Support for Patients Living with Class III Obesity Collaborative Roles of Nurses, Nutritionists, Social Workers, and Psychologists

Authors

  • Fawaz Muhayya Khalifah Alrashdi
  • Mishal Saad J Aljuaid
  • Talaq Mehmmas M Alotaibi
  • Nafa Muhaya S Alshammari
  • Bader Suwayhid M Alanazi
  • Fahad Rafaai R Almutaibri
  • Naif Abdullah Al-Motairi
  • Abeer Dhaher Aladham Alruwaili
  • Raghda Salma Alomayri
  • Dhiah Ghiadh G Alruwaili
  • Maryam Taher Jassim Alatiyyah

DOI:

https://doi.org/10.22399/ijcesen.4238

Keywords:

Class III obesity, patient support, multidisciplinary approach, nurses

Abstract

Support for patients living with Class III obesity requires a comprehensive, multidisciplinary approach that integrates the expertise of nurses, nutritionists, social workers, and psychologists. Nurses play a vital role in providing ongoing health assessments, monitoring comorbid conditions, and ensuring that patients receive appropriate medical care. They are often the first point of contact, offering education on lifestyle changes and the importance of adherence to treatment plans. Nutritionists contribute by creating personalized meal plans that address the unique dietary needs of these patients, focusing on sustainable eating habits that promote weight management. This collaborative effort fosters a supportive environment that empowers patients to take charge of their health. Social workers and psychologists are essential in addressing the behavioral and emotional aspects of living with Class III obesity. Social workers can help navigate the social determinants of health that may impede progress, such as financial barriers and limited access to resources, while also facilitating connections to community support systems. Psychologists play a crucial role in addressing the psychological factors associated with obesity, including body image issues, emotional eating, and possible mental health disorders. Together, these professionals not only aid in developing effective treatment plans but also ensure that patients feel supported in their journey toward healthier lifestyles. This holistic strategy emphasizes the importance of collaboration across disciplines to enhance patient outcomes and foster long-term success.

References

[1] World Health Organization. Obesity and Overweight.

[2] Wharton S., Lau D.C.W., Vallis M., Sharma A.M., Biertho L., Campbell-Scherer D., et al. Obesity in adults: A clinical practice guideline. Can. Med. Assoc. J. 2020;192:E875-E891.

[3] Puhl R.M., Lessard L.M., Himmelstein M.S., Foster G.D. The roles of experienced and internalized weight stigma in healthcare experiences: Perspectives of adults engaged in weight management across six countries. PLoS ONE. 2021;16:e0251566.

[4] World Obesity Federation. World Obesity Atlas 2024.

[5] Lauby-Secretan B., Scoccianti C., Loomis D., Grosse Y., Bianchini F., Straif K. Body Fatness and Cancer—Viewpoint of the IARC Working Group. N. Engl. J. Med. 2016;375:794-798.

[6] GBD 2021 Diabetes Collaborators. Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: A systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2023;402:203-234.

[7] World Health Organization. WHO Acceleration Plan to Stop Obesity.

[8] World Health Organization. Declaration of Alma Ata. International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978.

[9] Tandan M., Dunlea S., Cullen W., Bury G. Teamwork and its impact on chronic disease clinical outcomes in primary care: A systematic review and meta-analysis. Public Health. 2024;229:88-115.

[10] World Health Organization. WHO Package of Essential Noncommunicable (WHO PEN) Disease Interventions for Primary Health Care.

[11] Semlitsch T., Stigler F.L., Jeitler K., Horvath K., Siebenhofer A. Management of overweight and obesity in primary care-A systematic overview of international evidence-based guidelines. Obes. Rev. 2019;20:1218-1230.

[12] Parker S.M., Stocks N., Nutbeam D., Thomas L., Denney-Wilson E., Zwar N., et al. Preventing chronic disease in patients with low health literacy using eHealth and teamwork in primary healthcare: Protocol for a cluster randomised controlled trial. BMJ Open. 2018;8:e023239.

[13] Braga V.A.S., Jesus M.C.P., Conz C.A., Silva M.H.D., Tavares R.E., Merighi M.A.B. Actions of nurses toward obesity in primary health care units. Rev. Bras. Enferm. 2020;73:e20180404.

