Question

SUBJECT : SPECIAL NEEDS 2 ( CONTINUE CARE ASSISTANT)

Que 4. a. What are the criteria for the classification of a bariatric client? (1 mark)
b. What are the common causes of obesity?
c) List 3 ways a CCA can build a trusting relationship with the obese clients.

Que 5. List 4 common health issues that often affect Obese/Bariatric Clients and describe why each issue is affected by obesity?

Que 6. Describe 5 risk factors that increase the chances of suicide.

Que 7. List 4 things you can do if you believe a client is thinking about suicide.

Answer 1

ANSWER :

4.a)Criteria for classification of bariatric client :

According to BMI general population is classified into 5 categories:

• Underweight - BMI<18.5 Kg/m2
• Normal weight - BMI -18.5 -24.9 Kg/m2
• Class I obesity/ overweight -BMI : 25 - 29.9 Kg/m2
• Class II obesity /obesity - BMI : 30 - 39.9 Kg /m2
• Class III obesity / extreme obesity - BMI >40 Kg / m2

From the above classification the BMI criteria for bariatric client is :

• BMI is over 33 and suffer from type II diabetes.
• BMI is over 35 and have additional health disorders related to obesity(hypertension ,respiratory disorders , lipid abnormalities etc).
• BMI is over 40.

Other criteria include :

• Medical history.
• Dietary habits ,life style and previous weight loss attempts.
• Physical activity or inactivity.
• Psychological disorders.
• Personal commitment.

b).COMMON CAUSES OF OBESITY :

• Over eating and physical inactivity.
• Genetic cause - Leptin deficiency .
• A diet high in simple carbohydrate - carbohydrates increase blood glucose levels which stimulates insulin release by pancreas and this insulin promotes growth of fat tissue and cause weight gain.
• Frequency of eating - Overweight people eat leass often than people with normal weight.
• Medications- Antidepressants ,anticonvulsants,corticosteroids ,oral contraceptives etc cause weight gain.
• Psychological factors - Many people eat excessively in response to emotions such as sadness ,stress and anger.
• Certain diseases such as hypothyroidism ,insulin resistance ,polycystic ovary syndrome contribute to obesity.

c)3 ways a CCA can build trusting relationship with obese patients:

• Biomedical: Medical data gathering and medical education and counseling.
• Psychological : Psychological data gathering and psychological education and counselling . Psychological counseling includes -a)Communication : Good communication behaviours such as empathy encouragement ,psychological talk improve patient satisfaction and adherent. b)Positive attitude: Physicians attitude towards the patient provides information and expresses more positive effect.
• Rapport building - a)Positive rapport building : Can be acheived by humour ,complements ,approval and agreement .b)Emotional rapport building : Empathy, concern, reassurance ,partnership and self disclosure.c)Social rapport building : Personal remarks ,non medical social talk.