The Assessment of the Adult Patient with Overweight and Obesity
The Assessment of the Adult Patient with Overweight and Obesity
复制标题
成人超重和肥胖患者的评估
DOI：
10.1007/978-3-319-39409-1_9
复制
发表时间：
2016
影响因子：
2
通讯作者：
R. Blackstone
中科院分区：
文献类型：
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作者：
R. Blackstone
肥胖症患者是复杂而独特的。他们往往患有一系列相互关联的症状和综合症。当病人寻求任何形式的医疗帮助时，我们作为医生的工作是给予指导和支持，使病人能够获得更好的健康。这一过程从全面的健康史开始，因为必须确定导致每个特定患者肥胖的具体因素，以确保对患者进行正确的诊断和治疗。本章将清楚地说明在肥胖症患者中采集此类病史的具体方式。其次，医生必须进行详细的身体评估。本章概述了正确执行此类检查的机制和独特挑战，以及可以使用的各种工具，包括必要或推荐的诊断测试。本章还提供了关于非酒精性脂肪肝（NAFLD）和2型糖尿病（T2 DM）患者的额外评估信息，沿着了关于睡眠障碍的讨论。最后，本章解释了做一个总结评估的重要性，在这个评估中，病人的目标是建立的，治疗计划是创建的。治疗通常从现实和更容易实现的目标开始，然后再设定更大的目标，因为要求病人一次做所有的事情可能会导致失败和沮丧。
The patient with obesity is complicated and unique. They often suffer from a cluster of interrelated symptoms and syndromes. When this patient seeks medical help of any kind, it is our job as medical practitioners to give guidance and support so the patient can achieve overall better health. This process starts with taking a comprehensive health history because the specific factors contributing to obesity in each particular patient must be ascertained to ensure proper diagnosis and treatment of the patient. The specific format for taking such a history in a patient with obesity is clearly laid out in this chapter. Next, a detailed physical assessment must be conducted by the medical practitioner. This chapter outlines the mechanics and unique challenges of performing such an exam correctly and the various tools that can be used, including necessary or recommended diagnostic tests. Information regarding additional assessments on patients with non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes (T2DM) is also provided in this chapter, along with a discussion about disordered sleep. Finally, this chapter explains the importance of doing a summary assessment in which patient goals are established and a treatment plan is created. Treatment often starts with realistic and more easily attainable goals before bigger goals are set because asking a patient to do everything at once will likely result in failure and frustration.
DOI：
10.1016/j.juro.2009.08.071
发表时间：
2009-12
期刊：
The Journal of urology
影响因子：
--
作者：
Subak LL;Richter HE;Hunskaar S
通讯作者：
Hunskaar S