DC3 - IMPACT OF INTERPROFESSIONAL COLLABORATION ON WEIGHT LOSS JOURNEY OF A MORBIDLY OBESE ADUT: A TRIUMPH STORY Aishah Zafirah Abdul Azim

Aishah Z.A.A 1, Zulfitri A.M.D 1 and Adibah H.I 2

   

 1 Department of Dietetics, Hospital Pengajar Universiti Putra Malaysia, Universiti Putra Malaysia.

 2 Department of Family Medicine, Hospital Pengajar Universiti Putra Malaysia, Universiti Putra Malaysia

 

Assessment

Background: Interprofessional collaboration (IPC) is a key emphasis in client-focused model of care, however its implementation is challenging due to lack of outcome research on collaboration as well as barriers at team and individual level. We present an exemplary model of IPC in a structured weight loss program known as PutraWeFit, advocating the collaborative role of family medicine specialists, dietitians, and clinical psychologists.

 

Assessment: Client FE, 39-years old, a morbidly obese female adult (BMI of 47.2kg/m2) was in contemplation stage when enrolled in 3-months PutraWeFit program. Body composition analysis revealed 57% of body fat, with skeletal muscle mass of 25.3kg. Diet history showed intake of 1800 kcal attributed to fatty foods and large meal portion. 6-minute walk test (6MWT) indicated 7% of expected distance for healthy adult suggesting poor aerobic capacity and endurance.

 

Diagnosis

Excessive energy intake related to lack of knowledge exposure on appropriate calorie intake and portion control as evidence by exceed 33% from energy requirement.

 

Intervention

Intervention started with weight loss goal of 5-10% within 3 months and education on 1200 kcal, healthy plate method with monthly follow-up visit. IPC include aerobic and muscle strengthening exercise led by family medicine specialist and peer support group moderated by clinical psychologist. Inter-professional discussion on client’s progress, barriers and needs were done on monthly basis.

 

Monitoring & Evaluation

Monitoring & Evaluation: FE’s weight and fat mass decreased by 8.6% and 3.3%, respectively, whilst skeletal muscle mass increased by 4.8kg. FE complied with diet advice (800-1000kcal/day) and achieved prescribed exercise at 210-315min/week.

 

Learning Points: IPC is feasible and resulted in successful weight loss intervention. IPC can be implemented successfully by 1) developing commitment to the common goal of collaboration; 2) clear understanding of other profession unique contribution and 3) shared responsibility and considerable overlap in competencies in patient care.