Describe how your personal philosophy affects your worldview and how that impacts decision making and your
approach to your Direct Practice Improvement Project?. Review your project site’s mission and vision. Can you
make a connection between the project sites’ mission and vision, to your person CWV, and
GCU’s CWV?
NOTE: Facility’s Mission:
“To provide a homelike environment to our guests while delivering top quality care, our facility is dedicated to
improving the health of our guests within the community we serve through extensive services, education and
training provided by our professional healthcare staff.”
Vision
“Victoria Nursing and Rehabilitation Center embraces innovation, cultural diversity, and is committed to provide
an individualized person- focused care through the integration of an evidence- based practice.”
Endocrine disorders as a cause of obesity are rare and are associated with additional symptoms. Endocrine causes of obesity include Hypothyroidism,
Cushing syndrome, Pseudohypoparathyroidism, growth hormone deficiency, Acquired hypothalamic obesity. The distinguishing feature of endocrine causes of obesity is that stature and height velocity are decreased, whereas a normal or increased growth rate generally excludes endocrine causes.
Acquired hypothalamic obesity is a syndrome of intractable weight gain caused by hypothalamic damage from a tumor or its treatment with radiotherapy or surgery. Such patients may have adequate growth velocity even when GH deficient but have tumor-related signs and symptoms.
Pediatric obesity is also associated with early puberty and advanced skeletal development.
5. DRUGS:
Weight gain is an adverse effect of many psychotropic medications and a leading cause of non-compliance in children taking these drugs. Psychotropic drugs that cause weight gain include certain classes of antidepressants, antipsychotics, and mood stabilizers such as Lithium, tricyclics and mono-amine oxidase inhibitors (MAOIs), Clozapine, olanzapine, risperidone and quetiapine.
The antiepileptic drugs valproate, vigabatrin, gabapentin and carbamazepine have been shown to cause weight gain(12).
Other medications associated with weight gain are drugs that block serotonin 5-HT2, histamine H1, dopamine D2 receptors (13) and high-dose chronic glucocorticoid therapy.
HEALTH CONSEQUENCES OF OBESITY:
Obese children are at great risk for becoming obese adults and the risk doubles when at least one parent is obese. India has been announced as the Diabetic Capital of the World by WHO because of continuous rise in population with diabetes mellitus.
1. Type2 Diabetes Mellitus (T2DM):