It was merely a decade ago that the obesity epidemic was thought to only be a minor problem and had only alarmed a small number of endocrinologists interested by the size of the situation (James, 2008). However today, the problem of obesity is vast with more awareness of its presence by doctors and individuals alike. In fact, the Center for Disease Control and Prevention states, “More than one-third (34.9% or 78.6 million) of U.S. adults are obese (CDC, 2014)”. These numbers are outrageous and eye opening, leaving millions looking for a solution to this troubling epidemic. Obesity is not simply a cosmetic flaw as some might think, but is actually a very dangerous state of being for any individual to sustain long-term. Mentioned further in this paper, obesity leads to several debilitating diseases and disorders such as, type 2 diabetes.
The teaching summary provided offers an understanding into the relationship between obesity and type 2 diabetes as well as information given to assist those who currently struggle with obesity. Obesity is not simply an inconvenience or a cosmetic issue but a very dangerous and potentially deadly circumstance. In fact, one source explains, “Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some of the leading causes of preventable death (CDC, 2014)”. Although obesity is preventable and reversible, it is not easy for most to do. The task of sheading unwanted pounds is not entirely determined by will power alone, defeating cravings and the decrease in the metabolic rate that complements weight loss are also factors (Skolnik & Ryan, 2014). The fact that will power is not the single factor in weight loss, this task is very difficult to achieve, especially with life stressors involved. The teaching summary includes diet and exercise recommendations as well as information on weight loss surgery.
The relationship between obesity and type 2 diabetes’ existence has been scientifically proven and continues to remains a real threat for millions. The recognized meaning of obesity, globally, is centered on body mass index (BMI), and is a superior connection of total body fat than body weight alone, particularly on a populace basis (Skolnik & Ryan, 2014). According to one source, “”Over weight” is defined as having a BMI of 25.0 to 29.9 kg/m2 and “obesity” applies to patients with a BMI >30.0 kg/m2 (Skolnik & Ryan, 2014)”. As previously stated, obesity has a high likelihood of leading to co-morbidities such as type two diabetes; but what you may not know is how. Having excess weight, especially belly fat, makes the insulin our bodies produce resistant to fat cells. Therefore, our bodies are making the insulin and because of the adipose (fat) cells, the insulin cannot find the receptors. Furthermore, insulin resistance is due to hereditary, environmental influences and saturated and trans-fat high intake, obesity and an inactive routine (Servan, 2013).
Once the insulin is unable to find the receptors, our bodies are no longer able to regulate glucose (sugar) consequently, our blood sugars rise causing havoc in the body over time. Individuals may ask the question, “Why not just lose the weight?” Unfortunately, for many, simply losing the weight is not a hop, skip, and a jump away! However, weight loss can be achieved through, diet modifications, exercise, or possibly weight loss surgery as a last resort. Quantifiable studies have credibly presented that lifestyle change is the greatest approach in the deterrence or suspension of type 2 diabetes. For overweight and obese individuals, a slight weight-loss goal of 5-10% can considerably decrease the diabetes threat (Servan, 2013). Weight loss surgery is also an option for those who feel they have tried everything and still yet struggle. Weight loss surgery is not a “quick fix”; its recipients must also change their diets forever. The teaching power point was presented in a group setting with other nurses as well as bariatric patients. I felt that it was important to teach the information to other nurses so that they could go and teach others afterwards.
During the presentation I was very nervous and dislike speaking in front of crowds; I feel I did well simply because I am passionate about the topic. My own evaluation of the experience was overall a positive one. The information presented to the audience was over thirty-minutes, several individuals had questions, primarily regarding the weight loss surgery. However, the next time a teaching experience such as this one is conducted, I feel that a measure to test the audience would be beneficial. I feel like a fun group quiz or a trivia game would have been valuable in testing the audience’s knowledge. The only complaint I have is the time restriction. I had thirty minutes to present an introduction and the power point and feel I could have went more in depth if given more time. Overall, I feel this teaching experience was a success. The community response was a mixed one. I delivered the power point as planned and about half of my audience turned out to be really focused on obtaining more information regarding weight loos surgery. Although I provided information in the power point about weight loss surgery, it was not my focus. Answering questions, to the best of my knowledge, about weight loss surgery took up a lot of my time. I did not have the “know how” to get the presentation back on track after the weight loss surgery slide.
However, I did have a lot questions from the audience regarding the relationship between obesity and type 2 diabetes that I felt very comfortable answering. Although I did not have a means of measuring the audiences’ knowledge pre and post presentation, I feel the presentation was effective in teaching about the relationship between obesity and type 2 diabetes, and how to prevent such co-morbidities with obesity. As for my thoughts on improvement, the provider, as well as myself feel I could have used more eye contact while presenting. The daunting task of speaking in a group setting is nothing less than terrifying. However, I feel like I could have made more of an effort to make eye contact and be more engaging. As previously stated, a pre and post quiz would have been helpful in determining the effectiveness of the teaching. Although the crowd appeared appreciative of the knowledge, I have no way of knowing wheatear or not the audience actually learned the information.
The provider complemented my on the variety of information I provided, as well as my confidence in my knowledge. I do agree that I feel adequately knowledgeable on the topic of the relationship between obesity and type 2 diabetes however; I feel that if I would have shown more eye contact towards the audience I could have displayed further confidence. The provider also mentioned that I had a keen attention towards the sensitivity of obesity.
I personally do not feel inclined to dislike or disrespect any population for any reason whether they be a different race other than my own, extremely short or tall, or obese. The provider also complimented my thorough explanation of disease process in easy to understand way of explaining. Explaining medications and disease processes in non-technical language, or easy to understand ways of explanation is important to ensure the patients understanding. As a nurse, it is sometimes easy to forget that we know medical terminology only because we have taken courses to teach us this as well as working in the medical field. The patient may often times feel inferior to the medically educated professional, leaving the patient to agree to understanding information when in reality they have no idea what you are saying.
My goal as a nurse is to help anyone and everyone I can, through education and encouragement. I realize that change, whether it be smoking cessation, losing weight, or increasing activity; changing our routine that we are comfortable with is not easy. However, if it is harming our health, change is necessary. Health care providers cannot make anyone change but what we can do is educate on the harmful effects of what the patient is doing and provide encouragement. More importantly is to provide a non-judgmental atmosphere. The patient will be more willing to listen to the nurse’s education as well as have trust in that nurse when they feel like an equal and are not being judged.
Center for Disease Control and Prevention (CDC). (2014, September 9). Obesity and Overweight for Professionals: Data and Statistics: Adult Obesity – DNPAO – CDC. Retrieved from http://www.cdc.gov/obesity/data/adult.html
James, W. P. (2008). The epidemiology of obesity: the size of the problem. Journal of Internal Medicine, 336-352. Retrieved from http://eds.a.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?sid=9ede2d6d-4d02-42e9-aff7-dd9b2486a3c3%40sessionmgr4004&vid=8&hid=4203
Servan, P. R. (2013). Obesity and Diabetes. Nutricion Hospitalaria, 28(5), 138-143. Retrieved from http://eds.b.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?vid=11&sid=57543655-ca3d-4380-8d2c-28a71d3ce225%40sessionmgr110&hid=120
Skolnik, N. S., & Ryan, D. H. (2014). Pathophysiology, Epidemiology, and Assessment of Obesity in Adults. Journal of Family Practice, 63(7), 3. Retrieved from http://eds.b.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?sid=57543655-ca3d-4380-8d2c-28a71d3ce225%40sessionmgr110&vid=8&hid=119