{"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\/sk\/2019\/09\/raising-weight-in-a-consultation\/","title":{"rendered":"Ako nadhodi\u0165 t\u00e9mu hmotnosti v r\u00e1mci konzult\u00e1cie"},"content":{"rendered":"<p><strong>Autor: Jane Ogden, University of Surrey, UK<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Hovori\u0165 o hmotnosti v r\u00e1mci konzult\u00e1cie je ch\u00falostiv\u00fd probl\u00e9m. Niektor\u00ed pacienti m\u00f4\u017eu by\u0165 otr\u00e1ven\u00ed, ke\u010f po\u010duj\u00fa slov\u00e1 \u201emohli by ste schudn\u00fa\u0165\u201c zaka\u017ed\u00fdm, ke\u010f nav\u0161t\u00edvia kliniku: bez oh\u013eadu na to, \u010di pri\u0161li kv\u00f4li bolesti v krku, v\u00fdteru z kr\u010dku maternice alebo mo\u017en\u00e9mu srdcov\u00e9mu probl\u00e9mu. M\u00f4\u017eu za\u017e\u00edva\u0165 celo\u017eivotn\u00fd pocit stigmatizovania \u013eu\u010fmi z lek\u00e1rskeho prostredia, mnoh\u00ed to vn\u00edmaj\u00fa tak, \u017ee <\/span><a href=\"https:\/\/www.routledge.com\/The-Psychology-of-Dieting\/Ogden\/p\/book\/9781138501256\"><span style=\"font-weight: 400;\">ve\u013ekos\u0165 ich tela je v\u0161etko, \u010do in\u00ed vidia<\/span><\/a><span style=\"font-weight: 400;\">. Pre mnoh\u00fdch je to takto, ale in\u00ed, ktor\u00ed nikdy nepova\u017eovali svoju v\u00e1hu za probl\u00e9m, sa m\u00f4\u017eu urazi\u0165 alebo prekvapi\u0165, ak je ot\u00e1zka vy\u0161\u0161ej hmotnosti spomenut\u00e1. Niektor\u00ed \u013eudia jednoducho nechc\u00fa po\u010du\u0165 t\u00fato spr\u00e1vu a vytesnia to, mysliac si \u201e\u010do vy viete &#8211; ste chud\u00fd \/ tu\u010dn\u00fd \/ pr\u00edli\u0161 mlad\u00fd \/ pr\u00edli\u0161 star\u00fd\u201c alebo \u201eveda sa v\u017edy m\u00fdli\u201c. Preto, ke\u010f chceme \u010dloveka s nadv\u00e1hou upozorni\u0165 na tento probl\u00e9m, mus\u00edme d\u00e1va\u0165 pozor,\u00a0 \u201ekedy\u201c, \u201eako\u201c a \u201e\u010do\u201c v komunik\u00e1ci pou\u017eijeme.<\/span><\/p>\n<p><!--more--><\/p>\n<p><b>Kedy \u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u013dudia str\u00e1via v\u00e4\u010d\u0161inu svojho \u017eivota so zapchat\u00fdmi u\u0161ami a maj\u00fa ve\u013ek\u00fd talent nepo\u010d\u00fava\u0165. Prv\u00fd z trikov, ako to prekona\u0165, je spr\u00e1vne na\u010dasovanie inform\u00e1cie. \u010casto je najlep\u0161ie nepr\u00edjemn\u00fa spr\u00e1vu o nadv\u00e1he poda\u0165 v chv\u00edli, ke\u010f pacient chce po\u010d\u00fava\u0165, ke\u010f za\u017e\u00edva moment, <\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1363459308094417\"><span style=\"font-weight: 400;\">\u017ee sa u\u010d\u00ed<\/span><\/a><span style=\"font-weight: 400;\">. M\u00f4\u017eu to by\u0165 nov\u00e9 pr\u00edznaky, ako d\u00fdchavi\u010dnos\u0165 alebo boles\u0165 k\u013abov, diagn\u00f3za choroby ako cukrovka alebo zv\u00fd\u0161en\u00fd krvn\u00fd tlak, m\u00f4\u017ee to by\u0165 pacientova pozn\u00e1mka o nast\u00e1vaj\u00facom vy\u0161\u0161om veku alebo d\u00f4chodku, alebo nejak\u00fd aspekt \u017eivota, ktor\u00fd je zrazu ta\u017e\u0161\u00ed, ako chodenie po schodoch, nosenie det\u00ed, zav\u00e4zovanie \u0161n\u00farok na top\u00e1nkach. Tieto <\/span><a href=\"http:\/\/epubs.surrey.ac.uk\/811155\/13\/teachmomentMarks.pdf\"><span style=\"font-weight: 400;\">momenty<\/span><\/a><span style=\"font-weight: 400;\"> dok\u00e1\u017eu prin\u00fati\u0165 \u013eud\u00ed zamyslie\u0165 sa a po\u010d\u00fava\u0165, preto, ke\u010f pacient s\u00e1m pon\u00fakne tak\u00fato pr\u00edle\u017eitos\u0165, zachy\u0165te to a nadho\u010fte ot\u00e1zku nadv\u00e1hy.