Get the free Bariatrics History and Physical

This document serves as a comprehensive history and physical assessment form for patients interested in bariatric surgery, medical weight loss, or medication management. It collects crucial patient information including medical history, weight loss attempts, past surgical procedures, family history, social habits, and medical testing results necessary for optimal patient care.

How to fill out bariatrics history and physical

How to fill out bariatrics history and physical

1. Begin with personal information: Record the patient's name, age, gender, and contact information.
2. Gather medical history: Document past medical, surgical, and family history relevant to obesity.
3. Review current medications: List all medications the patient is currently taking, including dosages.
4. Assess the patient's weight history: Note previous weight loss attempts and their outcomes.
5. Evaluate lifestyle factors: Inquire about dietary habits, exercise routines, and any addictive behaviors.
6. Perform a physical examination: Measure height, weight, BMI, and any obesity-related health issues.
7. Conduct a psychosocial assessment: Discuss mental health, potential barriers to treatment, and support systems.
8. Summarize findings: Compile all information into a concise format for reference and planning.

Who needs bariatrics history and physical?

1. Individuals with a BMI of 30 or greater who are seeking weight loss treatment.
2. Patients with obesity-related health issues such as diabetes, hypertension, or sleep apnea.
3. Those considering bariatric surgery as a solution for significant weight loss.
4. Individuals who have been unsuccessful with traditional weight loss methods and require a more comprehensive approach.

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What is bariatrics history and physical?

Bariatrics history and physical refers to the comprehensive evaluation of a patient's medical history and physical condition specifically related to obesity and weight management. This includes assessing the patient's BMI, previous weight loss efforts, diet, medical conditions, and psychosocial factors.

Who is required to file bariatrics history and physical?

Healthcare providers specializing in obesity treatment, including surgeons and primary care physicians, are required to file the bariatrics history and physical for patients seeking bariatric surgery or non-surgical weight management programs.

How to fill out bariatrics history and physical?

To fill out bariatrics history and physical, practitioners should collect detailed information about the patient's medical history, including weight history, previous treatments, psychological assessment, physical examination findings, and any comorbidities related to obesity.

What is the purpose of bariatrics history and physical?

The purpose of bariatrics history and physical is to assess a patient's eligibility for bariatric procedures, understand the potential risks, and create a personalized treatment plan for effective weight management.

What information must be reported on bariatrics history and physical?

Essential information that must be reported includes the patient's weight history, height and BMI, medical conditions, medications, a review of systems, psychosocial factors, and any previous weight loss surgeries or interventions.