[14] World Health Organization (WHO). Regional Office for Europe. Competencies for Nurses Working in Primary Health Care.

[15] Wilkes L., Cioffi J., Cummings J., Warne B., Harrison K. Clients with chronic conditions: Community nurse role in a multidisciplinary team. J. Clin. Nurs. 2014;23:844-855.

[16] World Health Organization. Nursing and Midwifery.

[17] Jackson S.E., Wardle J., Johnson F., Finer N., Beeken R.J. The impact of a health professional recommendation on weight loss attempts in overweight and obese British adults: A cross-sectional analysis. BMJ Open. 2013;3:e003693.

[18] Bright D., Gray B.J., Kyle R.G., Bolton S., Davies A.R. Factors influencing initiation of health behaviour conversations with patients: Cross-sectional study of nurses, midwives, and healthcare support workers in Wales. J. Adv. Nurs. 2021;77:4427-4438.

[19] Walsh K., Grech C., Hill K. Health advice and education given to overweight patients by primary care doctors and nurses: A scoping literature review. Prev. Med. Rep. 2019;14:100812.

[20] Warr W., Aveyard P., Albury C., Nicholson B., Tudor K., Hobbs R., Roberts N., Ziebland S. A systematic review and thematic synthesis of qualitative studies exploring GPs' and nurses' perspectives on discussing weight with patients with overweight and obesity in primary care. Obes. Rev. 2021;22:e13151.

[21] Rust C., Prior R.M., Stec M. Implementation of a clinical practice guideline in a primary care setting for the prevention and management of obesity in adults. Nurs. Forum. 2020;55:485-490.

[22] Braun V., Clarke V. Using thematic analysis in psychology. Qual. Res. Psychol. 2006;3:77-101.

[23] Page M.J., McKenzie J.E., Bossuyt P.M., Boutron I., Hoffmann T.C., Mulrow C.D., et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.

[24] Tricco A.C., Lillie E., Zarin W., O'Brien K.K., Colquhoun H., Levac D., et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann. Intern. Med. 2018;169:467-473.

[25] Peters M., Godfrey C., McInerney P., Munn Z., Trico A., Khalil H. Chapter 11: Scoping Reviews. JBI Man. Evid. Synth. 2020;169:467-473.

[26] Barrea L., Framondi L., Di Matteo R., Verde L., Vetrani C., Graziadio C., et al. The role of the nurse in the Obesity Clinic: A practical guideline. Panminerva Medica. 2021;63:539-546.

[27] Brewah H., Todhunter J., Bades A., Colyer S. Can community nurses take on obesity? J. Community Nurs. 2018;32:8-11.

[28] Campbell-Scherer D.L., Asselin J., Osunlana A.M., Ogunleye A.A., Fielding S., Anderson R., et al. Changing provider behaviour to increase nurse visits for obesity in family practice: The 5As Team randomized controlled trial. CMAJ Open. 2019;7:E371-E378.

[29] Fernández-Ruiz V.E., Armero-Barranco D., Paniagua-Urbano J.A., Sole-Agusti M., Ruiz-Sánchez A., Gómez-Marín J. Short-medium-long-term efficacy of interdisciplinary intervention against overweight and obesity: Randomized controlled clinical trial. Int. J. Nurs. Pract. 2018;24:e12690.

[30] Fernández-Ruiz V.E., Paniagua-Urbano J.A., Solé-Agustí M., Ruiz-Sánchez A., Gómez-Marín J., Armero-Barranco D. Impact of the I2AO2 interdisciplinary program led by nursing on psychological comorbidity and quality of life: Randomized controlled clinical trial. Arch. Psychiatr. Nurs. 2018;32:268-277.

[31] Govindasamy S., Beek K., Yates K., Jayasuriya R., Reynolds R., de Wit J.B.F., Harris M. Experiences of overweight and obese patients with diabetes and practice nurses during implementation of a brief weight management intervention in general practice settings serving Culturally and Linguistically Diverse disadvantaged populations. Aust. J. Prim. Health. 2023;29:358-364.

