healthy weight for life - lifestyle matrix · o i’m physically active already and am happy with...
TRANSCRIPT
Healthy Weightfor Life
Improve the health of your patientswith meaningful information
• Easy to implement
• Cost-effective
• Time-efficient
• Insurance-friendly
GROUP VISIT TOOLKIT
FOR ADDITIONAL GROUP VISIT RESOURCES, VISIT LifestyleMatrix.com
Your patients want to change…now you have the tools
• Overweight/Obese• Prediabetes/Type 2 Diabetes• Hypertension• Hyperlipidemia
• Coronary Heart Disease• Stroke• Liver and Gallbladder Disease• Osteoarthritis
• Gynecological problems• Cancer • Sleep Apnea and breathing problems
This essential toolkit educates patients on obstacles to achieving a healthy weight and maintaining it for life. By exploring in�ammation and detoxi�cation, patients will recognize patterns and long-term e�ects of unhealthy behaviors. Understanding the pitfalls of appetite suppressants and excessive calorie restriction will help patients embrace lifestyle choices that create lifelong, optimal body composition and chronic disease prevention. Use for patients with these issues:
THIS GROUP VISIT TOOLKIT INCLUDES:
© Living Wellness, LLC 2015. All rights reserved. No part of this DVD or CD may be used or reproduced in any manner without written permission from Living Wellness, LLC.
Visit Forms:Patient intake forms are designed to capturekey information to create e�cient, insurance-friendly patient encounters.
Patient Handout(s):Patient-friendly handout(s) assist you and improvethe implementation of key lifestyle tips necessaryto correct underlying causes of illness.
Multi-Media Education:Choose the best format to suit your presentation style• Video + audio version• Presentation slides for custom educationIdeal use for a Group Visit or one-on-one setting
Shilpa P. Saxena, MD is a Board-Certi�ed Family Practice physician whose passion and purpose come to life through sharing her innovative patient education and practice management solutions in her classic ‘keep it simple’ style. She serves as Faculty with the Institute for Functional Medicine, the Arizona Center for Integrative Medicine, the University of Miami, Miller School of Medicine, and the Metabolic Medical Institute at George Washington University. Dr. Saxena is an expert in the Group Visit medical model, creator of Group Visit Toolkits, and co-author of The Ingredients Matter: India.
LT-Guide-Healthy Weight GVT
Healthy Weightfor Life
GROUP VISITTOOLKIT
© Living Wellness, LLC 2015. All rights reserved. No part of this DVD or CD may be used or reproducedin any manner without written permission fromLiving Wellness, LLC.
Video Presentation
GVTWL-1-Video, Version 1.0
GROUP VISITTOOLKIT
Healthy Weightfor Life
Included on this disc:Event FlyerPatient HandoutsSOAP NotePresentation SlidesPresentation HandoutsHow to use your Group Visit ToolkitVideo Presentation (mp4)
© Living Wellness, LLC 2015. All rights reserved. No part of this DVD or CD may be used or reproducedin any manner without written permission fromLiving Wellness, LLC.
GVTWL-1-Files, Version 1.0
Patient Name: _________________________________ Date of visit: __________________________
CC: Overweight: BMI 27-30 Obese: BMI >30 Truncal weight gain
Associated Chronic Issue(s): 1. ___________________________ 2. __________________________________
History of Present Illness:
Part I: Physical Activity as Medicine
1. Please select the one choice that best describes you: o I’m physically active already and am happy with my progress. o I realize and am ready to get more active, but I would like some help. o I may not be ready to be more active, but I want to know if being more active would help my issues. o I’m not very active and not interested in being (or able to be) more active at this time.
2. How many hours each day do you spending sitting (e.g. watching TV, working at desk or on computer)? less than 1 hour 1-2 hours 2-4 hours more than 4 hours a day
3. How many minutes per week do you spend doing moderate physical activity (e.g. yard work, brisk walk, exercise class, sports)?
less than 30 min 30-90 min 90-150 min over 150 min
Part II: Food as Medicine:
1. Please select the one choice that best describes you: o I eat healthy with lots of fruits, veggies, clean protein, avoiding processed foods most of the time. o I am ready to eat healthier and would like more help and information on how to do it. o I may not be ready to be eat healthier, but I want to know if eating healthier would help my issues. o I’m not interested in changing the way I eat at this time.
