Bariatric Times

Insights into Patient Pop with Obesity 2016

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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Bariatric Times • December 2016 • Supplement C C17 loss. Busy people today—with jobs, families, and activities—often get less than six hours of sleep per night which can affect their physiology that in turn, affects their disease. Individuals with obesity may experience problems with obstructive sleep apnea (sleep quality) as well as sleep deprivation. THe CHrONIC CAre MODel OF OBeSITy The chronic care model of obesity involves an interdisciplinary team approach to the care of patients, including referrals to experts to provide the patient with the kind of comprehensive multidimensional care needed to manage obesity. Those PCPs on the frontlines of the battle against obesity find themselves in both an ideal and a challenging position to treat their patients struggling with adiposity. On the one hand, patients trust their PCPs and may respond most favorably to care and advice from their "medical home." On the other hand, PCPs do not have all of the time, resources, or expertise needed to offer the kind of integrated care approach that is most likely to confer success to their patients with obesity. PCPs should identify a local referral network of experts who can help their patients with overweight and obesity with weight loss and, in particular, to provide aid when the patient requires particularly advanced or intensive treatment. These specialists may include the following: an obesity medicine specialist, dietitian, physical activity specialist, behaviorists, as well as specialists for the various comorbid conditions the patient may have (e.g., cardiologists, endocrinologists, rheumatologists), and bariatric surgeons. Furthermore, PCPs should be aware of community resources (e.g., recreation centers, gyms, walking clubs) and support groups. Of course, not every patient will require every type of specialist and many specialists may be important for only a small subset of patients. Nevertheless, the existence of a robust referral network will allow the PCP to offer a chronic care model that works well for a wide range of patients. As with any interdisciplinary approach, the biggest challenge to any team remains communication among the various members. As the chronic care model of obesity is embraced and evolves, referrals will become more natural and physicians and other healthcare specialists will evolve what could be termed an "eco-system" that allows for reliable and efficient communication. Insights into the Patient Population with Obesity: Assessment and Treatment u

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