SOWK 2025 Lecture 5: CH5 book powerpoint notes
Document Summary
As such, psychological issues included in its etiology or maintenance may not be fully addressed in treatment: obesity. (cid:862)attending skills(cid:863) (cid:894)(cid:272)ulturally appropriate (cid:271)ody la(cid:374)guage(cid:895) esse(cid:374)tial to esta(cid:271)lish safety. (cid:862)responding skills(cid:863) keep patients involved, allows counselor to understand issues fro(cid:373) (cid:272)lie(cid:374)t"s perspe(cid:272)ti(cid:448)e. Continued despite the consequences: factors & treatment of eating problems. Judicious monitoring and cautious provision of energy can limit the likelihood of refeeding syndrome: the general practice is to begin the refeeding process cautiously. Inpatient programs often start feedings on reduced calorie regimens, typically 30-40 kcal/kg/d (often 1000- 1200 kcal among low-weight patients), with the initial goal being medical stabilization and safety rather than weight recovery. This phase of treatment may last 1-3 weeks: access to sodium and simple sugars (gum, candy, breath mints, and even cough drops) may therefore need to be limited to reduce risk of refeeding syndrome. People may interfere with the weight restoration process through dishonesty, discarding food, exercising, or vomiting.