2. How many servings of fruits and vegetables do you eat each day? (1 serving is approximately ½ cup)
2 or less 3-5 6-9 more than 9
3. How often do you eat foods that contain processed, preserved, or artificial ingredients? rarely or never once daily 2-4 x daily mostly all the time 4. How often to you drink fluids that contain sugar (including alcohol) or artificial ingredients?
rarely or never once daily 2-4 x daily mostly all the time
Review of Systems: (check all that apply)
fatigue chest pain with exertion joint pain swelling in legs/ankles acid reflux
snoring weight gain (last 3 mos): _____ # weight loss (last 3 mos): _____ #
Healthy Weight for Life
____________ (initial) I understand as a participant in this Group Visit/Shared Medical Appointment, that I and other patients will discuss medical information in the presence of other patients, family members, staff, and the clinician. If I have medical concerns that are of a very private nature, I will request to discuss with the clinician in a private setting or will schedule an individual office visit. I will also respect the confidentiality of the other members of the group by not revealing medical, personal, or any other identifying information about others in attendance after the session is over.
© 2015 Living Wellness, LLC GVT-5 Healthy Weight for Life-version 1.0
SOAP Note
a Insurance-friendly
a Can be scanned into EMR
a Patient completes
all non-gray box
sections
[ Insert Logo Here ]
ASSESSMENT (to be completed by office): Abnormal BMI Visceral Obesity Associated Chronic Disease(s) or Symptoms:
EXAM (to be completed by office):
o Vitals: Wt: _______ Ht: ________ BMI: _______ BP: _________ Pulse: ______ WC: ________ WHR: _______
o CV: R R R; no M/G/R Abnl: _____________ Edema: Yes / No JVD: Yes / No
o Respiratory: CTA B Abnl: ____________________ Respiratory Effort: WNL Labored o Other ____________________________________________________________________________________________
PLAN OF CARE (to be completed by office):
Reviewed common triggers of
inflammation, including excess adiposity Educated on inflammation as common
etiology of chronic disease Healthy support of detoxification &
elimination pathways discussed Low glycemic impact diet discussed Encouraged plant-based, whole foods
eaten in smaller portions & mindfully Take medications and/or supplements
as prescribed
RTC in _____ days weeks months
Provider to be seen: _______________________________
Reason for visit: ___________________________________
Other:
Everyone has his or her own special reason for looking and feeling better. Whether you’ve been recently diagnosed with a medical condition, want to keep up with your children/grandchildren or are just sick and tired of not feeling like ‘your old self’, making the choice to improve your health is a goal to be celebrated.
Patients with a clear understanding of what they deeply desire are the ones who succeed most often. Consider evaluating what fuels this quest and what will inspire and lift you hereafter by documenting them below: 1. Take a moment and reflect on why it is especially important to you to lose weight or live a healthier lifestyle?
2. Now, take a moment to reflect on how you will feel once you achieve your health goals.
© 2015 Living Wellness, LLC GVT-5 Healthy Weight for Life-version 1.0
Achieve a healthy weight and maintain it for life!Register for our upcoming patient Group Visit
Achieve a healthy weight and maintain it for life!Register for our upcoming patient Group Visit:t:
Did you know that more than 95% of people relapse from a fad diet in 5 years or less? Excessive calorie restriction, appetite suppressants and
short-term weight loss
health detriments.
Join us to learn how to avoid these pitfalls and embrace lifestyle choices that create lifelong, healthy weight and prevent chronic disease.
Healthy Weightfor Life
LOGO AREA
Date/Time/Location
Event Flyera Market to office patientsa Market to the greater communitya Customizable Word format
PowerPoint Slides
a Concepts reviewed in
video
a PPT slide files for
clinician to present
and modify as needed
a Handouts for patients
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Vers
ion
8
Patient HandoutsaReference concepts learned from group sessionaReinforce plan of careaCustomizable with clinic name/logo
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blu
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va
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s
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void
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#
gra
ms/
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pro
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ser
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=
7g p
rote
in)
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ALT
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VES
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ing
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____
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ean
soup
s–¾
c
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lack
soy
bea
ns
(co
oke
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ried
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s, be
ans,
or
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cook
ed)–
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lour
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me
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s (c
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d)–½
c
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r ot
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bean
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eans
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geta
rian
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© 2
015
The
Inst
itute
for F
unc
tion
al M
ed
icin
e
Vers
ion
5
fail to plan, plan to fail . . .Now that you understand your motivation for making your commitment to
living healthy, it’s important to understand any potential challenges that may arise along the way. Preparing for these potential stumbling blocks is extremely valuable
because you will know exactly how you plan to react to them should they arise. To avoid
this ‘self-‐sabotage’ unnecessarily, plan your work and work your plan!
