Prejudice Against Overweight Patients: An Issue To Ponder - page 5

Weight discrimination is the treatment of someone in an unfair manner due to the person's size. Even though extremely thin individuals are occasionally treated poorly due to their size, overweight... Read More

  1. Visit  malamud69 profile page
    0
    Wow so many ideas to ponder. Her are some of mine. The BMI is outdated and unrealistic...it does not take into account body size, shape,ethnicity,athletics etc...Its like relating the american household to leave it to beaver!!! ( I am of sound square Russian stock)If I was supposed to be the "correct" weight for my height I would be like some little skinny high school kid...give me a break! That would have really helped me all those years doing construction..or now- moving patients as a CNA...but alas the BMI and my overweight doc say so...so I must be "too" overweight approaching obesity...funny how I can and do go to the gym 5-7x a week and can out sweat my doc and most of my "skinny" co-workers that eat nothing but sugar and mcdonalds 3x a day! Now... I do not judge anybody by there weight. I have had that issue my whole life..borderline body dimorphism if you will...but...I am a new nursing student and I still have a hard time taking advice from extremely overweight nurses that are constantly downing mcdonalds and mountain dews and smoking trying to tell me about good health! Health(for the most part sans genetics) is a choice and until this country starts with prevention we are going to have a long road of "sick" care ahead of us.
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  3. Visit  brandy1017 profile page
    1
    Quote from Stephalump
    So there's nothing to be said for "preventative
    health?"
    The truth is once you gain the weight your body metabolism changes and you are screwed! It is next to impossible to get back to a normal weight unless you are on extreme makeover, professionally starved and exercised to death or get gastric bypass surgery. Other than that forget it! If you somehow miraculously are able to lose weight you will most likely regain it!

    As far as your life would be better if you didn't weigh 270 or whatever. No kidding! Of course life would be better, you would look good and be treated a hell of a lot better by most people and of course you could buy tons of great clothes, etc.

    What is ridiculous is all the hype over the few diet pills available and most people lose only a few pounds maybe 10% if their lucky. Stupid articles telling you how 10% will really improve your health and life! Are they for real! Give me break!
    anotherone likes this.
  4. Visit  tothepointeLVN profile page
    1
    Quote from brandy1017
    As far as your life would be better if you didn't weigh 270 or whatever. No kidding! Of course life would be better, you would look good and be treated a hell of a lot better by most people and of course you could buy tons of great clothes, etc.
    I call BS on that in a BIG way. I STILL look good thank you very much. I get treated wonderfully by most people and I can still buy a bunch of great clothes. It's only a few jerks who think my life would be better that think that.

    I used to work in the fashion industry before nursing. All the stuff we feed you about looking good is to make you buy crap you don't need. Clothes are sold on hangers so they need to look good on a hanger so runway models need to be shaped like hangers. It's really that simple.
    SHGR likes this.
  5. Visit  wooh profile page
    1
    Quote from HM-8404
    (Shouldn't we be "shaming" young boys as well?) You equate educating someone with shaming them.
    No, I equate telling someone that they're only beautiful if they're skinny as shaming them. Teen girls already equate beauty with unrealistic photoshopped models. Telling someone they're only beautiful if they lose weight is COUNTERPRODUCTIVE. If you think a lack of self esteem helps healthy weight loss in any way, then you're sadly mistaken. The only time it helps is if it drives someone to an eating disorder.
    KelRN215 likes this.
  6. Visit  HM-8404 profile page
    1
    Quote from brandy1017
    The truth is once you gain the weight your body metabolism changes and you are screwed! It is next to impossible to get back to a normal weight unless you are on extreme makeover, professionally starved and exercised to death or get gastric bypass surgery. Other than that forget it! If you somehow miraculously are able to lose weight you will most likely regain it!
    This is incorrect. Metabolism does not change as one gains weight. It often does as we age. Just like yo-yo dieting does not cause someone to weigh more than they did at the beginning. The main way to lose weight is to burn more than 500 calories than taken in on a daily basis. Weight loss is like everything else in our society, we want it and we want it now. Someone that is 120lbs overweight that loses 4-5 lbs in a month is not happy and will get frustrated. They don't stop to consider that at that rate they will lose 48-60 lbs in a year. Instead they jump on some crazy fad diet and feel like crap after a week or two. Long term studies have been done with the Atkins diet. One group was on Atkins the other met with a Nutritionist and ate a sensible diet. At first the Atkins group dropped weight much faster. After 18 months both groups weighed the same. After 24 months the non-Atkins people weighed less. This is because most people cheated on the Atkins diet. Most people cannot completely adhere to a diet that removes so much everyday items from a persons diet.
    rubato likes this.
  7. Visit  HM-8404 profile page
    0
    Quote from wooh
    No, I equate telling someone that they're only beautiful if they're skinny as shaming them. Teen girls already equate beauty with unrealistic photoshopped models. Telling someone they're only beautiful if they lose weight is COUNTERPRODUCTIVE. If you think a lack of self esteem helps healthy weight loss in any way, then you're sadly mistaken. The only time it helps is if it drives someone to an eating disorder.
    I would bet you are an English Lit major. You read stuff in that is not actually there.

