Christie Bennett

Christie Bennett

Dr. Christie Bennett is an Accredited Practising Dietitian and Assistant Lecturer at the Department of Nutrition, Dietetics and Food at Monash University.

Location Australia

Activity

  • @RexRegalado This is really interesting Rex. Can you provide more insight as to what changing your environment looks like practically?

  • So glad to hear that Brendan. Thank you for sharing your insights!

  • Hi Brendan, with these it might be helpful to keep in mind the screening tools outlined in week 1.

  • You have highlighted an important point. Self-monitoring gives the patient long terms skills to manage their lifestyle behaviours.

  • Thanks for your insight. Are there any common challenges/barriers that you come across in your work regarding patients that find weight loss difficult?

  • Hi Brendan, again great summary. Do you have any experience using wearables?

  • Welcome Rex! Great to have you in the course. I look forward to hearing more about your experience.

  • Great summary Brendan.

  • It seems like a common experience that patients ask about VLCDs. Thanks for sharing your insights.

  • @StephanieBlackwell Thanks for sharing Steph! It is great to hear your insight.

  • Hi Brendan,
    You are right bariatric surgery can improve fertility outcomes. But, individual advice may be necessary to ensure they have adequate nutrition.

  • Hi Brendan,
    You have mentioned some interesting points. I particularly like your insight that the practitioner and the patient perception of treatment modalities might be different. It highlights the importance of clear communication.

  • Andrew this sounds like a really great approach you have with your team. Especially in adolescents and young adults a discussion about weight may do potential harm. Focusing on confidence and tangible training goals is not only going to make them a better athlete but is going to reduce the risk of harm.

  • This is great Stephanie, thanks for sharing! I agree, by explaining how many tsp or kJ are in sugar-sweetened beverages can be a really great strategy to empower the patient to make healthier choices.

  • Brendan I really like how you have involved the patient in the discussions about why you are suggesting these changes. This approach can provide the patient confidence to manage their decisions in the future.

  • This is a really important point to remember. Thank you for highlighting it early Andrew! BMI is one component of a multitude of measures we might measure for the reason you have stated.

  • Hi Andrew, welcome! It is great to have a diverse range of professions represented. Looking forward to hearing from some of your experiences in the coming week.

  • Great reflections Brendan. I think you have raised a really good point about peer pressure in social situations. Is there anything you would recommend for Ben when it comes to 'his round'?

  • Hi Steph,
    Can you provide any insight or experience you have had using
    'quick wins'?

  • Hi Brendan,
    With the PDF and links provided hopefully should get you started!

  • That sounds like a patient-centred approach Brendan.

  • Welcome Brendan!

  • Welcome Steph! It will be great to hear some of your insights and reflections with respect to your clinical practice.

  • Hi everyone,
    I am one of your lead educators for this course. Please make sure you comment to introduce yourself.

    I am a dietitian, post-doc researcher and assistant lecturer at Monash University. I primarily work in the women's health space.

    I am so excited to get to know you all over the next two weeks!

  • Thank you for bringing up culture. Very interesting to hear your experience. Culturally sensitive care is so important.

  • Really like your stepwise approach and mention of exploring barriers! This can be important to know how to effectively motivate a patient.

  • Thanks for sharing this article @SamanthaK. It is an interesting read. I believe it does raise some important points that require future research. Some important points for considerations are:
    - The article does not include references so it is hard to trace back to the studies they refer to
    - They mention two main studies, one with mice. There are obvious...

  • So glad you have found this useful and informative @DianaFronaeus

  • So glad you have enjoyed the course. It has been great hearing some of your experience and strategies along the way.

  • Nichola, yes you are absolutely correct. Some of those factors a person can't change and others like emotions/psychology can be important adjunct therapies to behavioural strategies such as those mentioned by Helen in the video.

  • You both raise important considerations about 'upsizing'. Another consideration in this discussion is the environmental implications of purchasing and consuming above our energy requirements.

  • I think these programmes are sometimes very restrictive and don't teach the participant skills to overcome barriers (particularly targeted 12-week programmes). @DianaFronaeus you also raise an important consideration about the psychological implications both the programmes and obesity has.

  • Hi Diana, I think the take-home message here is that it is the energy deficit that is important. It is not so important how you get there. So having a few methods available can help so you can tailor your intervention to the patient's lifestyle and medical needs.

  • Thanks for sharing this Diana. Some food for thought. I think they both agree that empathy is important. I also wonder if culture plays a role in how patients interact with health professional empathic encounters?

  • Could you give us some examples here Samantha of what you might suggest?

  • I think you might be able to revisit the patient's goals. Having a clear goal with a timeframe can help manage expectations. Also, while the numbers on the scale may not have changed you may like to focus the conversation on the positive behaviour change they have made and acknowledge the effort they have put in.

  • Yes, there is a fine balance between not having enough detail and having too much!

  • I also like the Japanese guidelines. The spinning top is such a nice metaphor, isn't it?

  • There have been a few studies looking at practitioner empathy (language, rapport etc), which shows better outcomes without extending consultation time see here for references:

    Goodchild CE, Skinner TC, Parkin T. The value of empathy in dietetic consultations. A pilot study to investigate its effect on satisfaction, autonomy and agreement. J Human Nutr Diet...

  • Lana I really like your approach that you would focus on the physiological aspects of adipose tissue rather and BMI. That more specific focus might help some patients engage that wouldn't have engaged in a discussion about BMI. Thanks for sharing this!

  • This is an interesting topic for discussion. I will wait to see what other learners think!

  • This is a really interesting point. What do you think it is about commercial programmes that doesn't promote sustainable weight loss? Because you are right, they are sometimes more accessible than some health care professionals.