“Give me six hours to chop down a tree and I will spend the first four sharpening the axe.” ― Abraham Lincoln
© 2015 Living Wellness, LLC GVT-‐5 Healthy Weight for Life, version 1.0
List the Challenges you may face and your plan for overcoming them them: Potential Challenge #1 è _________________________________________________________________- My plan to overcome this challenge:
Potential Challenge #2 è _________________________________________________________________- My plan to overcome this challenge:
Potential Challenge #3 è _________________________________________________________________- My plan to overcome this challenge:
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(Hungry scale: 1-‐not hungry ; 10-‐very hungry) )
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(Hungry scale: 1-‐not hungry ; 10-‐very hungry) )
(Hungry scale: 1-‐not hungry ; 10-‐very hungry) )
(Hungry scale: 1-‐not hungry ; 10-‐very hungry)
(Hungry scale: 1-‐not hungry ; 10-‐very hungry)
(1-‐not very relaxed ; 10-‐very relaxed) (1-‐not very strenuous; 10-‐very strenuous)
© 2015 Living Wellness, LLC GVT-‐5 Healthy Weight for Life, version 1.0
© 2015 Living Wellness, LLC GVT-‐5 Healthy Weight for Life, version 1.0
Making meaningful, healthy lifestyle changes is not always easy, especially as there
are many things to learn. Here are a few suggestions to keep it simple.
t ips for success
� Stop sugary or diet drinks.
� Rid your home or office of unhealthy ‘distractions’.
� Drink plenty of water: ½ of your bodyweight in ounces is a good rule of thumb.
� Understand your hunger/fullness. Take a minute right now. On a scale of 1-‐10, how full are you? Use this to evaluate your hunger throughout the day.
� Listen! Really listen for your body to signal that it’s hungry. Don’t confuse boredom, the clock, or social activities as hunger queues. Don’t eat until you’re hungry. In fact, eat when you’re between 2-‐4 on the hunger/fullness scale. Any lower or higher, you’re likely to overeat.
� Stop eating at about a 6-‐7 on the hunger/fullness scale.
� Stop thoughts that sabotage your success. These thoughts include, “It’s only one”, “I had a hard day, I deserve this”, “I lost weight this week”, “I don’t want to hurt her feelings by declining”, or “I just don’t care right now” are common.
� Always have a healthy snack nearby – a piece of fruit or a serving of nuts or seeds could be just what you need in an unexpected situation.
� Food is either helpful or hurtful to you. Nourish your body with the right foods and be aware of the ‘foods’ you know are harmful to you in the end.
� Don’t comfort yourself with food. If you find that you’re in need of some, find another way to help yourself. Go for a brisk walk, do yoga, relax & breathe, get some affection from someone or a beloved pet.
� Last, but certainly not least, be kind to yourself if you stumble. Getting healthy is rarely a straight-‐line journey. Strive to spiral up accepting occasional drops. If you fall, be sure to develop a clear understanding of why it happened, so you can avoid a repeat performance. The goal is to keep going!
Your patients want to change…now you have the tools
• Overweight/Obese• Prediabetes/Type 2 Diabetes• Hypertension• Hyperlipidemia
• Coronary Heart Disease• Stroke• Liver and Gallbladder Disease• Osteoarthritis
• Gynecological problems• Cancer • Sleep Apnea and breathing problems
This essential toolkit educates patients on obstacles to achieving a healthy weight and maintaining it for life. By exploring in�ammation and detoxi�cation, patients will recognize patterns and long-term e�ects of unhealthy behaviors. Understanding the pitfalls of appetite suppressants and excessive calorie restriction will help patients embrace lifestyle choices that create lifelong, optimal body composition and chronic disease prevention. Use for patients with these issues:
THIS GROUP VISIT TOOLKIT INCLUDES:
© Living Wellness, LLC 2015. All rights reserved. No part of this DVD or CD may be used or reproduced in any manner without written permission from Living Wellness, LLC.
Visit Forms:Patient intake forms are designed to capturekey information to create e�cient, insurance-friendly patient encounters.
Patient Handout(s):Patient-friendly handout(s) assist you and improvethe implementation of key lifestyle tips necessaryto correct underlying causes of illness.
Multi-Media Education:Choose the best format to suit your presentation style• Video + audio version• Presentation slides for custom educationIdeal use for a Group Visit or one-on-one setting
Shilpa P. Saxena, MD is a Board-Certi�ed Family Practice physician whose passion and purpose come to life through sharing her innovative patient education and practice management solutions in her classic ‘keep it simple’ style. She serves as Faculty with the Institute for Functional Medicine, the Arizona Center for Integrative Medicine, the University of Miami, Miller School of Medicine, and the Metabolic Medical Institute at George Washington University. Dr. Saxena is an expert in the Group Visit medical model, creator of Group Visit Toolkits, and co-author of The Ingredients Matter: India.
LT-Guide-Healthy Weight GVT