- Medication side effects
- Hormonal imbalances
- Emotional eating
- Poor food choices
- Reduced mobility or exercise
- Psychological issues5
- Changes in lifestyle/circumstances
1. Medications - Review them to ascertain if they could be a cause for weight gain and refer client to their GP to establish if weight gain could be reduced by other medication choices. Common illnesses that could have medications that contribute to weight gain are:
- Mental illness
2. Hormonal imbalances - Menopause, endometriosis, or possibly elevated cortisol due to an acute or chronic stress, can cause weight gain.
3. Emotional eating - Identify if binge eating is occurring by discussion if possible (although many may not disclose this). Refer client to their GP for a referral to a dietician or psychologist if client is agreeable.
4. Poor food choices - High fat & sugar diet, poor intake of fibre, fruits vegetables are identified during discussion, refer client to their GP for a referral to a dietician.
5. Reduced mobility or exercise - refer client to their GP for a referral to an exercise physiologist, physiotherapist, or a local rehabilitation program or starting with a walking program.
6. Psychological issues - There are many types of psychological factors that could impact a client’s thinking and behaviour. Ascertain if your client would be open to a discussion with their GP about a referral to a psychologist or a psychiatrist.
7. Life circumstances and stages in life - These can dramatically affect one’s weight. For example, irregular hours, night duty shifts, cost or time pressures. Many may be working full time and parenting or caring for elderly parents, affecting time and energy to eat well, exercise or find motivation.
Offering support, empathy, and non- judgement advice, may go a long way to helping someone start on a weight loss journey to improve their incontinence. Read more on how to discuss incontinence.