{"title":"Supporting and Encouraging the Bariatric Surgical Patient: Tips for Keeping Patients on Track and Engaged Throughout Their Journey","authors":"M. Seidl, P. Rochin, R. Wright, K. Cowart","doi":"10.1089/BAR.2012.9991","DOIUrl":"https://doi.org/10.1089/BAR.2012.9991","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9991","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820513","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 insurance for individuals classified as obese is a topic of ethical debate given the rising costs of premiums and the pressures of an unstable health economy. Difficult questions arise relative to health insurance and coverage for obese populations. For instance, do the chronic disease claims, attributed to individuals classified as obese, cause an inequitable rise in the cost of healthcare to normal-weight populations? Facts indicate an increased cost of care for obese populations compared to normal-weight populations. Health insurance is a complex service industry with multiple stakeholders, which give rise to ethical uncertainty in fidelity, veracity, and social responsibility, especially since insurance is a business that must generate profit to sustain itself. It is important for health policy makers to consider variable ethical philosophies when designing legislation that guides health insurance coverage for populations classified as obese. Utilitarian and libertarian philosophies are used to...
{"title":"Moral Hazard or Morality for Health: An Ethical Debate on Insurance Coverage for the Obese","authors":"A. Greer, C. Chapman, Janice Butler Ryckeley","doi":"10.1089/BAR.2012.9992","DOIUrl":"https://doi.org/10.1089/BAR.2012.9992","url":null,"abstract":"Health insurance for individuals classified as obese is a topic of ethical debate given the rising costs of premiums and the pressures of an unstable health economy. Difficult questions arise relative to health insurance and coverage for obese populations. For instance, do the chronic disease claims, attributed to individuals classified as obese, cause an inequitable rise in the cost of healthcare to normal-weight populations? Facts indicate an increased cost of care for obese populations compared to normal-weight populations. Health insurance is a complex service industry with multiple stakeholders, which give rise to ethical uncertainty in fidelity, veracity, and social responsibility, especially since insurance is a business that must generate profit to sustain itself. It is important for health policy makers to consider variable ethical philosophies when designing legislation that guides health insurance coverage for populations classified as obese. Utilitarian and libertarian philosophies are used to...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9992","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60820528","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}
Chiung‐Yu Huang, Mei-Chi Hsu, Kuei-Ching Pan, Chih-Kun Huang, Shu-Ching Chi
Background: Patients undergoing surgical treatment for obesity are likely to experience changes in their health-related quality of life (HRQOL). The purposes of this study were to investigate HRQOL before and after laparoscopic gastric bypass (LGB) surgery, and to describe the influence of weight loss surgery on HRQOL in morbidly obese patients. Methods: Patients with morbid obesity who underwent weight loss surgery at a hospital in Taiwan were recruited. The standard survey was administered before surgery and again 3 months after LGB to patients with a body mass index (BMI) of >40 kg/m2 or a BMI ≧35 kg/ m2 when combined with diabetes/hypertension. Results: The sample included 40 patients; 62.5% were women and the average age of participants was 30.1 years. Scores on the subscales of the Medical Outcomes Study SF-36 demonstrated significant improvements between baseline and follow-up. The physical health domain was most affected. There were also significant improvements related to physical functioning, ph...
{"title":"Early Health Status and Health-Related Quality of Life after Laparoscopic Gastric Bypass Surgery in Morbidly Obese Patients","authors":"Chiung‐Yu Huang, Mei-Chi Hsu, Kuei-Ching Pan, Chih-Kun Huang, Shu-Ching Chi","doi":"10.1089/BAR.2011.9943","DOIUrl":"https://doi.org/10.1089/BAR.2011.9943","url":null,"abstract":"Background: Patients undergoing surgical treatment for obesity are likely to experience changes in their health-related quality of life (HRQOL). The purposes of this study were to investigate HRQOL before and after laparoscopic gastric bypass (LGB) surgery, and to describe the influence of weight loss surgery on HRQOL in morbidly obese patients. Methods: Patients with morbid obesity who underwent weight loss surgery at a hospital in Taiwan were recruited. The standard survey was administered before surgery and again 3 months after LGB to patients with a body mass index (BMI) of >40 kg/m2 or a BMI ≧35 kg/ m2 when combined with diabetes/hypertension. Results: The sample included 40 patients; 62.5% were women and the average age of participants was 30.1 years. Scores on the subscales of the Medical Outcomes Study SF-36 demonstrated significant improvements between baseline and follow-up. The physical health domain was most affected. There were also significant improvements related to physical functioning, ph...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"193-200"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9943","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60815688","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 policy is an emerging priority among legislators and policy developers, who have posited that litigation helps to frame and support said policy. There is a national need to debate the merits of obesity legislation and litigation, and this requires a forum and a guiding framework. Evidence-based research often guides the policy but may be insufficient in terms of the ethical questions the legislation poses. Triangulation of evidence, theory, and ethical principles used in public health, and analysis of the level of autonomy represented in obesity policy, can be used in a counterargument to guide debate about obesity legislation and litigation. Healthcare professionals should engage in interprofessional, ethical scrutiny of legislation and litigation prior to offering support to obesity policy to ensure that it does not create an environment of social stigmatization. Obesity policy that does not integrate ethical principles and fails to seek counsel from the population of service may risk limiting c...
