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Obesity Management

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Patient's typical day in terms of diet, lifestyle and exercise ... Develop structured, personalised plans. Avoid confrontations/challenges with the patient ... – PowerPoint PPT presentation

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Title: Obesity Management


1
  • Obesity Management
  • with
  • associated risk factors programme
  • Presentation
  • To
  • Health Well-being Partnership board
  • Meera Sharma BPharm (Hons), MRPharmS, PGDip
  • Professional Services Manager

2
Objectives
  • Background
  • Pharmacy pharmacist selection
  • Service process
  • Training Communication Skills
  • Progress to-date
  • Future Vision

3
(No Transcript)
4
Obesity Coventry Teaching PCT
  • Coventrys population 300,848
  • 50 adult population overweight
  • 23 clinically obese 51,622
  • 60 eat less 5 portions of fresh fruit
    vegetables
  • Only 22 travel to work by foot bicycle public
    transport
  • Coventrys vision for public health
  • Improve peoples dietary habits and increase
    physical activity
  • To provide weight management services to reduce
    mortality and morbidity
  • Improving the health of the local population

5
Aim of Service
  • To provide a weight management service for
    patients with a BMI (30-
  • 38kg/m2) with at least ONE diagnosed or
    established risk factor. Risk
  • factors include
  • Hypertension
  • Type -11 Diabetes
  • Hyperlipidaemia
  • Increased waist circumference Male 102cm (40
    ins) Female 88cms (35ins)
  • Why Community Pharmacy?
  • Ready accessibility for advice support
  • Ideally located for improving public health
  • Part of primary healthcare team
    inter-professional working
  • Community pharmacy contract provides foundation
    for quality, cost-effective patient services

6
Pharmacy and Pharmacist Selection
  • Criteria included
  • Pro-active pharmacist and support staff
    enthusiastic about opportunity presented by
    programme,
  • Pharmacy has consultation area that has been
    verified during monitoring visits to meet
    contract specification
  • Consultation area has sink available for use
  • Pharmacy has achieved a satisfactory contract
    monitoring report 2006-7
  • Pharmacist is HEI accredited for providing MUR
    service
  • Pharmacist is providing MUR service (gt 10 MURs
    completed, claimed and documented)
  • Pharmacy has demonstrated through past
    performance that it will actively engage and
    support local intimates and services
  • Suitable pharmacy location (to ensure good
    geographical distribution)
  • Selection was carried out jointly by Coventry
    Teaching PCT LPC

7
Acknowledgements
To all who were involved in the development of
this programme
Dr Terry Maguire
  • Equipment training for measuring the following
    parameters

BMI Weight Height
HbA1c
Blood Pressure
Total Cholesterol
8
Pharmacist and support staff training
  • 1- day training programme provided by Dr Terry
    Maguire, which covered
  • Behavioural change
  • Facilitating healthy choices by patients
  • Techniques to change dietary, lifestyle and
    exercise habits
  • Sustainable, realistic and gradual modification
  • Motivational interviewing technique skills
  • Patient wins challenges
  • Patients typical day in terms of diet,
    lifestyle and exercise
  • Provision of tailored, bespoke information
  • Working towards target systematically
  • Facilitating decision making, without jumping
    in with answers

9
Successful engagement with patient
  • Express empathy with patient
  • Develop structured, personalised plans
  • Avoid confrontations/challenges with the patient
  • Roll with patient resistance to change
  • Work within boundaries that the patient is
    comfortable with
  • Active listening

Planning with the patient
  • Create a tailored plan
  • Be realistic
  • 2lbs per week
  • Old habits die hard!!!
  • Small Changes Big Benefits

Aim for a 500 calorie reduction in calorie intake
per day to achieve a 1-2lb weight loss per week
10
Resources available
  • Local resources
  • Expert Patient Programme
  • Exercise Specialist
  • Dietician
  • Coventry Teaching PCT personnel
  • Expert resources
  • GPs nurses
  • UniChem Professional Services Team project
    facilitation
  • Equipment suppliers and pharmaceutical Industry
    support
  • Academic experts e.g. Dr Terry Maguire,
  • Department of Health guidance
  • National resources
  • Websites e.g. Diabetes UK, British Heart
    Foundation etc.
  • National publications e.g. NICE guidance, Skills
    for Health National Workforce Competency
    Frameworks

11
(No Transcript)
12
Progress to-date
  • 29 patients enrolled onto service since launch on
    10th January 2007
  • 1 peer-review meeting held, which was productive
    and allowed all pharmacists to feedback on
    successes/challenges
  • Future vision
  • To gather programme data and outcomes for
    academic research and evaluation of service for
    publication
  • To develop a Weight Management Programme for
    Children and Adolescents
  • Pharmacy to be seen as first port of call for
    patients and GPs to see pharmacy as a valuable
    patient referral pathway
  • To provide a sustainable and cost effective
    programme through out Coventry PCT for the people
    of Coventry

13
Implications for Health Well Being Partnership
  • Estimated obesity rate for West Berkshire is
    21.5, which is higher than the regional average
  • The above Coventry Teaching PCT model can be
    adapted for roll-out within West Berkshire
  • Similar selection, training and recruitment
    process
  • Can adapt patient inclusion exclusion criteria
    according to local needs
  • Engagement with local healthcare professionals
    can be built into the model for seamless patient
    care

14
Supporting the patient
Patient
Pharmacist
GP
PCT
Expert Patient Group
Dietician
Exercise Expert
Partner organisations
Together Everyone Achieves More
15
Thank you Questions?
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