{"id":1371,"date":"2019-09-07T08:13:33","date_gmt":"2019-09-07T08:13:33","guid":{"rendered":"http:\/\/practicalhealthpsychology.com\/?p=1371"},"modified":"2025-12-01T08:37:13","modified_gmt":"2025-12-01T08:37:13","slug":"raising-weight-in-a-consultation","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/cz\/2019\/09\/raising-weight-in-a-consultation\/","title":{"rendered":"Problematika v\u00e1hy u zdravotn\u00edch prohl\u00eddek"},"content":{"rendered":"<p><strong>Jane Ogden, University of Surrey, UK<\/strong><\/p>\n<p>Na l\u00e9ka\u0159sk\u00fdch prohl\u00eddk\u00e1ch b\u00fdv\u00e1 t\u00e9ma v\u00e1hy o\u0161emetn\u00e9. N\u011bkter\u00fdm pacient\u016fm nemus\u00ed b\u00fdt p\u0159\u00edjemn\u00e9 sly\u0161et \u201cM\u011bl\/a byste zhubnout\u201d poka\u017ed\u00e9, kdy\u017e nav\u0161t\u00edv\u00ed l\u00e9ka\u0159e, nehled\u011b na to, zda p\u0159i\u0161li kv\u016fli bolesti krku, cervik\u00e1ln\u00edmu st\u011bru nebo potencion\u00e1ln\u00edm srde\u010dn\u00edm probl\u00e9m\u016fm. Mohou od zdravotn\u00edk\u016f poci\u0165ovat celo\u017eivotn\u00ed pocity stigmatizace a myslet si, \u017ee jedin\u00e9, co ka\u017ed\u00fd vid\u00ed, je velikost jejich t\u011bla. Zat\u00edmco toto plat\u00ed pro n\u011bkter\u00e9 jedince, jin\u00ed mo\u017en\u00e1 nikdy o sv\u00e9 v\u00e1ze jako probl\u00e9mu neuva\u017eovali a mohou b\u00fdt ura\u017eeni a p\u0159ekvapeni, pokud dojde k t\u00e9to zm\u00ednce. N\u011bkte\u0159\u00ed lid\u00e9 jednodu\u0161e necht\u011bj\u00ed tento probl\u00e9m sly\u0161et a ignoruj\u00ed v\u0161e, co je jim \u0159e\u010deno, zat\u00edmco si nap\u0159\u00edklad mysl\u00ed \u201cco o tom m\u016f\u017eete v\u011bd\u011bt \u2013 jste huben\u00fd\/\u00e1 \/ tlust\u00fd\/\u00e1 \/ p\u0159\u00edli\u0161 mlad\u00fd\/\u00e1 \/ p\u0159\u00edli\u0161 star\u00fd\/\u00e1 nebo \u201c v\u011bda nem\u00e1 pravdu\u201d. Zvy\u0161ov\u00e1n\u00ed pov\u011bdom\u00ed o probl\u00e9mech s\u00a0v\u00e1hou vy\u017eaduje \u0161etrn\u00fd a opatrn\u00fd postup, zahrnuj\u00edc\u00ed \u201ekdy\u201c, \u201ejak\u201c a \u201eco\u201c je osob\u011b s\u00a0nadv\u00e1hou \u0159e\u010deno.<\/p>\n<p><!--more--><\/p>\n<p><strong>Kdy\u017e<\/strong>\u2026.<br \/>\nLid\u00e9 tr\u00e1v\u00ed p\u0159\u00edli\u0161 velkou \u010d\u00e1st sv\u00e9ho \u017eivota s\u00a0dlan\u011bmi na u\u0161\u00edch a maj\u00ed neoby\u010dejnou schopnost nesly\u0161et to, co je \u0159e\u010deno. Prvn\u00ed trik pro vyposlechnut\u00ed zpr\u00e1vy je na\u010dasov\u00e1n\u00ed, a pro probl\u00e9my s v\u00e1hou je \u010dasto nejlep\u0161\u00ed propojen\u00ed s \u201enau\u010dn\u00fdm momentem\u201c. Ten m\u016f\u017ee nastat, kdy\u017e se objev\u00ed nov\u00fd symptom, jako probl\u00e9my s\u00a0dechem nebo p\u0159idru\u017een\u00e9 bolesti; diagn\u00f3za stav\u016f jako cukrovka nebo vy\u0161\u0161\u00ed krevn\u00ed tlak; zm\u00ednka o \u017eivotn\u00edch ud\u00e1lostech jako nadch\u00e1zej\u00edc\u00ed \u201erizikov\u00fd v\u011bk\u201c \u010di d\u016fchod; nebo n\u011bjak\u00e9 \u017eivotn\u00ed okolnosti, kter\u00e9 za\u010daly b\u00fdt n\u00e1ro\u010dn\u00e9, jako ch\u016fze do schod\u016f, no\u0161en\u00ed d\u011bt\u00ed, zavazov\u00e1n\u00ed tkani\u010dek. Tyto \u201enau\u010dn\u00e9 momenty\u201c mohou lidem pomoci \u201esundat dlan\u011b z u\u0161\u00ed\u201c, tak\u017ee kdy\u017e pacient p\u0159ich\u00e1z\u00ed se sv\u00fdm \u00a0\u201enau\u010dn\u00fdm momentem\u201c, vyu\u017eijte ho a oslovte probl\u00e9m s\u00a0v\u00e1hou.