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ویرایش: 1st ed. 2020
نویسندگان: Angela Golden
سری:
ISBN (شابک) : 3030486826, 9783030486822
ناشر: Springer
سال نشر: 2020
تعداد صفحات: 266
زبان: English
فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود)
حجم فایل: 4 مگابایت
در صورت تبدیل فایل کتاب Treating Obesity in Primary Care به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب درمان چاقی در مراقبت های اولیه نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
آخرین اطلاعات CDC نشان میدهد که ۷۰ درصد از آمریکاییها را میتوان بهعنوان مبتلا به پیش چاقی یا چاقی طبقهبندی کرد. این بیماری مزمن علت بسیاری از بیماری های مزمن دیگر مانند فشار خون بالا، دیس لیپیدمی، دیابت و بیماری کبد چرب غیرالکلی است که می توان از 236 اختلال مرتبط با چاقی نام برد. علاوه بر این، چاقی عامل چهارده نوع مختلف سرطان در نظر گرفته می شود.
بر اساس تعداد افراد مبتلا و پیامدهای بیماری، مطالعه و درمان آن توسط ارائه دهندگان مراقبت های اولیه ضروری است. تعداد کمی از برنامه های آموزشی برای پزشکان، NPs یا PA اصول اولیه درمان چاقی را پوشش می دهند. این اصول شامل پاتوفیزیولوژی، ارزیابی بیماری، و مؤلفههای اساسی درمان با برنامههای غذایی، فعالیت بدنی و مداخلات رفتاری، سپس مؤلفههای حمایتی داروهای ضد چاقی، دستگاهها و جراحی است. در نتیجه، تعداد کمی از کسانی که در حال حاضر تحت مراقبت های اولیه هستند، آموزش هایی را در مورد درمان چاقی مبتنی بر شواهد دریافت کرده اند.
این کتاب به خواننده آموزش هایی را برای درک این موضوع ارائه می دهد. بیماری، تجربه بیمار و درمان کامل مبتنی بر شواهد. همچنین این فرصت را برای درک چگونگی ترکیب درمان در مراقبت های اولیه فراهم می کند. نوشته شده توسط یک متخصص برجسته در این زمینه، درمان چاقی در مراقبت های اولیه به همه پزشکان ارائه دهنده خدمات مراقبت های اولیه اطلاعات مورد نیاز برای درمان مؤثر بیماری مزمن چاقی را ارائه می دهد.
The latest information from the CDC demonstrates that 70% of Americans can be classified as having pre-obesity or obesity. This chronic disease is considered the cause of many other chronic diseases such as hypertension, dyslipidemia, diabetes, and nonalcoholic fatty liver disease, to name but a few of the 236 obesity associated disorders. Additionally, obesity is considered to be the cause of fourteen different types of cancers.
Based on the number of people affected and the consequences of the disease, it is imperative that it is studied and treated by primary care providers. Few training programs for physicians, NPs or PAs are covering the basics of treating obesity. These fundamentals include pathophysiology, assessment of the disease, and the foundational components of treatment with eating plans, physical activity and behavioral interventions, then the supporting components of anti-obesity medications, devices and surgery. As a result, few of those currently in primary care practice have received any education in the evidence-based treatment of obesity.
This book provides the reader with the education to understand the disease, the patient’s experience, and full evidence-based treatment. It also provides the opportunity to understand how to incorporate the treatment into primary care. Written by a leading expert in the field, Treating Obesity in Primary Care offers all clinicians providing primary care services the information needed to effectively treat the chronic disease of obesity.
