1 / 35

Hunger and Complex Appetite

Hunger and Complex Appetite. ½ hour (30 minutes) AMA PRA Category 1 Credit™. Objective 1. The participant will understand the difference between complex and regular appetites. Objective 2. The participant will be able to identify symptoms of complex appetite. Objective 3.

gracie
Download Presentation

Hunger and Complex Appetite

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Hunger and Complex Appetite • ½ hour (30 minutes) AMA PRA Category 1 Credit™

  2. Objective 1 • The participant will understand the difference between complex and regular appetites.

  3. Objective 2 • The participant will be able to identify symptoms of complex appetite.

  4. Objective 3 • The participant will be able to identify the most common complex appetite residual symptom.

  5. Objective 4 • The participant be able to identify questions used in this slide show in the process of evaluating if significant appetite is present.

  6. Objective 5 • The participant will be able cite reasons when a patient misses a meal and becomes light headed and dizzy it may not be due to hypoglycemia.

  7. COMPLEX APPETITE • A Case Study of Clinical Observations

  8. CATAGORIZING OF APPETITE • Regular >> go all day • Complex >> must eat regular Case Report of Clinical Observations

  9. COMPLEX APPETITE SYMPTOMS • The following is 12 of the 18 identified: Lightheadedness, Dizziness, Tremor, Nausea, Abdominal pain, Goose bump skin, Headaches, Sweating, Feeling of uneasiness, Anxiety, Disorientation, Irritability Usually have 3 or 4 Case Report of Clinical Observations

  10. COMPLEX APPETITE SYMPTOMS • The following is 12 of the 18 identified: Lightheadedness, Dizziness, Tremor, Nausea, Abdominal pain, Goose bump skin, Headaches, Sweating, Feeling of uneasiness, Anxiety, Disorientation, Irritability The same symptoms as heroine withdrawal. Case Report of Clinical Observations

  11. PREVELANCE • 66% of weight patients have complex appetite • 34% of weight patients have regular appetite Case Report of Clinical Observations

  12. NOT HYPOGLYCEMIA • 1960’s and 1970’s physicians diagnosed “hypoglycemia” • In weight loss, with appetite suppression and eating less, symptoms resolve instead of getting worse Case Report of Clinical Observations

  13. INDUCE APPETITE SUPPRESSION • Patients convert to a regular appetite • Patients eating later in the day, eat less Case Report of Clinical Observations

  14. IMPORTANCE IN WEIGHT LOSS • As complex appetites come under control, symptoms resolve one at a time. • Patient may be confused with new presentation of old problem. Case Report of Clinical Observations

  15. IMPORTANCE IN WEIGHT LOSS A typical patient’s symptoms of complex appetite Nausea Headaches Dizziness Case Report of Clinical Observations

  16. IMPORTANCE IN WEIGHT LOSS Go away one at a time Nausea Headaches Dizziness Case Report of Clinical Observations

  17. IMPORTANCE IN WEIGHT LOSS Go away one at a time Headaches Dizziness Case Report of Clinical Observations

  18. IMPORTANCE IN WEIGHT LOSS Go away one at a time LEFT WITH ONLY Dizziness Case Report of Clinical Observations

  19. HUNGER • If still with residual fractionated symptoms of complex appetite = the patient is still hungry Case Report of Clinical Observations

  20. BETWEEN A ROCK AND A HARD PLACE • Dieting on own without good suppression makes symptoms worse. Case Report of Clinical Observations

  21. COMPLEX APPETITE, cutting edge theory • High correlation with carbohydrate addiction or high intake of carbohydrates. • Could the symptoms of complex appetite be from carbohydrate addiction? We believe they are. Case Report of Clinical Observations

  22. IS THE PATIENT HUNGRY??? • Hunger is a nebulous term • Patients think in the present tense with answers that are black or white • “Are you hungry? - YES or NO” University of Minnesota Medical School Protocols

  23. SIGNIFICANT HUNGER • Snacking • Nibbling • Blowing diet • Using willpower that causes them to feel stressed University of Minnesota Medical School Protocols

  24. HUNGER • This is appetite suppression NOT eradication • Patient can experience hunger, as long as they are not snacking, nibbling, blowing their diet or using too much willpower University of Minnesota Medical School Protocols

  25. FACES OF HUNGER • Patient is not hungry, but is not losing weight • Food is an appetite suppressant University of Minnesota Medical School Protocols

  26. FACES OF HUNGER • Patient appears to have no significant hunger, but has experienced a change in complex appetite symptoms. University of Minnesota Medical School Protocols

  27. FACES OF HUNGER • Appetite suppression is not a regulator of feeling full • Can eat comfortably at 900 calories per day or 3,000 calories per day University of Minnesota Medical School Protocols

  28. FACES OF HUNGER • This is not a stress test for patients. If they are too hungry, have them eat more food AND count all of the calories University of Minnesota Medical School Protocols

  29. FACES OF HUNGER • Patients in appetite suppression need to count calories to insure that they are eating enough food University of Minnesota Medical School Protocols

  30. FACES OF HUNGER • Patients on prolonged, low calorie diets may find it hard to eat for their regular caloric needs • SIDE NOTE: If a patient has major surgery, keep them off of weight loss for 3 to 4 weeks. They will need the extra calories and nutrients to heal properly University of Minnesota Medical School Protocols

  31. FACES OF HUNGER • Compliance is the main reason that patients struggle. Examine the four areas of success with patients. • Patients who eat erratically and do not count calories will find it harder to maintain appetite suppression University of Minnesota Medical School Protocols

  32. FACES OF HUNGER • Appetite suppression is a tool to assist in weight loss, it is not an absolute cure • Motivation • Calorie counting • On-time clinic visits • Pills University of Minnesota Medical School Protocols

  33. FACES OF HUNGER • If the patient isn’t hungry • If the patient is happy with the program • If the patient is not losing weight The patient probably has an ulterior motive for being in clinic University of Minnesota Medical School Protocols

  34. CASE STUDY • 41 year old white female enrolled in the weight program on a fee for service basis. Was paying $75 per visit. • Asked her about the the cost of the program, she said she did not care. • Had been paying $350 to $400 a month for Sumatriptan for migraine headaches and now was migraine free. University of Minnesota Medical School Protocols

  35. Take Test • Module 15 Slide Show 2: Hunger and Complex Appetite

More Related