The doctor didn't just look at her weight but looked at her health and found ways that she could maintain her health.

What could have been done better?

She could have asked the patient more about what she is already doing to take care of her health.

-acknowledged that obesity was not a direct result of patient's lifestyle

-helped her patient to reach and maintain a weight that worked for him rather than reaching a weight deemed healthy by medical standards

What could have been done better?

-didn't believe the patient when she said she had a healthy lifestyle

-attributed all of her ailments to her weight -suggested she should lose weight instead of treating her ailments

How do you think you would respond if you were the doctor?

-I would ask the patient what their specific goals were and help them to achieve them, rather than trying to make them achieve goals set by society and medicine

Explained to the patient that their weight wasn't solely caused by their lifestyle, thus recognising the beliefs of the patient, rather than ignoring other possibilities and telling them that the solution was weightloss through exercise and a better diet.

Acknowledged that a weight that the person feels best at is a "healthy" weight, rather than one that makes the person feel exhausted due to being too thin or big. Creates a better understand between the patient and doctor which encourages the patient to really work hard on their own health.

What could have been done better?

Instead of immediately assuming the weight issue was due to their lack of physical activity and a sedentary lifestyle, taking other factors into consideration.

Asking the patient what their lifestyle is like before assuming due to their external appearance, thus taking on a person-centred approach rather than a patient-centred approach that is focusing on their weaknesses and not their strengths

The doctor tried to set goals with the patient for the weight loss and gave them strategies in which they could try to implement to lose the weight. The doctor acknowledge that gaining weight is not just one thing that causes the patient to get to the weight that they were. There was many factor that going into why they are at the weight that they are which they tried to discuss.
What could have been done better?

The doctor probably should set more achievable goals for the patient and that goal should be adjusted based on individual's personality and commitment etc. The weight loss strategies need to be personalised for the patients not just generalised as different strategies work for different people. Also to celebrate the small steps is important so the patient is encourage to keep on using these strategies to achieve their goals.

How do you think you would respond if you were the doctor?

I would probably try and figure out what was happening at home over the months that they were told to lose the weight. I would try and figure out whether or not they were implement the strategies at home through what they say and what people who live with them say. Once I find those reasons I would try and implement different strategies which they could try to implement to keep them accountable.

The doctor did not only look at her weight and assume that her lifestyle and health was bad, but instead looked at her overall health. The doctor would encourage and support the patient to achieve a weight that they are comfortable and to maintain rather than, pushing the patient to achieve a weight that is seen to be "healthy" by medical standards.

What could have been done better?

Other doctors should look at a patient's overall health and lifestyle choices, and their hereditary genes and develop an understanding to why a patient is like this. They should also try to sympathise and consider the patients feeling and situation before giving advise on a patient's health.

How do you think you would respond if you were the doctor?

I would try to develop a deeper understanding of my patient's lifestyle and examine their past medical histories and then determine if they are healthy. I would also speak to the patient and ask them if they had any worries about their health and provide them with information and guidance to achieve their health goals.

The doctor suggested the benefits of weight loss, explaining things clearly without being condescending.

What could have been done better?

She could have suggested lifestyle changes or tried to work out alternative causes of her excessive weight other than just her diet.

How do you think you would respond if you were a doctor?

I would try to gain a better understanding of her as a person and suggest ways she can improve her lifestyle. I would check for other factors that may be contributing to her weight.

The doctor focused on the patients' health, not just their weight. They looked at the patient's mental wellbeing and discussed the patient's past experiences with doctors who only looked at weight, by doing this the doctor was able to understand how to help the patient.  

What could have been done better?  

The doctor could have asked more questions regarding how the patient currently has been dealing with their health, what they felt has worked and what hasn't. 

• What the doctor did well to encourage the patient in her weight loss and health progression was to listen to her and validate her experiences. By acknowledging the patient’s efforts to maintain a healthy lifestyle and addressing the societal stigma she faced, the doctor showed empathy and understanding towards the patient’s situation.

What could have been done better? 

• Offering more personalised and comprehensive care that focused on the patient’s overall health and wellbeing beyond just weight loss. Providing specific guidance on managing medical issues, addressing emotional and mental health concerns related to weight stigma, and collaborating with the patient to set achievable health goals could have been more beneficial. 

How do you think you would respond if you were the doctor?

• If I were the doctor in this situation, I would strive to create a weight inclusive practice that prioritises the individual needs and experiences of each patient. I would focus on promoting overall health and wellbeing, recognising that weight does not define a person's worth or health status. I would aim to listen actively to my patients, validate their experiences, and provide holistic care that addresses their physical, emotional, and mental health needs. I would also educate myself on weight bias and work to eliminate any judgement or stigma in my nursing care to ensure that I provide compassionate and effective support to all patients.

- used inclusive medical equipment (ie. larger blood pressure cuff)

- used careful and encouraging language, as to not intimidate the patient

- explored many influencing factors to patent’s health (not merely causing her weight)

Could have done better:

- Praise her regular physical activity and balanced diet

- explored different potential causes of obesity

- evaluated prior progress of weight loss

How I would respond if I was the doctor:

- identity patient’s personal weight goals (as opposed to standard guidelines for their age bracket)

- gains understanding of the factors possibly influencing her weight via open ended interview-style questions