Chronic Conditions

Back to top

Adult Obesity

Obesity Definition

Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health. A crude population measure of obesity is the body mass index (BMI), a person’s weight (in kilograms) divided by the square of his or her height (in metres). A person with a BMI of 30 or more is generally considered obese. A person with a BMI equal to or more than 25 is considered overweight.

Obesity Guidelines

American Association of Clinical Endocrinologists Comprehensive Clinical Practice Guidelines for Medical Care of Patients with Obesity.

Michigan Quality Improvement Consortium Management of Adult Overweight and Obesity Guidelines

Care Management Interventions

Click Here to access obesity action plan

Diagnosis Specific Concerns

Care Management Intervention

Patient Specific Interventions

Care Manager Resources

Patient Resources

Assessment

Assess patients knowledge level on diagnosis

 

Adult Comprehensive Assessment

 

Diagnosis Education

Provide education regarding Obesity diagnosis

  • Causes
  • Risks
  • Symptoms
  • Treatment

Discuss diagnosis with care manager

 

Review educational materials provided

 

Provide teach-back

Obesity Clinical Care Guidelines from the University of Michigan Health System

 

2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults

 

American Association of Clinical Endocrinologists Comprehensive Clinical Practice Guidelines for Medical Care of Patients with Obesity

 

Diet

Assess BMI

 

Educate patient on a healthy eating plan

  • Portion size
  • Calories
  • Foods to limit

 

Refer patient to a dietitian

 

Develop with the CM a weight management plan

 

 

 

Prevention and Management of Obesity (Mature Adolescents and Adults)

 

 

 

Screening  for and Management of Obesity in Adults From Medline Plus

Dietary Guidelines for Americans 8th edition

 

Activity

Provide education on exercise and weight loss if recommended by physician

 

Create action plan

Provide examples of different types of exercise

 

 

 

Check with provider prior to starting an exercise regimen

Physical Activity Guidelines for Americans form the Office of Disease Prevention & Health Promotion

Ten Guidelines to help manage your Weight

 

7-5-2-1-0 Tips

Michigan Healthier Tomorrow Campaign

Medications

Complete a medication reconciliation

 

Educate if applicable on:

  • Statins
  • Blood pressure
  • Blood sugar
  • Cardiac
  • Weight loss medications

Create medication list of all current medications including OTC and herbal supplements.

 

Demonstrate understanding of medications including:

  • Name and purpose
  • Dosage
  • When to take
  • How to refill

 

Provide teach back regarding medications

Prescription Medications to Treat Overweight and Obesity from the National Institute of Health

 

Smoking cessation

Provide education on smoking cessation

 

Review materials provided on smoking cessation

 

Enroll in a smoking cessation program

 

Smoke Free.gov

How to create a quit smoking plan

Other Health Conditions

Review with patient the effect of obesity with their other chronic conditions

  • HTN
  • High Cholesterol
  • Diabetes or potential for
  • Heart disease

Discuss additional diagnosis with CM

 

 

Managing stress

 

           

 

Educate patient on healthy ways to manage stress

Refer patient to a behavioral health specialist

Demonstrate understanding of healthy ways to manage stress

 

Mind and Body Health: Obesity tips from American Psyhcological Association

 

For a printable version of the care management interventions Click Here

*This chart is not meant to be an inclusive list of interventions or resources for care management, but a starting point in working with patients with obesity. Always check with your practice regarding the use of guidelines, resources and education.

Pathophysiology References

Article

Mechanisms, Pathophysiology, and Management of Obesity

People who are overweight or obese account for two-thirds of the U.S. population . . .

Article

The Pathophysiology of Obesity and Its Clinical Manifestations

Information on obesity and its relation to diabetes, insulin resistance, hypertension and metabolic disorders.

Toolkits

This section provides information on various toolkits to assist with the care management of obese/overweight patients.

Tools

Adult Obesity Toolkit

Disease Management Toolkit for Primary Care Providers from the Accreditation Association for Ambulatory Healthcare

Care Management Learning Resources

This section is for care managers who would like to get additional more specific information relating to obesity.

Article

Towards a multi-disciplinary approach to understand and manage obesity and related diseases

Looks at views of obesity from various clinician viewpoints, as well as its impact on quality of life and impact on other diseases. From the Journal of Clinical Nutrition

Article

Clinical Pharmacist Services in a Multidisciplinary Weight Management Clinic

Medications are important in the management strategy, and pharmacists can enhance the care provided. From the Journal of Healthcare for the Poor and Underserved

Community Resources

Directory of Obesity Prevention Programs in Washtenaw County

Clearing house of obesity prevention programs to help facilitate collaboration, identify gaps and assist with needs assessment and program planning.

Webinars and Presentations

MiPCT Webinar

Jul 10 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Maureen E. Irwin, RD, PA-C, Care Manager, Administrative Network, Inc., Oakland Southfield Physicians, PC Dawn Rodman, MS, CWHC, CPT, Michigan Health and Wellness 4X4 Plan Coordinator, MDCH Annemarie Hodges, MA, Public Health Consultant, Arthritis Program, MDCH

MPTCQ Webinar

Sep 11 2017

To receive a certificate of completion Click Here.

Presented by

Michigan Pharmacists Transforming Care and Quality