[32] Hinks S.R. Exploring community nurses' views on the implementation of a local Weight Management Pathway. Br. J. Community Nurs. 2022;27:612-618.

[33] Kelley S. The Role of the Faith Community Nurse in Weight Management. J. Christ. Nurs. 2018;35:53-59.

[34] Palmeira C.S., Mussi F.C., Santos C.A.S.d.T., Lima M.L., Ladeia A.M.T., Silva L.C.d.J. Effect of remote nursing monitoring on overweight in women: Clinical trial. Rev. Lat.-Am. De Enferm. 2019;27:e3129.

[35] Parker S., Tran A., Saito S., McNamara C., Denney-Wilson E., Nutbeam D., Harris M.F. Exploring organisational readiness to implement a preventive intervention in Australian general practice for overweight and obese patients: Key learnings from the HeLP-GP trial. Aust. J. Prim. Health. 2024;30:PY23085.

[36] Parker S.M., Barr M., Stocks N., Denney-Wilson E., Zwar N., Karnon J., et al. Preventing chronic disease in overweight and obese patients with low health literacy using eHealth and teamwork in primary healthcare (HeLP-GP): A cluster randomised controlled trial. BMJ Open. 2022;12:e060393.

[37] Shaji P., Singh M., Sahu B., Arulappan J. Effectiveness of Nurse-led Lifestyle Modification Intervention on Obesity Among Young Women in India. SAGE Open Nurs. 2023;9:23779608231186705.

[38] Virtanen J., Penttinen M., Kautiainen H., Korhonen P. The impact of lifestyle counselling on weight management and quality of life among working-age females. Scand. J. Prim. Health Care. 2021;39:382-388.

[39] Alexander S.C., Cox M.E., Boling Turer C.L., Lyna P., Østbye T., Tulsky J.A., Dolor R.J., Pollak K.I. Do the five A's work when physicians counsel about weight loss? Fam. Med. 2011;43:179-184.

[40] Braga V.A.S., Jesus M.C.P., Conz C.A., Tavares R.E., Silva M.H.D., Merighi M.A.B. Nursing interventions with people with obesity in Primary Health Care: An integrative review. Rev. Esc. Enferm. USP. 2017;51:e03293.

[41] Jay M., Gillespie C., Schlair S., Sherman S., Kalet A. Physicians' use of the 5As in counseling obese patients: Is the quality of counseling associated with patients' motivation and intention to lose weight? BMC Health Serv. Res. 2010;10:159.

[42] Pray R., Riskin S. The history and faults of the body mass index and where to look next: A literature review. Cureus. 2023;15:e48230.

[43] Chen X., Zhou C.W., Fu Y.Y., Li Y.Z., Chen L., Zhang Q.W., Chen Y.F. Global, regional, and national burden of chronic respiratory diseases and associated risk factors, 1990-2019: Results from the Global Burden of Disease Study 2019. Front. Med. 2023;10:1066804.

[44] The British Heart Foundation. Global Heart & Circulatory Diseases Factsheet.

[45] Lin X., Xu Y., Pan X., Xu J., Ding Y., Sun X., et al. Global, regional, and national burden and trend of diabetes in 195 countries and territories: An analysis from 1990 to 2025. Sci. Rep. 2020;10:14790.

[46] Obesity Canada. Health Impacts of Obesity.

[47] Recalde M., Pistillo A., Viallon V., Fontvieille E., Duarte-Salles T., Freisling H. Body mass index and incident cardiometabolic conditions in relation to obesity-related cancer risk: A population-based cohort study in Catalonia, Spain. Cancer Med. 2023;12:20188-20200.

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Published

2024-08-30

How to Cite

Fawaz Muhayya Khalifah Alrashdi, Mishal Saad J Aljuaid, Talaq Mehmmas M Alotaibi, Nafa Muhaya S Alshammari, Bader Suwayhid M Alanazi, Fahad Rafaai R Almutaibri, … Maryam Taher Jassim Alatiyyah. (2024). Support for Patients Living with Class III Obesity Collaborative Roles of Nurses, Nutritionists, Social Workers, and Psychologists. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.4238

Issue

Vol. 10 No. 4 (2024): IJCESEN

Section

Research Article

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