Kind of OT I need your help
OK, so as many of you know I have been working on teaching classes at HACC here in Lancaster and have been talking with Temple as well. The person at Temple suggested that I do a training or workshop for them. So of course I want to do it on something I am interested in. So what I have decided to propose is a workshop for Clinicians on what to expect in a post WLS client and how to help them.
You all are experts in this subject. SO what should the expect? What can they do to help us?
Let me know what you think? IT will be a 4 hr training so I have to make sure I highlight the good stuff.
Let er rip!!!!
You all are experts in this subject. SO what should the expect? What can they do to help us?
Let me know what you think? IT will be a 4 hr training so I have to make sure I highlight the good stuff.
Let er rip!!!!
Some topics or ideas that come to mind include:
Transfer addictions
Coping/Self-soothing techniques.
Body Image
Self-esteem
Sexuality
Negative self-talk and old tapes.
Dealing with feelings after using food to anesthesize for years.
Shame
If you need me to elaborate I will, but I think you get the idea.
Hugs,
Trish
Transfer addictions
Coping/Self-soothing techniques.
Body Image
Self-esteem
Sexuality
Negative self-talk and old tapes.
Dealing with feelings after using food to anesthesize for years.
Shame
If you need me to elaborate I will, but I think you get the idea.
Hugs,
Trish
Seek always to do some good, somewhere. Every man has to seek in his own way to realize his true worth. You must give some time to your fellow man. For remember, you don't live in a world all your own. Your brothers are here too.
Albert Schweitzer
Albert Schweitzer
Would this be at Temple University in Philadelphia? When would you be presenting it? I still need hours for my license.
Hugs,
Trish
Hugs,
Trish
Seek always to do some good, somewhere. Every man has to seek in his own way to realize his true worth. You must give some time to your fellow man. For remember, you don't live in a world all your own. Your brothers are here too.
Albert Schweitzer
Albert Schweitzer
Trish hit a lot of it on the head.
Mind vs reality body image disturbance
Conflict
A) With yourself and food choices
B) With family/friends regarding your decision
Emotional Distress
A) Using food to calm the emotions
B) "Grieving" the loss of food
C) Withdrawl symptoms of caffeine, carbs
D) Dealing w/ holidays/parties at other houses and not being able to eat your "favorite" foods
Obsessive Behaviors
Weighing
Measuring
Can also include transfer addictions (sex, drugs, alcohol, shopping...)
Financial Issues
A) Constantly shopping for new clothes (exciting at first...sometimes annoying!)
B) No more 20 for $10 Ramen noodles
Confusion
A) How much protein
B) When should I eat?
C) What counts as fluid?
D) How much fluid?
These are just some of the topics I know we talk about at the meetings and on here. Do I think all of them a really important? Some are obviously much more important than other ones and are more common.
Good luck!
Pam
Mind vs reality body image disturbance
Conflict
A) With yourself and food choices
B) With family/friends regarding your decision
Emotional Distress
A) Using food to calm the emotions
B) "Grieving" the loss of food
C) Withdrawl symptoms of caffeine, carbs
D) Dealing w/ holidays/parties at other houses and not being able to eat your "favorite" foods
Obsessive Behaviors
Weighing
Measuring
Can also include transfer addictions (sex, drugs, alcohol, shopping...)
Financial Issues
A) Constantly shopping for new clothes (exciting at first...sometimes annoying!)
B) No more 20 for $10 Ramen noodles
Confusion
A) How much protein
B) When should I eat?
C) What counts as fluid?
D) How much fluid?
These are just some of the topics I know we talk about at the meetings and on here. Do I think all of them a really important? Some are obviously much more important than other ones and are more common.
Good luck!
Pam
Instead of complaining that the rosebush has thorns, be happy that the thorn bush has roses. 
It looks like alot of the emotional and mental things have been brought up. So I will throw in some other ideas.....
~maintaining visits with a nutritionist. Many people get off track without even seeing it coming and routine visits would help with that.....I think.
~getting regular check-ups and with your PCP. There are alot of little things that can be avoided with some routine labs, etc.
~most importantly, knowing your medical history. I work in a doctor's office and I can't believe how many people know NOTHING about why they are coming to us, what thier conditions are, and what thier meds are. BE PROACTIVE in your medical care and history!
~maintaining visits with a nutritionist. Many people get off track without even seeing it coming and routine visits would help with that.....I think.
~getting regular check-ups and with your PCP. There are alot of little things that can be avoided with some routine labs, etc.
~most importantly, knowing your medical history. I work in a doctor's office and I can't believe how many people know NOTHING about why they are coming to us, what thier conditions are, and what thier meds are. BE PROACTIVE in your medical care and history!
When life hands you lemons, ask for tequila & salt and give me a call!
Nicole,
The greatest hurdle for me post op has been going through withdrawl from several of my medications. I feel more care should be taken with the patient regarding such. Prior to surgery I was on 8 different medications for GERD, Blood Pressure, Chronic Cough, and two for an auto immune thyroid condition. While in the hospital post surgery, someone made the determination that I didn't need to take certain medications, but upon discharge, I should resume them. Supposedly, the cause for the GERD and Chronic Cough should have been eliminated, so why start up the drugs that were causing my increased heart rate if I didn't need them?
There's much more to this story and I have no wish to bore you with the details, but I do feel there should be much more discussion regarding medications than was part of my process. Post op I believe I went through a withdrawl condition that was a bit scary. I was in contact with my PCP, but it would have been nice if this issue would have been addressed earlier on.
Carol
The greatest hurdle for me post op has been going through withdrawl from several of my medications. I feel more care should be taken with the patient regarding such. Prior to surgery I was on 8 different medications for GERD, Blood Pressure, Chronic Cough, and two for an auto immune thyroid condition. While in the hospital post surgery, someone made the determination that I didn't need to take certain medications, but upon discharge, I should resume them. Supposedly, the cause for the GERD and Chronic Cough should have been eliminated, so why start up the drugs that were causing my increased heart rate if I didn't need them?
There's much more to this story and I have no wish to bore you with the details, but I do feel there should be much more discussion regarding medications than was part of my process. Post op I believe I went through a withdrawl condition that was a bit scary. I was in contact with my PCP, but it would have been nice if this issue would have been addressed earlier on.
Carol
RNY - 09/08/08 
Highest Weight: 258
Day of Surgery: 247
Current: 157
Goal: 150
Highest Weight: 258
Day of Surgery: 247
Current: 157
Goal: 150
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