NTTAP_ BMI Weight Assessment Engaging Conversation_2024.pptx
NACHC Pediatric Weight Management Webinar (July 2024)
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Jessica Wallace, PhD, PA-C - Denver Health
Sarah Price, RN, MSN-ED - NACHC
Jeanne Lindros, AAP
Gloria MontjoMontijo, El Rio
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Fireside Chat Outline: Engaging Conversations Around BMI and Weight Assessment
Weight inclusive, non bias, non sigma - opening dialog, don't have all the answers, conversations are hard
We are here to increase awareness, empathy, improved approaches to conversations regarding weight in a non bias, non sigma approach
who you are, experience (where we are coming from), and how we approach these conversations
then pop corn questions
Resources at the end - motivational interviewing, growth ,chart trajectory (individualized)
Introduction (5 minutes)
Host Introduction: Welcome attendees, introduce the topic, and outline the session's goals.
Purpose: Explain the relevance of trauma-informed care, SDOH and engaging patient conversations in BMI and weight assessment.
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that we are here to increase awareness, empathy, improved approaches to conversations regarding weight in a non bias, non sigma approach
Segment 1: Engaging and Open Patient Conversations (15 minutes)
Techniques for initiating open and empathetic conversations about BMI and weight.
Key Points: Building trust, using non-judgmental language, and ensuring patient comfort. Navigating weight bias and stigma: recognizing it in ourselves and others
Strategies for involving families in weight management discussions.
Key Points: The role of family dynamics in weight management, and techniques for family-centered care.
When to NOT start the conversation - timing, context, body language etc. harmful framing, secondary trauma (take care of ourselves - take a moment, breathe)
Q&A Segment:
Questions:
What are the most effective techniques for starting conversations about weight with patients?
How can healthcare providers ensure that these conversations are supportive and non-judgmental?
Segment 2: Understanding Trauma-Sensitive Care and Social Determinates of Health (15 minutes)
Define trauma-informed sensitive care and its importance in healthcare settings.
Key Points: Overview of trauma-sensitive principles, the impact of trauma on health behaviors, social determinants of health that also inform the patients lifestyle and the need for sensitivity in weight management.
Discuss how trauma can affect patients' experiences with weight assessment.
Key Points: The connection between past trauma and current health challenges/SDOH constraints, and how to recognize signs of trauma in patients and taking care of staff mental health.
Q&A Segment:
Questions:
How does trauma and SDOH relate to BMI and weight assessment? ACES (adverse child experiences)
How can health centers integrate trauma-sensitive care into their BMI and weight assessment practices? What are some common signs of trauma that healthcare providers should be aware of?
Segment 2: Engaging and Open Patient Conversations (15 minutes)
Techniques for initiating open and empathetic conversations about BMI and weight.
Key Points: Building trust, using non-judgmental language, and ensuring patient comfort. Navigating weight bias and stigma: recognizing it in ourselves and others
Strategies for involving families in weight management discussions.
Key Points: The role of family dynamics in weight management, and techniques for family-centered care.
Q&A Segment:
Questions:
What are the most effective techniques for starting conversations about weight with patients who have experienced trauma?
How can healthcare providers ensure that these conversations are supportive and non-judgmentalother considerations are necessary?
Segment 3: Case Studies and Best Practices (15 minutes)
Share a case study on successful trauma-informed care in a health center.
Key Points: Overview of the case, interventions used, and outcomes achieved.
Present best practices for engaging patient conversations in weight management.
Key Points: Examples from health centers, practical tips for implementation. How to identify if a patient is being triggered.
Q&A Segment:
Questions:
Can you provide an example of a successful intervention that used trauma-sensitive principles in weight management?
What challenges have health centers faced in implementing these practices, and how were they overcome?
Segment 4: Aligning with HRSA’s Advancing Health Center Excellence Framework (5 minutes)
Explain how trauma-sensitive care and engaging patient conversations align Align with HRSA’s framework.
Key Points: Quality, Patient Care domain, and improving health outcomes through compassionate care.
Q&A Segment:
Questions:
How does trauma-informed care contribute to overall patient care quality?
What metrics can health centers use to measure the success of these practices?
Closing Remarks (5 minutes)
Host: Summarize the key takeaways from the session.
Key Points: Importance of trauma-sensitive care, effective patient communication, and family involvement in weight management.
Call to Action: Encourage attendees to apply the discussed practices in their health centers.
Resources: Provide information on where to find additional resources and training.
Thank You: Acknowledge the panelists and audience for their participation.
Does this framework apply and how does it relate, general principles to take with us going forward?
Closing Remarks and words of advice (5 minutes)
Post-Session Engagement:
Follow-Up Resources: Share links to additional reading materials, training opportunities, and support groups.
Feedback Request: Ask attendees to provide feedback on the session to improve future eventsfor NTTAP deliverable.