<\/span><\/p>\n<p><b>Ako \u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ale \u010fal\u0161ia \u010das\u0165 nie je \u013eahk\u00e1! Mali by ste pou\u017ei\u0165 v\u00fdrazy ako &#8220;tu\u010dn\u00fd&#8221;, &#8220;v\u00e1ha&#8221;, &#8220;nadv\u00e1ha&#8221; alebo dokonca &#8220;obezita&#8221;? Mali by ste by\u0165 v\u00e1hav\u00fd a sp\u00fdta\u0165 sa: &#8220;Bolo by v poriadku rozpr\u00e1va\u0165 sa o va\u0161ej v\u00e1he?&#8221; Alebo by ste mali by\u0165 viac priami a vyhl\u00e1si\u0165: &#8220;Potrebujete schudn\u00fa\u0165&#8221;? Oh\u013eadne tejto ot\u00e1zky <\/span><span style=\"font-weight: 400;\">nepanuje zhoda<\/span><span style=\"font-weight: 400;\">, ale ja d\u00f4kazy z <\/span><a href=\"https:\/\/www.routledge.com\/The-Psychology-of-Dieting\/Ogden\/p\/book\/9781138501256\"><span style=\"font-weight: 400;\">&#8220;Psychol\u00f3gie di\u00e9ty&#8221;<\/span><\/a><span style=\"font-weight: 400;\"> \u010d\u00edtam takto: zdravotn\u00edcki profesion\u00e1li sa \u010dasto tejto t\u00e9my boja viac ako pacienti. Zdravotn\u00edci by mali pouk\u00e1za\u0165 na probl\u00e9m nadv\u00e1hy, aj ke\u010f sa ost\u00fdchaj\u00fa t\u00fato t\u00e9mu nadhodi\u0165. Slovo &#8220;ob\u00e9zny&#8221; m\u00f4\u017ee \u0161okova\u0165, ale trochu \u0161oku (nie ve\u013ea) m\u00f4\u017ee pom\u00f4c\u0165. Ka\u017ed\u00fd pacient je in\u00fd; ka\u017ed\u00fd zdravotn\u00edk je in\u00fd, ka\u017ed\u00e1 konzult\u00e1cia je dynamikou dvoch odli\u0161n\u00fdch \u013eud\u00ed. Tak\u017ee v z\u00e1sade ide o dobr\u00fd odhad na\u010dasovania a prisp\u00f4sobenia v\u00e1\u0161ho pr\u00edstupu ku konkr\u00e9tnemu pacientovi tak, aby ste mu v danej chv\u00edli \u201csadli\u201d. Ak to poviete nie nepr\u00edjemnym t\u00f3nom a s empatiou, malo by to by\u0165 v poriadku. <\/span><a href=\"http:\/\/www.nationalobesityforum.org.uk\/images\/stories\/PDF_training_resource\/in-depth-raising-the-issue.pdf\"><span style=\"font-weight: 400;\">Napr\u00edklad<\/span><\/a><span style=\"font-weight: 400;\"> veta \u201eviete o tom, \u017ee nadv\u00e1ha v\u00e1m m\u00f4\u017ee dv\u00edha\u0165 krvn\u00fd tlak\u201c m\u00f4\u017ee by\u0165 u\u017eito\u010dn\u00fdm pr\u00edstupom, preto\u017ee spoj\u00ed nadv\u00e1hu s konkr\u00e9tnym zdravotn\u00fdm probl\u00e9mom. Alebo \u201eak schudnete, mohlo by V\u00e1m to pom\u00f4c\u0165 s chrbtom\u201c je skvel\u00fd za\u010diatok, ke\u010f\u017ee rob\u00ed z chudnutia rie\u0161enie. Akon\u00e1hle tento rozhovor za\u010dne, po\u010d\u00favajte pozorne,\u00a0 ako pokra\u010duje, a <\/span><span style=\"font-weight: 400;\">prisp\u00f4sobte to, \u010do odpoved\u00e1te<\/span><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.makingeverycontactcount.co.uk\/\"><span style=\"font-weight: 400;\">Pom\u00f4\u017ee to<\/span><\/a><span style=\"font-weight: 400;\"> vybudova\u0165 vz\u0165ah, ktor\u00fd bude fungova\u0165 v bud\u00facnosti, tak\u017ee pacienti sa bud\u00fa vraca\u0165 a diskusia m\u00f4\u017ee pokra\u010dova\u0165. V t\u00fdchto odkazoch n\u00e1jdete o t\u00e9me viac: <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3776723\/\"><span style=\"font-weight: 400;\">v\u00fdskum<\/span><\/a><span style=\"font-weight: 400;\"> o <\/span><a href=\"http:\/\/www.healthystartworkforce.auckland.ac.nz\/en\/our-education-programmes\/healthyconversations.html\"><span style=\"font-weight: 400;\">\u201ezdrav\u00fdch rozhovoroch\u201c<\/span><\/a><span style=\"font-weight: 400;\"> a t\u00e1to str\u00e1nka o tom, ako sa <\/span><a href=\"https:\/\/www.makingeverycontactcount.co.uk\/\"><span style=\"font-weight: 400;\">sna\u017ei\u0165 pri ka\u017edom kontakte.