Prejudice Against Overweight Patients: An Issue To Ponder - page 6
by TheCommuter 12,529 Views | 106 Comments Senior Moderator
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 and obese people are the most... Read More
- 0Jun 22, '12 by jadelpn GuideThis is an interesting debate. I am one of the ones who was literally 115 pounds soaking wet (<---notice I say WAS). I ate whatever I wanted. Appetite for a small village. Had a hard tiime keeping weight on. Was asked numerous times if I was "sick" or "anorexic" or if I "threw up every meal". Nope. None of the above.
Then had my last child at age 37, couldn't figure out how to lose the baby weight. (Never been an issue before). Then whatever I put in my mouth went straight to my waistline. I needed education--I had not a clue in the world what I needed to be eating nor about portion control. All foriegn concepts. I got a lot of "wowwww you used to be sooooo skinny". I will never be 115 pounds again (by the grace of God) nor do I think I should be. However, being overweight is not about being lazy or unmotivated. It is often because one is so used to one way of eating or exercising, that when our bodies change--be it stress, hormones, lack of sleep--a lot of us are at a loss. And I have to add that most people's concepts of weight are way off base. It is NOT healthy or realistic for most people to be 115 pounds and be 5 foot 7. But there are many, many outlets that tell you that this is perfectly acceptable. I would rather have a patient who has a realistic view of healthy weight, then a patient who is so caught up in a diet roller coaster that they are constantly ill. And it is up to us as nurses, doctors, along with many other referrals to make it possible for a patient to feel better without the ridicule and stereotyping.
- 0Quote from woohI didn't mention anorexia, bulimia, race, or age, etc because obesity is the topic of the thread. I chose to use girls because they are typically the ones that have the most social problems, as adolescents and teens, if they are overweight.Ahhh yes. Because anorexia and bulimia are MUCH healthier than obesity.
And why is it only fat young girls we're worried about? Shouldn't we be shaming young boys as well?
Your last sentence points out the problem with obesity and health care workers. (Shouldn't we be "shaming" young boys as well?) You equate educating someone with shaming them. My point was there needs to be a balance when addressing young people.
Why is it that "tough love" is not always considered a bad thing when dealing with an addict but would usually be considered a terrible thing to do to someone that is obese? They are both killing themselves by their life choices. I have heard many overweight people talk about foods being like a drug, it is a craving, it is comforting, but afterward they feel guilty and shameful. This is the same way I hear addicts describe their addiction.
- 0Jun 22, '12 by malamud69Wow 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.
- 1Jun 22, '12 by brandy1017Quote from StephalumpThe 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!So there's nothing to be said for "preventative
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!
- 1Jun 22, '12 by tothepointeLVNQuote from brandy1017I 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.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 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.
- 1Jun 22, '12 by woohQuote from HM-8404No, 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.(Shouldn't we be "shaming" young boys as well?) You equate educating someone with shaming them.
- 1Quote from brandy1017This 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 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!
- 0Quote from woohI would bet you are an English Lit major. You read stuff in that is not actually there.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 really like how you left out the very next sentence of what I posted too.
- 1Jun 22, '12 by tothepointeLVNYou 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.