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Is the obesity crisis hiding a bigger problem?

For this discussion, please reference the information in the “Introduction to the Miller Family” document. Lila
Miller Goldberg is a 45-year-old diabetic. She had difficulty losing weight since her pregnancy years ago and has
started experiencing symptoms related to her condition. She has insulin-dependent diabetes mellitus (IDDM), and
has been symptomatic for more than 10 years. She has been resistant about changing her diet and has been
inconsistent with treatment, despite her health. She always hated her mother Ella’s fixation on nutrition while she
was growing up, the different diets she tried, and the “weird meals” she prepared. She prefers quick and easy
convenience foods, fast food, and what tastes good. After all, she is a busy working mom! She has never liked to
exercise and, with the pain that has developed in her feet, it is physically too difficult.
Analyze and discuss the relationship between Lila’s environment growing up, her physiology, and her attitudes
and behaviors. Use the following questions to guide your explanation, and be certain to apply basic medical
terminology as appropriate.
How might Lila’s condition affect her thinking, her relationships, and social situations? In what ways
might these factors worsen her condition? How has Lila’s aversion to her mother’s dietary fanaticism while she was growing up affected her choices
and, as a result, her health?
How might Lila’s condition of being overweight impact her relationships?
How might others in Lila’s family and community view her, and how might this affect how she views
herself?
What do you believe are Lila’s options at this time? Cite research that supports your reasoning.
If you were Lila’s close friend, how might you counsel her based upon your understanding of the
biopsychosocial aspects related to her position? Provide evidence from the available resources.


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