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Holistic Self Care (weight loss)
 

Sue Popkess-Vawter
RN, PhD, ARNP
Professor
School of Nursing
University of Kansas

 


Nurses are confused about appropriate interventions for overweight women who weight cycle--that is, experience repeated periods of weight loss followed by weight regain. Women continue to suffer the negative physical, psychological, and financial consequences of weight cycling, which is related to increased adiposity, an additional important health risk. Moderately successful, long-term weight control treatments are programs that have a combined intervention prescribing both controlled amounts of health food intake and aerobic exercise. Although such a physical program can promote weight loss, the psychological components often are not considered and are the reasons why so many diet/exercise programs fail. The Holistic Self-Care Model combines the successful physical, cognitive, and psychological essentials of healthy approaches for weight reduction as a means of stopping weight cycling and promoting weight control. (Extract from: Entrez PubMed Holistic Self-Care Model for permanent weight control. Popkess-Vawter S. J Holist Nurs. 1993 Dec;11(4):341-55.)
Popkess-Vawter developed a weight management program that can put an end to yo-yo dieting. She used Apter’s Reversal Theory, which holds that people naturally move among eight specific but mutually exclusive mental states, as a basis for cognitive restructuring to identify negative self-talk that can lead to overeating. (Extract from: Sue Popkess-Vawter - Faculty Profile, School of Nursing. University of Kansas)

The Program

The program follows the clinical weight management guidelines set forth by the National Dietetic Association, National Institute of Mental Health, and the National Diabetes Association. During the program, participants will learn:

  • Ways to individualize daily eating and exercise habits to fit personal lifestyles.

  • Daily eating of six smaller meals including low fat and low glycemic index foods to satisfy hunger without dieting.

  • Sneaky ways of getting exercise to fit hectic schedules.

  • Healthy “self-talk” to conquer negative thinking that triggers overeating, skipping regular exercise, and feeling bad about self.

  • Inner focus to balance mind, body, and spirit.

A weight management instructor will lead this eight-week program that consists of eight 50-60 minute “Lunch and Learn” teleclasses. (Extract from: The LIFELINE Healthy Weight Program)
 

Website:
  • Sue Popkess-Vawter - Faculty Profile, School of Nursing. University of Kansas.
  • Concept Analysis: Holism - Holistic Care: Reality or Fantasy? Stephanie Stephens, C-ARNP, MSN. Assistant Professor, School of Nursing. Graceland University. Sue Popkess-Vawter, ARNP, PhD. Professor, School of Nursing. University of Kansas Medical Center.

 

Selected Publications:
  • Popkess-Vawter, S. (1993). Holistic self-care model for permanent weight control.  Journal of Holistic Nursing 11, 341-355.
  • Popkess-Vawter, S., Gerkovich, M.M.,& Wendel, S. Development of the Tension Stress Scale. Journal of Nursing Measurement.
  • Popkess-Vawter, S. & Owens, V. (1999). "Use of the BULIT screening questionnaire to assess risk and progress in weight management for overweight women who weight cycle", Addictive Behaviors, 24(4), 497-507.
  • Popkess-Vawter, S. (2000) Weight management counseling.  In: Dossey, B.M., Keegan, L. & Guzzetta (Eds.) Holistic Nursing: A Handbook for Practice. Aspen Publishers, Inc., Gaithersburg , Maryland , USA .
  • Popkess-Vawter, S. & Turner, J. (2001) Beyond calories and fat grams:  am I deserving of successful weight loss?  Nutrition 17, 362-363. 
   

 

 

Last Edited: Monday March 21, 2005

 
 

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