<\/p>\n<p><strong>Jak\u2026<\/strong><\/p>\n<p>Dal\u0161\u00ed \u010d\u00e1st ov\u0161em nen\u00ed lehk\u00e1! M\u011bl\/a byste \u0159\u00edci tlou\u0161\u0165ka, v\u00e1ha, nadv\u00e1ha \u010di dokonce obezita? M\u011bl\/a byste b\u00fdt nesm\u011bl\u00fd a zeptat se \u201eJe to pro V\u00e1s v\u00a0po\u0159\u00e1dku, pokud si popov\u00edd\u00e1me o Va\u0161\u00ed v\u00e1ze?\u201c Nebo byste m\u011bl\/a b\u00fdt v\u00edce p\u0159\u00edm\u00fd\/\u00e1 a \u0159\u00edci \u201ePot\u0159ebujete shodit p\u00e1r kil\u201c? Zdravotn\u00edci se tohoto t\u00e9matu \u010dasto boj\u00ed v\u00edce ne\u017e pacienti. M\u011bli by v\u0161ak toto t\u00e9ma oslovovat, p\u0159esto\u017ee je jim to nep\u0159\u00edjemn\u00e9 a cht\u011bj\u00ed se mu vyhnout. Slovo \u201eobezita\u201c m\u016f\u017ee b\u00fdt \u0161okuj\u00edc\u00ed, ale trochu p\u0159ekvapen\u00ed (ne p\u0159\u00edli\u0161 mnoho) m\u016f\u017ee b\u00fdt ku prosp\u011bchu. Ka\u017ed\u00fd pacient je jin\u00fd; ka\u017ed\u00fd zdravotn\u00edk je jin\u00fd; a ka\u017ed\u00e1 konzultace je dynamikou mezi dv\u011bma rozd\u00edln\u00fdmi lidmi. Ve v\u00fdsledku je d\u016fle\u017eit\u00fd V\u00e1\u0161 \u00fasudek ve\u00a0spr\u00e1vn\u00fd \u010das, kter\u00fd se shoduje s\u00a0t\u00edm, co by pacientovi vyhovovalo pr\u00e1v\u011b te\u010f. Pokud Va\u0161e sd\u011blen\u00ed vyzn\u00ed v\u0159ele a empaticky, m\u011blo by to b\u00fdt v\u00a0po\u0159\u00e1dku. Nap\u0159\u00edklad \u201eJste si v\u011bdom, \u017ee nadv\u00e1ha m\u016f\u017ee zvy\u0161ovat V\u00e1\u0161 krevn\u00ed tlak?\u201c m\u016f\u017ee b\u00fdt n\u00e1pomocn\u00fd p\u0159\u00edstup, proto\u017ee spojuje v\u00e1hu a s\u00a0n\u00ed spojen\u00e1 specifick\u00e1 zdravotn\u00ed rizika. Nebo \u201eSn\u00ed\u017een\u00ed v\u00e1hy V\u00e1m m\u016f\u017ee pomoci od bolest\u00ed zad\u201c je za\u010d\u00e1tek, kter\u00fd m\u016f\u017ee pomoci a stav\u00ed sn\u00ed\u017een\u00ed hmotnosti jako mo\u017en\u00e9 \u0159e\u0161en\u00ed. Pot\u00e9, co konverzace za\u010dne, bedliv\u011b poslouchejte, na co reagovat a zva\u017ete, co \u0159eknete, aby se va\u0161e my\u0161lenky potkaly s\u00a0obsahem \u0159e\u010di pacienta. To pom\u016f\u017ee vytvo\u0159it vztah, kter\u00fd m\u016f\u017ee v\u00a0budoucnu fungovat, a kdy se k\u00a0v\u00e1m pacienti budou vracet a bude moci pokra\u010dovat diskuse na toto t\u00e9ma. V\u00edce podrobnost\u00ed o t\u00e9matu naleznete na \u201ehealthyconversations\u201c a \u201eMakingeverycontactcount.\u201c<\/p>\n<p><strong>\u00a0<\/strong><strong>Co\u2026<\/strong><\/p>\n<p>Ale co potom? Co nastane po po\u010d\u00e1te\u010dn\u00edm otev\u0159en\u00ed t\u00e9matu d\u00e1le ur\u010duje, jak \u00fasp\u011b\u0161n\u00fd bude jedinec ve\u00a0sni\u017eov\u00e1n\u00ed v\u00e1hy. Dal\u0161\u00ed kroky by m\u011bly pacient\u016fm pomoci v\u00a0uv\u011bdom\u011bn\u00ed si, \u017ee jejich v\u00e1ha je probl\u00e9m; pomoci jim uv\u011b\u0159it, \u017ee v\u00e1ha je spojen\u00e1 s\u00a0t\u00edm, co d\u011blaj\u00ed (nap\u0159. chov\u00e1n\u00ed a ne genetika, hormony, medikace nebo vl\u00e1da \u2013 a\u0165 u\u017e je pravda jak\u00e1koli a oni si mysl\u00ed cokoli); povzbudit pacienty ke zm\u011bn\u011b toho, co d\u011blaj\u00ed; aby V\u00e1s m\u011bli dostate\u010dn\u011b r\u00e1di na to, aby V\u00e1m v\u011b\u0159ili a cht\u011bli p\u0159ij\u00edt znova; a nakonec jim pomoci, aby se c\u00edtili p\u0159ipraveni na proveden\u00ed zm\u011bny. Hubnut\u00ed je b\u011bh na dlouhou tra\u0165. Je spr\u00e1vn\u00e9 t\u00e9ma v\u00e1hy oslovit, ale m\u011blo by to b\u00fdt v\u00a0souladu s\u00a0ot\u00e1zkami \u201ekdy, jak a co\u201c, aby byla zaji\u0161t\u011bna dlouhodob\u00e1 pr\u00e1ce na sni\u017eov\u00e1n\u00ed v\u00e1hy, a nikoli utnout mo\u017enost zm\u011bny ji\u017e v\u00a0z\u00e1rodku.