    I really like how you left out the very next sentence of what I posted too.
  8. Visit  wooh profile page
    0
    No, I just think through the results of putting really bad ideas into practice.
    But thankfully, you're not king of the world, so it's doubtful you'll be able to affect too many people with your simplistic ideas on metabolism and child psychology.
  9. Visit  tothepointeLVN profile page
    1
    You know when it comes down to it the problem is many people don't know the difference between patient education and advocacy and being rude. Being rude is something most of us myself included are very good it. Education and advocacy that gets the message through and helps not so much.
    wooh likes this.
  10. Visit  Crazed profile page
    2
    I've spoken about this issue too many times to count now, but in short, stop judging fat people. Stop judging gay people. Stop judging people with tattoos. Stop judging people with red hair. Stop judging people who watch Dancing with the stars. Stop judging Muslims. Stop judging people of different races. Stop judging teen mothers.

    Just stop judging people, and treat them like someone you love.

    Why is this hard?
    jadelpn and KelRN215 like this.
  11. Visit  Pets to People profile page
    1
    Quote from HM-8404
    This is incorrect. Metabolism does not change as one gains weight. It often does as we age. Just like yo-yo dieting does not cause someone to weigh more than they did at the beginning. The main way to lose weight is to burn more than 500 calories than taken in on a daily basis. Weight loss is like everything else in our society, we want it and we want it now. Someone that is 120lbs overweight that loses 4-5 lbs in a month is not happy and will get frustrated. They don't stop to consider that at that rate they will lose 48-60 lbs in a year. Instead they jump on some crazy fad diet and feel like crap after a week or two. Long term studies have been done with the Atkins diet. One group was on Atkins the other met with a Nutritionist and ate a sensible diet. At first the Atkins group dropped weight much faster. After 18 months both groups weighed the same. After 24 months the non-Atkins people weighed less. This is because most people cheated on the Atkins diet. Most people cannot completely adhere to a diet that removes so much everyday items from a persons diet.
    The amount of misinformation being spoken on here is disheartening, especially coming from the people who's responsibility it is to educate pt's on health and weight loss.

    A person gains weight because they are eating more and moving less but also because they are overeating carbs, this leads to huge spikes and drops in insulin which over time leads to insulin sensitivity. This means our cells cannot get the energy they require no matter how much insulin they produce, so since the insulin cannot put the carbs into a cell they store it as fat. The cells still never recieve the energy they asked for so they ask for more, so you are always hungry.

    No matter how much you excercise, if you are a carb burning person, and you will limit the calories you eat with the less calories in more calories out theory you are starving your body even more. You are telling your body to burn fat yet you are a carb burning person. THIS IS WHY you burn very little fat if any even if you are busting your butt in the gym. You are telling your body to perform KETOSIS yet you have not transitioned into ketosis (takes about 14 days). THIS IS WHY the general advice the majority of people get for weight loss never works! You can't expect someone to try and lose weight over a period of a year and be STARVING the entire time, how in the world could that ever possibly work?

    Your quoting of an Atkins research study is rediculous, you have to back up what you say. Who did this study, has it been re-created, how did they prove they cheated on the diet and with what, has anyone refuted it successfully and so on. That is why we have so much misinformation passed around and everyone is confused and no one gets better. When you read a study it takes ALOT of time to look into it, you have to take all studies with a grain of salt, as in they are usually bogus and self serving.

    And to which Atkins do you refer, the original or the new? The original had a few flaws, including allowing too many bad fats in addition to good ones and the original did not allow for calories, they allowed you to eat as much as possible.