<\/span><\/a><\/p>\n<p><b>\u010co\u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ale \u010do potom? To, \u010do nasleduje po prvom otvoren\u00ed sa, ur\u010duje \u00faspech cel\u00e9ho chudnutia. Nasleduj\u00faci krok by mal pacientovi pom\u00f4c\u0165 uvedomi\u0165 si, \u017ee jeho <\/span><a href=\"http:\/\/epubs.surrey.ac.uk\/732545\/1\/Ogden%202008%20How%20consistent%20are%20beliefs%20about%20cause%20%20jubbpap.pdf\"><span style=\"font-weight: 400;\">v\u00e1ha je probl\u00e9m<\/span><\/a><span style=\"font-weight: 400;\">; mal by mu pom\u00f4c\u0165 uveri\u0165, \u017ee jeho nadv\u00e1ha s\u00favis\u00ed s <\/span><span style=\"font-weight: 400;\">t\u00fdm, \u010do rob\u00ed<\/span><span style=\"font-weight: 400;\"> (teda so spr\u00e1van\u00edm a nie s genetikou, horm\u00f3nmi, liekmi, alebo s vl\u00e1dou \u2013 nez\u00e1visle od pravdy alebo od toho, \u010do si mysl\u00ed pacient); podporte pacientov, aby zmenili spr\u00e1vanie; dovo\u013ete, aby si v\u00e1s ob\u013e\u00fabili nato\u013eko, aby v\u00e1m d\u00f4verovali a chceli sa k v\u00e1m vr\u00e1ti\u0165; a nakoniec im pom\u00f4\u017ete c\u00edti\u0165 sa pripraven\u00fdmi urobi\u0165 zmenu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chudnutie je dlh\u00e1 cesta. Je spr\u00e1vne vytiahnu\u0165 t\u00e9mu nadv\u00e1hy. Ale mus\u00edte prihliadnu\u0165 na \u201ekedy\u201c, \u201eako\u201c a \u201e\u010do\u201c tak, aby pacient pre\u0161iel cel\u00fa t\u00fato dlh\u00fa cestu, aby cesta neskon\u010dila sk\u00f4r, ako za\u010dala.<\/span><\/p>\n<p><b>Praktick\u00e9 odpor\u00fa\u010dania<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Kedy, ako and \u010do poviete, s\u00fa k\u013e\u00fa\u010dov\u00e9 veci\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Starostlivo vyberte vhodn\u00fa chv\u00ed\u013eu \u2013 sna\u017ete sa za\u010da\u0165 t\u00e9mu nadv\u00e1hy v momente, ke\u010f pacient po\u010d\u00fava, je schopn\u00fd sa nie\u010do nau\u010di\u0165 a zoberie si to k srdcu<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Prisp\u00f4sobte svoje slov\u00e1 jazyku pacienta a nebojte sa t\u00e9mu nadv\u00e1hy za\u010da\u0165<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Povzbu\u010fte pacienta, aby videl, ak\u00fa \u00falohu v probl\u00e9me nadv\u00e1hy zohr\u00e1va jeho spr\u00e1vanie \u2013 ale s pochopen\u00edm a bez obvi\u0148ovania<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Prelo\u017eil Michal Dankulinec<\/span><\/i><\/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":"sk","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\/sk\/wp-json\/wp\/v2\/posts\/1371","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/comments?post=1371"}],"version-history":[{"count":42,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/posts\/1371\/revisions"}],"predecessor-version":[{"id":4668,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/posts\/1371\/revisions\/4668"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/media\/1374"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/media?parent=1371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/categories?post=1371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/sk\/wp-json\/wp\/v2\/tags?post=1371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}