<\/p>\n<p><strong>Praktick\u00e1 doporu\u010den\u00ed<\/strong><\/p>\n<ul>\n<li>Kl\u00ed\u010dov\u00e9 je kdy, jak a co \u0159\u00edci<\/li>\n<li>Zvolte pe\u010dliv\u011b vhodn\u00fd \u010das \u2013 zkuste zm\u00ednit t\u00e9ma v\u00e1hy v \u201enau\u010dn\u00fd moment\u201c<\/li>\n<li>P\u0159izp\u016fsobte sv\u00e1 slova jazyku pacienta a nebojte se zm\u00ednit t\u00e9ma v\u00e1hy<\/li>\n<li>Povzbu\u010fte pacienty k\u00a0tomu, aby vid\u011bli, jakou roli hraje jejich vlastn\u00ed chov\u00e1n\u00ed v\u00a0probl\u00e9mu s\u00a0jejich v\u00e1hou \u2013 ale se soucitem a bez obvi\u0148ov\u00e1n\u00ed.<\/li>\n<\/ul>\n<p><em>P\u0159eklad: Nina So\u00f3sov\u00e1<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Jane Ogden, University of Surrey, UK Weight is a tricky problem to talk about in a consultation. Some patients may be sick of hearing the words \u2018You could lose some weight\u2019 every time they visit the clinic: regardless of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1374,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[28],"tags":[],"class_list":["post-1371","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-communication"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"cz","enabled_languages":["en","id","my","bg","zh","hr","cz","da","de","es","fr","gr","he","it","ja","kr","lv","lt","hu","nl","no","pl","pt","ro","ru","sk","fi","sv","tr","uk"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"id":{"title":true,"content":true,"excerpt":false},"my":{"title":false,"content":false,"excerpt":false},"bg":{"title":true,"content":true,"excerpt":false},"zh":{"title":true,"content":true,"excerpt":false},"hr":{"title":false,"content":false,"excerpt":false},"cz":{"title":true,"content":true,"excerpt":false},"da":{"title":true,"content":true,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":true,"content":true,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":true,"content":true,"excerpt":false},"he":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"ja":{"title":true,"content":true,"excerpt":false},"kr":{"title":true,"content":true,"excerpt":false},"lv":{"title":true,"content":true,"excerpt":false},"lt":{"title":true,"content":true,"excerpt":false},"hu":{"title":false,"content":false,"excerpt":false},"nl":{"title":true,"content":true,"excerpt":false},"no":{"title":false,"content":false,"excerpt":false},"pl":{"title":true,"content":true,"excerpt":false},"pt":{"title":true,"content":true,"excerpt":false},"ro":{"title":true,"content":true,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"sk":{"title":true,"content":true,"excerpt":false},"fi":{"title":true,"content":true,"excerpt":false},"sv":{"title":true,"content":true,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false}}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/1371","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/comments?post=1371"}],"version-history":[{"count":42,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/1371\/revisions"}],"predecessor-version":[{"id":4668,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/1371\/revisions\/4668"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/media\/1374"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/media?parent=1371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/categories?post=1371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/tags?post=1371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}