J. Lazear, Nancy C. Lintner, C. Bode, Patricia Zimberg
Approximately 113,000 bariatric procedures are conducted yearly. From 1998 to 2005, 83% of those having bariatric surgery in the 18 to 45-year-old age group were women. Reproductive implications are ideally addressed when surgery is planned, including the possibility of increased fertility after surgery, appropriate contraception, and the interval from surgery to pregnancy. Maternal and neonatal outcomes post bariatric surgery have generally been found to be positive and are often improved over those seen in obese women without a history of bariatric procedures. However, surgical complications have been reported, as well as nutritional deficits. Some studies have suggested an increase in small for gestational age (SGA) newborns and increased cesarean section rates, while others have not found these relationships. Neonatal complications have also been reported. Pregnancy care for women with a history of bariatric surgery includes screening for and managing nutritional deficits, careful assessment to rule o...
{"title":"Reproductive Concerns and Pregnancy after Bariatric Surgery: Practice Implications","authors":"J. Lazear, Nancy C. Lintner, C. Bode, Patricia Zimberg","doi":"10.1089/BAR.2012.9977","DOIUrl":"https://doi.org/10.1089/BAR.2012.9977","url":null,"abstract":"Approximately 113,000 bariatric procedures are conducted yearly. From 1998 to 2005, 83% of those having bariatric surgery in the 18 to 45-year-old age group were women. Reproductive implications are ideally addressed when surgery is planned, including the possibility of increased fertility after surgery, appropriate contraception, and the interval from surgery to pregnancy. Maternal and neonatal outcomes post bariatric surgery have generally been found to be positive and are often improved over those seen in obese women without a history of bariatric procedures. However, surgical complications have been reported, as well as nutritional deficits. Some studies have suggested an increase in small for gestational age (SGA) newborns and increased cesarean section rates, while others have not found these relationships. Neonatal complications have also been reported. Pregnancy care for women with a history of bariatric surgery includes screening for and managing nutritional deficits, careful assessment to rule o...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"75-82"},"PeriodicalIF":0.0,"publicationDate":"2012-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9977","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60819900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health reform is driving many change factors in both the education and practice of healthcare professionals. Teams and collaboration are key words put forth by legislators and by accrediting bodies. There are barriers to the actualization of these recommendations in the form of health-professional scopes of practice, which vary in many instances from state to state. Further, health professionals are taught about their specific scope of practice and seldom about those of others. The lack of understanding regarding interprofessional scopes of practice creates ethical issues for collaborative practice in bariatric team care. Bariatric team composition is clearly defined by the National Institutes of Health and others, a recognition that the patient population of care has complex health needs. The aim of this paper is to discuss the driving policy forces that advocate for interprofessional care and to exam the ethical issues that emerge for bariatric team practice.
医疗改革正在推动医疗保健专业人员的教育和实践中的许多变化因素。团队和合作是立法者和认证机构提出的关键词。在落实这些建议方面存在障碍，其形式是卫生专业人员的执业范围，在许多情况下因州而异。此外，卫生专业人员被告知他们的具体执业范围，很少了解其他人的执业范围。缺乏对跨专业实践范围的理解，为减肥团队护理的合作实践创造了伦理问题。美国国立卫生研究院(National Institutes of Health)和其他机构明确定义了减肥小组的组成，认识到护理的患者群体具有复杂的健康需求。本文的目的是讨论倡导跨专业护理的驱动政策力量，并检查减肥团队实践中出现的伦理问题。
{"title":"Ethics and Policy for Interprofessional Scopes of Practice: Preparing Bariatric Care Teams","authors":"A. Greer","doi":"10.1089/BAR.2012.9986","DOIUrl":"https://doi.org/10.1089/BAR.2012.9986","url":null,"abstract":"Health reform is driving many change factors in both the education and practice of healthcare professionals. Teams and collaboration are key words put forth by legislators and by accrediting bodies. There are barriers to the actualization of these recommendations in the form of health-professional scopes of practice, which vary in many instances from state to state. Further, health professionals are taught about their specific scope of practice and seldom about those of others. The lack of understanding regarding interprofessional scopes of practice creates ethical issues for collaborative practice in bariatric team care. Bariatric team composition is clearly defined by the National Institutes of Health and others, a recognition that the patient population of care has complex health needs. The aim of this paper is to discuss the driving policy forces that advocate for interprofessional care and to exam the ethical issues that emerge for bariatric team practice.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2012-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9986","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maternal obesity is a significant health problem that may negatively affect the health and birth outcomes of neonates. This resource guide is intended to support the healthcare provider in the management of patients with maternal obesity by supplying references for evidence-based information and strategies to assist in addressing this issue. Additional resources for patients with maternal obesity are also included.