    And many people can't stick to fad diets because of the very nature of fad diets and human nature. Even the definition of the word "diet" has gotten so confused. When you go on a diet it should be a lifelong change. So you need to find a diet you can stick with for the rest of your life, and what works best for you.
    angeleyes8501 likes this.
  12. Visit  Pets to People profile page
    0
    I think that one of the problems with judgement and becoming rude when a pt does not seem to adhere to our advice is that we caught up in thinking that everyone has to be like us and think like us and that our advice is gold. We can simply present our ideas (well researched, thought out, adjusted to a particular person, backed up with facts and so on) to someone and leave it up to them to accept them. "There is nothing so powerful as an idea who's time has come" -Victor Hugo. If a person is not ready to accept this new idea, they will NEVER accept it. Just think of the other posts you have seen on AN where a nurse can give their family advice, they know their stuff, can even show them a medical dictionary but they just REFUSE to see what you are trying to show them? I had a friend who swore that blood was blue before it came out of the body and when it hit the air it would become red, some conclusion she came to from taking a biology class or something, and we went back and forth and I could explain down to the molecule what was going on and show her textbook evidence but she absolutely refused to believe me.

    So basically don't get upset when they don't listen to you, even if you know what you are telling them is good info (and many people give out horrible info and think it's gold but they are still passionate about it)...if it's good info and correct info, they will hear it over and over and one day, BAM! they just might get it.

    The first person to say the world was round (some dispute as to who this really was) was called a total quack, despite the evidence he presented. It was a thought of the few against the masses (just like the whole fats are bad for you thing) and the masses won despite their ignorance, considering that we know the earth is round as a fact today.
  13. Visit  HM-8404 profile page
    0
    Quote from Pets to People
    The amount of misinformation being spoken on here is disheartening, especially coming from the people who's responsibility it is to educate pt's on health and weight loss.

    A person gains weight because they are eating more and moving less but also because they are overeating carbs, this leads to huge spikes and drops in insulin which over time leads to insulin sensitivity. This means our cells cannot get the energy they require no matter how much insulin they produce, so since the insulin cannot put the carbs into a cell they store it as fat. The cells still never recieve the energy they asked for so they ask for more, so you are always hungry.

    No matter how much you excercise, if you are a carb burning person, and you will limit the calories you eat with the less calories in more calories out theory you are starving your body even more. You are telling your body to burn fat yet you are a carb burning person. THIS IS WHY you burn very little fat if any even if you are busting your butt in the gym. You are telling your body to perform KETOSIS yet you have not transitioned into ketosis (takes about 14 days). THIS IS WHY the general advice the majority of people get for weight loss never works! You can't expect someone to try and lose weight over a period of a year and be STARVING the entire time, how in the world could that ever possibly work?

    Your quoting of an Atkins research study is rediculous, you have to back up what you say. Who did this study, has it been re-created, how did they prove they cheated on the diet and with what, has anyone refuted it successfully and so on. That is why we have so much misinformation passed around and everyone is confused and no one gets better. When you read a study it takes ALOT of time to look into it, you have to take all studies with a grain of salt, as in they are usually bogus and self serving.

    And to which Atkins do you refer, the original or the new? The original had a few flaws, including allowing too many bad fats in addition to good ones and the original did not allow for calories, they allowed you to eat as much as possible.

    And many people can't stick to fad diets because of the very nature of fad diets and human nature. Even the definition of the word "diet" has gotten so confused. When you go on a diet it should be a lifelong change. So you need to find a diet you can stick with for the rest of your life, and what works best for you.
    You are correct, you must take what you read with a grain of salt. Including claims made by someone that is trying to sell you a book based on a research paper the author read.

    I cannot recall the name of the study. We discussed it in my nutrition class where my professor holds a PhD in Nutritional Science. I think she may be slightly more informed than some random person on an internet website. I was able to locate a couple of reputable websites that address the Adkins diet.

    What Is the Atkins Diet? Expert Review of This Diet Plan

    The Atkins Paradox: What Diet Studies Don't Reveal | LiveScience

    I would have a doubt about any diet that suggested I remove all fruits and vegetables from my diet and replace them with bacon and pork chops.

    I have a really good friend that swears by the Atkins diet. He dropped a lot of weight fast. The diet has to work for some or it would never have become popular. I just don't see it as a viable option for most people.
  14. Visit  tothepointeLVN profile page
    1
    Quote from HM-8404

    I have a really good friend that swears by the Atkins diet. He dropped a lot of weight fast. The diet has to work for some or it would never have become popular. I just don't see it as a viable option for most people.
    It's not viable because of our food environment. Eating out and buying prepared food on Atkins is difficult and lets face it many of us may not have been overweight if we liked to cook. We just aren't as skilled at getting a lot of fat / carbs /salt into a dish as commercial chefs.
    angeleyes8501 likes this.


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