Preface Contents Author Bio Introduction References Part I: Understanding the Disease Chapter 1: Bias and Stigma Related to Patients with Obesity Introduction Bias Barriers Most Common Barriers from the Provider: Time, Billing, Education Office Issues References Chapter 2: Obesity as a Disease Introduction So Is Obesity Really a Serious Chronic Disease? Definition of a Chronic Disease Obesity as a Chronic Disease Why Do We Care if Obesity Is a Disease? Does Obesity Need to Be Treated? Diagnosis Staging Obesity Is It Even Important to Make a Diagnosis or Can Just Treating the Complications Be Enough? References Chapter 3: Physiology of Adipose Tissue Introduction Central Nervous System Control of Eating Physiology of Adipose Tissue Future Use of Adipose Cells Hormones Leptin Insulin CCK Adiponectin/Resistin Ghrelin GLP-1 Summary References Chapter 4: Pathophysiology of Obesity Introduction Adiposity and Defense of Increased Adiposity Brain Disease Endocrine Disease Infectious Etiology Genetic Factor Inflammation Endocrine-Disrupting Chemicals Microbiome Inflammation Behavior Smoking Cessation Weight Regain So What Is Metabolic Adaptation? Are There Any Benefits Even with Weight Regain? Clinical Practice Implication Conclusion References Chapter 5: Obesity-Related Complications Introduction All-Cause Mortality Cancer Mechanism Clinical Implications Liver Mechanisms Clinical Implications Kidneys ORG Mechanism Clinical Implications Chronic Kidney Disease Mechanism Clinical Mechanism Metabolic Mechanism Prediabetes Mechanism Diabetes Mechanism Clinical Implication Metabolic Syndrome Mechanism Clinical Indications Cardiovascular Mechanism Clinical Implications Atrial Fibrillation (Afib) Mechanism Clinical Implications Heart Failure Clinical Implications Dyslipidemia Mechanism Clinical Implications Hypertension Mechanism Clinical Implications Polycystic Ovary Syndrome (PCOS) and Female Infertility Mechanism Clinical Implications Male Hypogonadism Clinical Implications Conclusion References Part II: Building a Treatment Plan Introduction to Part Two Reference Chapter 6: Chronic Disease Model for Obesity Introduction Chronic Care Model References Chapter 7: Evidence-Based Guidelines for the Treatment of Obesity Introduction Guidelines and Eating Guidelines and Physical Activity Guidelines and Medications Summary References Chapter 8: Foundational Component of Treating Obesity: Eating Plans Introduction Energy Balance Versus Quality Aka Quantity Versus Quality Eating Plans Assessment Eating Plans and Patterns Macronutrient Low Fat Low Carbohydrate Meal Plans Mediterranean Whole Foods Plant Based (WFPB) Meal Patterning Fasting Energy Focused Which Plan for Whom? Miscellaneous Issues Fruits and Vegetables Caloric Beverage Fast Food Protein at Breakfast National Weight Control Registry Angies’s Process of Guiding Patients References Chapter 9: Foundational Component of Treating Obesity: Physical Activity Introduction Energy Expenditure Activity and Guidelines Physical Activity and Aerobic Exercise Resistance Training Writing a Prescription for Physical Activity References Chapter 10: Foundational Component of Obesity Treatment: Behavioral Intervention Introduction What Is Behavioral Intervention? Research for ILI and IBT How Often Should Behavior Interventions Occur? Does Delivery Method Matter? Methods for ILI 5 As and SMART Goals Goal Setting Mindfulness Tracking Readily Available Educational Resources Problem-Solving and Goal Setting References Chapter 11: Supportive Component of Treatment: Medications for Treating Obesity Introduction Barriers Anti-Obesity Medications (AOMS) Expectation Who Should Be Considered for Anti-Obesity Medications? General Considerations and Pharmacologic Initiation What Are the Approved Agents Today? Short-Term Anti-Obesity Medications Long-Term Anti-Obesity Medications Choosing Which Medication to Start with Making a Switch Other Medications History of Weight Loss and Anti-Obesity Medications What Not to Use Future References Chapter 12: Supportive Component of Treatment: Procedures and Surgery Introduction How Bariatric Surgery Works Surgery Devices Intragastic Balloons Aspiration Therapy Endoscopic Sleeve Gastroplasty Vagal Blocking Hydrogel Matrix Primary Care Role Lifetime Monitoring Post-Surgery References Part III: Putting It All Together in Clinic Chapter 13: Billing for Obesity Treatment Introduction Added Complexity Preventative Coding Counseling Codes Codes Specific to Obesity Medicare and Obesity General Documentation Documentation and Billing Examples Preventive Counseling Coding and Documentation Preventive (Example of Assessment/Plan and Billing for the Visit) Follow-Up Visit for Joe MEDICARE IBT Documentation and Coding (Example of FU IBT) References Chapter 14: Putting It All Together in the Treatment of Obesity in Primary Care Introduction Preparation Visit Zero *Ask Visit One for Obesity Assess Physical Examination (Table 14.1) Vital Signs Screening Tools Diagnostics (to Assess for ORCs or Complications) Diagnose and Stage Plan Visit Two—Initiating Obesity Treatment Plan Visit Three Visit Four Visit Five Visit Six On Continues in the Same Way Practice Profiles Primary Care Integration Dedicated Day(s) for Obesity Chapter 15: Example in Clinic Introduction Ashley Visit One for Obesity Patient History Social History Physical Exam Chart Note Diagnose and Stage Visit 2–22 Susan Visit One for Obesity Patient History Social History Physical Exam Chart Note Diagnose and Stage John Visit One for Obesity Patient History Social History Physical Exam Chart Note Diagnosis and Stage Conclusion Resources Index