{"title":"Maternal Obesity: Resources for Providers and Patients","authors":"Lauren Wierwille","doi":"10.1089/BAR.2012.9995","DOIUrl":"https://doi.org/10.1089/BAR.2012.9995","url":null,"abstract":"Maternal obesity is a significant health problem that may negatively affect the health and birth outcomes of neonates. This resource guide is intended to support the healthcare provider in the management of patients with maternal obesity by supplying references for evidence-based information and strategies to assist in addressing this issue. Additional resources for patients with maternal obesity are also included.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"33-35"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9995","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Healthcare reform continues to generate changes that impact all facets of patient care. One of these impending changes is Value-Based Purchasing (VBP). VBP will create an incentive pool that will allow participating organizations to earn a specified amount based upon core measures and patient satisfaction, specifically measured by HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems). For the first time, reimbursement will be linked to nursing care. One healthcare organization's experience reveals distinct patient satisfaction differences between bariatric and non-bariatric surgical patients.
{"title":"Healthcare Reform and Bariatric Nursing: Exploring Differences in Patient Experience between Bariatric and Non-Bariatric Patients","authors":"Elizabeth Rochin","doi":"10.1089/BAR.2012.9998","DOIUrl":"https://doi.org/10.1089/BAR.2012.9998","url":null,"abstract":"Healthcare reform continues to generate changes that impact all facets of patient care. One of these impending changes is Value-Based Purchasing (VBP). VBP will create an incentive pool that will allow participating organizations to earn a specified amount based upon core measures and patient satisfaction, specifically measured by HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems). For the first time, reimbursement will be linked to nursing care. One healthcare organization's experience reveals distinct patient satisfaction differences between bariatric and non-bariatric surgical patients.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"22 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9998","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evolution of a Discipline","authors":"K. Seidl","doi":"10.1089/BAR.2012.9990","DOIUrl":"https://doi.org/10.1089/BAR.2012.9990","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Institute of Medicine report, To Err is Human, suggests that 98,000 people who enter the U.S. healthcare system die each year due to medical errors. To that extent, patient safety and current healthcare dilemmas have become the focus of lively debate. Although important, the focus of this debate tends to be short sided. More and more occupational health experts are suggesting nursing injuries affect the nursing shortage and therefore threaten all aspects of patient care including safety. In fact, on October 7, 2011, the Governor of California signed into law California Assembly Bill 1136. This cash-strapped state recognized the threat nurse injuries place on the nursing shortage and ultimately patient safety. This article briefly describes current legislative attempts to address nursing injuries and the status of the nursing shortage, and argues that this shortage is unique in a number of ways. Ethical questions are raised and ideas are presented, including the argument to justify healthcare, and spec...