{"title":"Ethics of Obesity Legislation and Litigation: A Public-Health Policy Debate","authors":"A. Greer, Janice Butler Ryckeley","doi":"10.1089/BAR.2011.9945","DOIUrl":"https://doi.org/10.1089/BAR.2011.9945","url":null,"abstract":"Obesity policy is an emerging priority among legislators and policy developers, who have posited that litigation helps to frame and support said policy. There is a national need to debate the merits of obesity legislation and litigation, and this requires a forum and a guiding framework. Evidence-based research often guides the policy but may be insufficient in terms of the ethical questions the legislation poses. Triangulation of evidence, theory, and ethical principles used in public health, and analysis of the level of autonomy represented in obesity policy, can be used in a counterargument to guide debate about obesity legislation and litigation. Healthcare professionals should engage in interprofessional, ethical scrutiny of legislation and litigation prior to offering support to obesity policy to ensure that it does not create an environment of social stigmatization. Obesity policy that does not integrate ethical principles and fails to seek counsel from the population of service may risk limiting c...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"173-177"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60815821","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 prevention is a national initiative with the attention of First Lady Michelle Obama and is being addressed on many levels with a multifactorial approach. However, many children and adolescents are beyond the benefit of prevention efforts and need treatment. Bariatric surgery in the adolescent population is a broadly debated topic that generates valuable discussion about the management of childhood obesity. This article seeks to describe the unique and pertinent developmental aspects of preparation and support given to obese adolescents and their families, and to present the experience at the University of Illinois Medical Center Adolescent Weight Management Program in Chicago, Illinois. There is a lack of scientific evidence in the current literature addressing what factors influence an adolescent's success with weight loss surgery, or clinical practice guidelines that outline recommendations for preparation of adolescents for bariatric surgery. It is the hope that reporting this experience will s...
{"title":"Preparing Adolescents for Bariatric Surgery: Foundational Elements Applying Erikson's Theory of Human Development","authors":"A. Phipps","doi":"10.1089/BAR.2011.9947","DOIUrl":"https://doi.org/10.1089/BAR.2011.9947","url":null,"abstract":"Obesity prevention is a national initiative with the attention of First Lady Michelle Obama and is being addressed on many levels with a multifactorial approach. However, many children and adolescents are beyond the benefit of prevention efforts and need treatment. Bariatric surgery in the adolescent population is a broadly debated topic that generates valuable discussion about the management of childhood obesity. This article seeks to describe the unique and pertinent developmental aspects of preparation and support given to obese adolescents and their families, and to present the experience at the University of Illinois Medical Center Adolescent Weight Management Program in Chicago, Illinois. There is a lack of scientific evidence in the current literature addressing what factors influence an adolescent's success with weight loss surgery, or clinical practice guidelines that outline recommendations for preparation of adolescents for bariatric surgery. It is the hope that reporting this experience will s...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"179-184"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816118","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":"Using a Rating System to Evaluate Post-Bariatric Surgery Exercise Websites: A New Way to Evaluate Resources","authors":"C. McComiskey","doi":"10.1089/BAR.2011.9944","DOIUrl":"https://doi.org/10.1089/BAR.2011.9944","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"209-210"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9944","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60815715","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}
Deborah L. Schofield, P. Morton, Carol Brokos, R. Gruel, Sarah Johannes, Nancy McBride, G. Moses
Obesity has risen to epidemic proportions in the United States and is increasing among all populations. The complications associated with obesity have a tremendous impact on healthcare and hospital costs. The diagnosis of obesity alone is believed to present an independent risk for surgical morbidity and mortality. Obese patients frequently have multiple comorbidities, which present a unique challenge for healthcare teams responsible for their perioperative and postoperative assessment and management. This article highlights critical elements of the perioperative assessment of the adult obese patient, considerations for further risk stratification in the perioperative period, and potential complications of the obese patient postoperatively.
{"title":"Perioperative Assessment and Risk Stratification of the Obese Patient","authors":"Deborah L. Schofield, P. Morton, Carol Brokos, R. Gruel, Sarah Johannes, Nancy McBride, G. Moses","doi":"10.1089/BAR.2011.9942","DOIUrl":"https://doi.org/10.1089/BAR.2011.9942","url":null,"abstract":"Obesity has risen to epidemic proportions in the United States and is increasing among all populations. The complications associated with obesity have a tremendous impact on healthcare and hospital costs. The diagnosis of obesity alone is believed to present an independent risk for surgical morbidity and mortality. Obese patients frequently have multiple comorbidities, which present a unique challenge for healthcare teams responsible for their perioperative and postoperative assessment and management. This article highlights critical elements of the perioperative assessment of the adult obese patient, considerations for further risk stratification in the perioperative period, and potential complications of the obese patient postoperatively.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"201-206"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9942","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60815649","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 rates in the United States have drastically increased over the past 20 years. According to the Center for Disease Control and Prevention, the obesity rate for adults has nearly doubled since 1990, reaching as high as 32.2% among adult men and 35.5% among adult women. One rural community, Smith Island, Maryland, has special challenges in obtaining a healthy lifestyle due to their insolated environment. Although there have been small measures to reduce obesity on Smith Island, the need for further education is essential. The purpose of this program evaluation was to determine if a culturally sensitive educational program increases the knowledge of healthy eating practices and benefits of physical activity among residents of Smith Island. A convenience sample of 25 residents living on Smith Island was used. Residents were recruited to participate in an educational program that focused on healthier eating and benefits of physical activity. Overall, participants scored higher on the posttest compared t...
