Learning Objective #1: Describe ways to intervene with patients for weight loss

Learning Objective #2: Apply principles of weight managment and communicate these to patients

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Obesity is a growing public health problem. In the United States, nearly two-thirds of adults are overweight and nearly one-third are obese. As little as 7% to 10% weight loss can produce significant positive changes in blood pressure, lipids, glucose, and insulin levels. The role of nurses is to assist patients in understanding their health and make changes for improvement. This presentation describes evidence-based tools the nurse can use to assess, plan, and intervene with patients who need to lose weight. In the assessment phase of the intervention a readiness to change eating behaviors and exercise habits is essential. The nurse and patient plan what is to be done in relation to the weight to be lost and a past history of weight loss. A weight loss goal and contract organizes the plan for the patient. Social support is necessary as the patient proceeds to lose weight. Behavioral interventions can take on many forms. One is writing down foods consumed and weight lost. Another is to plan meals ahead and know how to read food labels when shopping. Still another is thinking about personal feelings and eating and realizing how and when one eats in relation to life circumstances. Finally, the evaluation of weight loss with relapse plans are necessary as the patient proceeds to reach goals. Nurse support is essential throughout the process.