Abordagem (adequada) a pessoa em estado de obesidade - RENOB-MG

Summary

Karen, a 25-year-old nutritionist, seeks help for her struggle with obesity and anxiety surrounding her inability to lose weight. Daisy, a nurse, listens carefully to Karen’s challenges, including her family dynamics, emotional triggers, and her cycle of trying to lose weight but feeling defeated. Despite her knowledge of healthy practices, Karen finds it hard to control her eating and anxiety. Daisy suggests a personalized therapeutic plan with the support of a multidisciplinary healthcare team, aiming to address the root causes of Karen’s weight issues and help her regain control over her health and well-being.

Takeaways

• 😀 Daisy, a nurse, reaches out to Karen, a patient, to follow up on her struggles with obesity and anxiety.
• 😀 Karen has struggled with obesity since her university years and has experienced emotional challenges that have affected her eating habits.
• 😀 Karen feels the societal pressure to be thin, especially because she is a nutritionist, which adds to her frustration with her weight.
• 😀 Despite knowing what she should do for her health, Karen feels helpless in managing her eating and weight, leading to feelings of defeat.
• 😀 Daisy acknowledges the multifactorial nature of obesity and listens attentively to Karen’s concerns and struggles.
• 😀 Karen's weight gain has been influenced by family dynamics, particularly the stress of being away from home and her sister's depression.
• 😀 Daisy suggests a holistic approach to Karen’s care, involving a multidisciplinary team of healthcare professionals, including a physician, community agents, and nutritionists.
• 😀 Daisy proposes creating a personalized health plan through a 'singular therapeutic project' to address Karen’s specific issues, focusing on self-awareness and health management.
• 😀 The focus of the proposed health plan will be on Karen’s overall health, including controlling her anxiety and improving her self-awareness, rather than focusing solely on weight loss.
• 😀 Daisy reassures Karen that the process will be gradual, and the goal is to empower her to take control of her health with support from various professionals.
• 😀 A follow-up meeting with the healthcare team will be scheduled next week to discuss Karen’s needs and create a tailored care plan, incorporating input from the broader healthcare team and NASF professionals.

Q & A

What is Daisy's profession and role in the community?

Daisy is a nurse in the neighborhood where Karen lives. She plays a key role in the primary healthcare team and is dedicated to offering more personalized and attentive care to individuals in her area.

Why did Daisy schedule a consultation with Karen?

Daisy scheduled the consultation because she heard Karen's concerns about her struggles with weight loss during a previous conversation and wanted to offer her a more detailed and focused discussion to address her needs.

What is Karen's current emotional state regarding her weight loss journey?

Karen feels anxious and defeated in her attempts to lose weight. She experiences a cycle of trying to eat healthily but quickly succumbing to emotional eating, leading to weight gain and further anxiety.

How does Karen perceive her obesity and the impact of social interactions?

Karen has struggled with being labeled as 'obese' since her university days, and the negative comments, especially from her family and others, have significantly affected her self-esteem and contributed to her emotional eating.

What are the primary factors that contributed to Karen's weight gain?

Karen attributes her weight gain to several factors, including the emotional stress of family separation, her sister's depression, and her environment, such as the unhealthy food choices available during family visits and holidays.

Why does Karen feel conflicted about her profession as a nutritionist?

Karen feels conflicted because people expect her to be thin to be considered a 'proper' nutritionist. This adds to her frustration since, despite her professional knowledge, she struggles to maintain her own health and weight.

What did Karen identify as her primary obstacles to weight loss?

Karen struggles with controlling her anxiety, which triggers emotional eating. Despite knowing what she should do to lose weight, such as eating healthily and exercising, she feels unable to act on this knowledge.

What type of professional support does Karen seek?

Karen seeks professional help to break the cycle of anxiety and overeating, aiming for guidance on how to regain control over her health, especially in terms of managing her diet and emotions.

What is Daisy's approach to helping Karen with her weight loss and emotional challenges?

Daisy suggests a personalized care plan through a 'Projeto Terapêutico Singular' (Singular Therapeutic Project), integrating support from various health professionals, including the NASF (Núcleo Ampliado da Saúde da Família) team, to address Karen's needs holistically.

How does Daisy plan to involve other healthcare professionals in Karen's care?

Daisy plans to involve the broader healthcare team, including the family health doctor, community health agents, nurses, and NASF specialists, in creating a comprehensive plan to support Karen's health journey, focusing on her emotional well-being, dietary habits, and physical activity.