在过去的20年里，美国的肥胖率急剧上升。根据美国疾病控制与预防中心(Center for Disease Control and Prevention)的数据，自1990年以来，成年人的肥胖率几乎翻了一番，成年男性和成年女性的肥胖率分别高达32.2%和35.5%。马里兰州史密斯岛(Smith Island)的一个农村社区由于日照环境，在获得健康的生活方式方面面临着特殊的挑战。虽然在史密斯岛上已经采取了一些减少肥胖的小措施，但进一步教育的必要性是必不可少的。该计划评估的目的是确定文化敏感的教育计划是否增加了史密斯岛居民对健康饮食习惯和体育活动益处的认识。本研究选取了居住在史密斯岛的25名居民作为方便样本。居民们被招募来参加一个教育项目，重点是健康饮食和体育活动的好处。总的来说，参与者在后测中的得分高于对照组。
{"title":"Implementation of an Educational Program to Improve Knowledge and Attitudes of Healthier Eating Practices and Benefits of Physical Activity among Residents of Smith Island, Maryland","authors":"B. Windemuth, L. Murphy","doi":"10.1089/BAR.2011.9946","DOIUrl":"https://doi.org/10.1089/BAR.2011.9946","url":null,"abstract":"Obesity rates in the United States have drastically increased over the past 20 years. According to the Center for Disease Control and Prevention, the obesity rate for adults has nearly doubled since 1990, reaching as high as 32.2% among adult men and 35.5% among adult women. One rural community, Smith Island, Maryland, has special challenges in obtaining a healthy lifestyle due to their insolated environment. Although there have been small measures to reduce obesity on Smith Island, the need for further education is essential. The purpose of this program evaluation was to determine if a culturally sensitive educational program increases the knowledge of healthy eating practices and benefits of physical activity among residents of Smith Island. A convenience sample of 25 residents living on Smith Island was used. Residents were recruited to participate in an educational program that focused on healthier eating and benefits of physical activity. Overall, participants scored higher on the posttest compared t...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"80 1","pages":"185-192"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9946","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60815974","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: Childhood 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 that must be addressed to combat the prevalence of childhood obesity, prevention is typically viewed as the best solution for children. In an effort to address childhood obesity prevention and promote daily physical activity, a 12-week, pedometer-based walking program, Get Fit Kids, was designed and implemented with elementary school children. The primary aim of this study was to assess the feasibility and effectiveness of Get Fit Kids with an underserved population of Baltimore City public elementary-school children. Methods: Children in third through fifth grades participated in this quasi-experimental study during the 2008–2009 school year. The primary research aim was to evaluate the feasibility and effectiveness of the program as measured by the change in step counts from the children...
儿童肥胖在美国已经达到流行病的程度，是一个复杂的健康问题，有许多生物、环境和社会心理的致病因素。虽然有许多因素必须解决，以对抗儿童肥胖的流行，预防通常被视为儿童的最佳解决方案。为了预防儿童肥胖和促进日常体育活动，一项为期12周、以计步器为基础的步行项目“Get Fit Kids”被设计出来，并在小学生中实施。本研究的主要目的是评估“健身儿童”在巴尔的摩公立小学服务不足人群中的可行性和有效性。方法:对2008-2009学年的三至五年级儿童进行准实验研究。研究的主要目的是评估该计划的可行性和有效性，通过儿童的步数变化来衡量。
{"title":"Get Fit Kids: A Feasibility Study of a Pedometer-Based Walking Program","authors":"A. Williams, Verlyn O Warrington","doi":"10.1089/BAR.2011.9957","DOIUrl":"https://doi.org/10.1089/BAR.2011.9957","url":null,"abstract":"Introduction: Childhood 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 that must be addressed to combat the prevalence of childhood obesity, prevention is typically viewed as the best solution for children. In an effort to address childhood obesity prevention and promote daily physical activity, a 12-week, pedometer-based walking program, Get Fit Kids, was designed and implemented with elementary school children. The primary aim of this study was to assess the feasibility and effectiveness of Get Fit Kids with an underserved population of Baltimore City public elementary-school children. Methods: Children in third through fifth grades participated in this quasi-experimental study during the 2008–2009 school year. The primary research aim was to evaluate the feasibility and effectiveness of the program as measured by the change in step counts from the children...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"139-143"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816651","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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