesity
Aims
Introduction
Challenging Misconceptions
How Effective Is Physical Activity and Exercise for Weight Loss?
Why Is It Important to Include Physical Activity as Part of Weight Management?
Which Types of Physical Activity and Exercise Are Most Beneficial?
Important Considerations for Physical Activity and Exercise Programming in Weight Management Interventions
Concluding Summary
References
11: Teaching Kitchens for Nutrition Education and to Improve Health Outcomes
Teaching Kitchens/Kitchen-Based Teaching
Community Kitchens
Mobile Teaching Kitchens
Culinary Medicine
Nutrition Education for Health Professionals in the UK
Summary
References
Part IV: Specialist Obesity Services Outside Primary Care
12: Setting Up a Tier 3 Service and Barriers to It
Challenges Raised at the Commissioning Stage
Funding
Duration of Tender
Key Performance Indicators
Challenges Setting Up the Service
Clinician Time
Suitable Premises
Staff Recruitment and Training
Clinical Protocol and Services
Challenges Running the Service
Integrating with Other Services
Advertising
Academic Links
Challenges Evaluating the Service
Collecting Data
Understanding “Failures”
Conclusion
References
13: Commissioning of Weight Management Services
Mapping of Commissioned Services
Implications for the Future
Call to Action
Reference
14: The Staff, Roles, and Facilities in Tier 3
Introduction
The Multidisciplinary Team Approach to Weight Management
The Initial Consultation
Common Myths and Mistakes
Individualised Care and Group Work
Pharmacotherapy, Surgery, and Other Services
Conclusion
References
15: The Role of the Psychologist in Weight Management and Bariatric Surgery
Rationale for the Inclusion of Psychology in Weight Management and Bariatric Surgery Services
Psychological Difficulties
Psychological Assessment
Direct Input with Patients
Different Modes of Delivery
Psychoeducation About Obesity and Weight Stigma
Liaison with Other Services
MDT Working
Specific Issues in Tier 3 Specialist Weight Management Services
Specific Issues in Bariatric Surgery
Service Evaluation and Development
Summary
References
16: Dietary Impact on the Prevention and Management of Obesity
Food Groups
Carbohydrate to Tolerance
Glycaemic Index
The Level of Carbohydrate Restriction
Protein in Moderation
Fat to Satiety
Eating Frequency
Summary
References
17: Obesity Services Luton and Dunstable Hospital: Overview
Part V: The Importance of the Surgical Pathway
18: Obesity Management: Criteria for Commissioning
Introduction
Criteria for Commissioning
Eligibility Criteria
References
19: Bariatric Surgery Dietitian Section
References
20: The Role of the Specialist Obesity Nurse Within the Bariatric Multidisciplinary Team
21: Psychological Aspects of Obesity Management
The Relationship Between Mental Health and Obesity
Role of Psychology Within Tier Three Weight Management Services
Role of Psychology Within Tier Four Bariatric Services
References
22: The Role of the Nurse Post-Bariatric Surgery Within a Bariatric Centre
Introduction
Surgical Obesity Treatment
Medical Review
Diabetes
Hypertension
Joint Pain
Obstructive Sleep Apnoea
Infertility
Compliance with Postoperative Supplements
Compliance with Adequate Protein Intake: Dietary
Compliance with Physical Exercises
Reduce Postoperative Complications
Conclusion
23: Bariatric Surgery: Making the Right Decision
Benefits of Bariatric Surgery
Types of Surgery
Gastric Band (LAGB)
Points to Consider
Sleeve Gastrectomy
Points to Consider
Gastric Bypass
Points to consider
Risks
Frequently Asked Questions
24: Obesity Education
References
25: Gastric Band
26: My Journey
Postscript
References