美国医学研究所(Institute of Medicine)的报告《人孰能无过》(To Err is Human)显示，每年进入美国医疗保健系统的9.8万人死于医疗事故。在这种程度上，患者安全和当前的医疗困境已成为激烈辩论的焦点。虽然很重要，但这场辩论的焦点往往是短面性的。越来越多的职业健康专家认为，护理伤害会影响护理人员的短缺，从而威胁到病人护理的各个方面，包括安全。事实上，2011年10月7日，加州州长签署了加州议会第1136号法案。这个资金短缺的州认识到护士伤害对护士短缺和最终患者安全的威胁。本文简要描述了当前立法试图解决护理伤害和护理短缺的现状，并认为这种短缺在许多方面都是独一无二的。提出了伦理问题，提出了一些观点，包括证明医疗保健的合理性的论点，以及规范……
{"title":"Safety, the Nursing Shortage, and the Bariatric Nurse: Is This an Ethical Debate?","authors":"S. Gallagher","doi":"10.1089/BAR.2012.9993","DOIUrl":"https://doi.org/10.1089/BAR.2012.9993","url":null,"abstract":"The Institute of Medicine report, To Err is Human, suggests that 98,000 people who enter the U.S. healthcare system die each year due to medical errors. To that extent, patient safety and current healthcare dilemmas have become the focus of lively debate. Although important, the focus of this debate tends to be short sided. More and more occupational health experts are suggesting nursing injuries affect the nursing shortage and therefore threaten all aspects of patient care including safety. In fact, on October 7, 2011, the Governor of California signed into law California Assembly Bill 1136. This cash-strapped state recognized the threat nurse injuries place on the nursing shortage and ultimately patient safety. This article briefly describes current legislative attempts to address nursing injuries and the status of the nursing shortage, and argues that this shortage is unique in a number of ways. Ethical questions are raised and ideas are presented, including the argument to justify healthcare, and spec...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"10-12"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9993","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Obesity has reached epidemic proportions in the United States and is a complex health problem with many biological, environmental, and psychosocial causative factors. While there are many factors which must be addressed to combat the prevalence of obesity, increasing physical activity is an important modifiable behavior. To determine if text messaging can be used as a communication tool to promote the adherence to daily physical activity guidelines in adults, a literature review was conducted. Methods: Five databases were searched using the search terms of text messaging*, and MeSH subheadings of cellular phones, health promotion, and health behaviors. Databases were searched from the year 1950 to present, although this topic is more relevant to this century. The literature search produced 37 articles from Medline, 68 articles from CINAHL, 8 from Cochrane, and 42 from PubMed databases. Titles were then reviewed to screen out duplicates and to verify topic relevancy. An abstract review was th...
{"title":"Use of a Text Messaging Program to Promote Adherence to Daily Physical Activity Guidelines: A Review of the Literature","authors":"A. Williams","doi":"10.1089/BAR.2012.9999","DOIUrl":"https://doi.org/10.1089/BAR.2012.9999","url":null,"abstract":"Introduction: Obesity has reached epidemic proportions in the United States and is a complex health problem with many biological, environmental, and psychosocial causative factors. While there are many factors which must be addressed to combat the prevalence of obesity, increasing physical activity is an important modifiable behavior. To determine if text messaging can be used as a communication tool to promote the adherence to daily physical activity guidelines in adults, a literature review was conducted. Methods: Five databases were searched using the search terms of text messaging*, and MeSH subheadings of cellular phones, health promotion, and health behaviors. Databases were searched from the year 1950 to present, although this topic is more relevant to this century. The literature search produced 37 articles from Medline, 68 articles from CINAHL, 8 from Cochrane, and 42 from PubMed databases. Titles were then reviewed to screen out duplicates and to verify topic relevancy. An abstract review was th...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"13-16"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9999","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obesity continues to be a significant public health issue. As the rates of obesity continue to rise, so in turn does the rate of weight loss surgery. While surgery is proven to achieve significant and long-term weight loss, not all patients sustain this weight loss. The causes for relapse are variable, and there have been no consistent findings in the literature to suggest specific causes for this recidivism. This paper seeks to explore a theoretical framework and apply research from the cravings and addiction field to suggest a potential future area of study in which cravings and binge eating may be worthwhile for study in patients to identify patterns of susceptibility to weight regain after weight loss surgery. It is proposed that cognitive processing theory of craving will improve prediction of the successful treatment of obesity through bariatric surgery, using models that have been studied in the drug and alcohol abuse population.
{"title":"A Framework of Food Cravings and Weight Loss after Bariatric Surgery: Application of the Cognitive Processing Model","authors":"Amanda R. Budak","doi":"10.1089/BAR.2012.9994","DOIUrl":"https://doi.org/10.1089/BAR.2012.9994","url":null,"abstract":"Obesity continues to be a significant public health issue. As the rates of obesity continue to rise, so in turn does the rate of weight loss surgery. While surgery is proven to achieve significant and long-term weight loss, not all patients sustain this weight loss. The causes for relapse are variable, and there have been no consistent findings in the literature to suggest specific causes for this recidivism. This paper seeks to explore a theoretical framework and apply research from the cravings and addiction field to suggest a potential future area of study in which cravings and binge eating may be worthwhile for study in patients to identify patterns of susceptibility to weight regain after weight loss surgery. It is proposed that cognitive processing theory of craving will improve prediction of the successful treatment of obesity through bariatric surgery, using models that have been studied in the drug and alcohol abuse population.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"25-29"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9994","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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