I do not work on a psychiatric unit, but last week alone I had one patient that weighed over 650 lbs and one that weighed under 70 lbs. Both were in total and complete denial.
When you have these patients do you talk to them about their weight? Does it make any difference? I tried being honest and actually said the same thing to both, "your weight is an issue and could kill you". Both gave me excuses. Both could have coded on me due to issues....and neither seemed to care.
Am I wasting my breath talking to them about their weight? How do you approach them?