Adolescent bariatric surgery is one way clinicians are attempting to solve the problem of childhood obesity. In 2004, the Food and Drug Administration (FDA) granted investigational device exemption of the adjustable gastric band to determine the safety and efficacy of gastric banding in morbidly obese adolescents. The role of the dietitian in the multidisciplinary adolescent bariatric team is challenging. It is the responsibility of the dietitian to improve the adolescent's diet quality prior to surgery, teach the adolescent and the family the new eating guidelines after surgery, and to assess the nutritional adequacy of the diet post operatively. This article reviews the preoperative nutrition management, the nutrition guidelines followed for adolescents undergoing gastric banding surgery at Alfred I. duPont Hospital for Children, and reviews the unique challenges that working with adolescents presents to dietitians.
青少年减肥手术是临床医生试图解决儿童肥胖问题的一种方法。2004年，美国食品和药物管理局(FDA)批准了可调节胃束带的研究装置豁免，以确定胃束带在病态肥胖青少年中的安全性和有效性。营养师在多学科青少年减肥团队中的角色是具有挑战性的。术前改善青少年的饮食质量，术后向青少年及其家人传授新的饮食指南，术后评估饮食的营养充分性，是营养师的责任。本文回顾了Alfred I. duPont儿童医院接受胃束带手术的青少年的术前营养管理和营养指南，并回顾了与青少年一起工作给营养师带来的独特挑战。
{"title":"Nutrition Management of the Adolescent Gastric Band Patient","authors":"C. Clarahan","doi":"10.1089/BAR.2011.9959","DOIUrl":"https://doi.org/10.1089/BAR.2011.9959","url":null,"abstract":"Adolescent bariatric surgery is one way clinicians are attempting to solve the problem of childhood obesity. In 2004, the Food and Drug Administration (FDA) granted investigational device exemption of the adjustable gastric band to determine the safety and efficacy of gastric banding in morbidly obese adolescents. The role of the dietitian in the multidisciplinary adolescent bariatric team is challenging. It is the responsibility of the dietitian to improve the adolescent's diet quality prior to surgery, teach the adolescent and the family the new eating guidelines after surgery, and to assess the nutritional adequacy of the diet post operatively. This article reviews the preoperative nutrition management, the nutrition guidelines followed for adolescents undergoing gastric banding surgery at Alfred I. duPont Hospital for Children, and reviews the unique challenges that working with adolescents presents to dietitians.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"133-137"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816726","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}
Childhood obesity has tripled to a prevalence rate of 17% since 1980. Numerous stakeholders influence the policy process impacting childhood obesity. Professional associations, advocacy groups, clinicians, researchers, and insurers inform the policy process. As a result, nurses must understand interdisciplinary policies impacting childhood obesity prevention and management. Knowledge of available policy resources is vital to advocating for the prevention and management of childhood obesity. The purpose of this brief article is to identify some useful sources of information for the development, support, and implementation of policies impacting childhood obesity. Consumer and professional advocacy centers for childhood obesity, research and funding opportunities for policy research, and insurance policy information specific to childhood obesity are discussed. Focused childhood obesity policy resources are compiled for future policy reference.
{"title":"Childhood Obesity Policy Resources","authors":"Bobby Lowery","doi":"10.1089/BAR.2011.9952","DOIUrl":"https://doi.org/10.1089/BAR.2011.9952","url":null,"abstract":"Childhood obesity has tripled to a prevalence rate of 17% since 1980. Numerous stakeholders influence the policy process impacting childhood obesity. Professional associations, advocacy groups, clinicians, researchers, and insurers inform the policy process. As a result, nurses must understand interdisciplinary policies impacting childhood obesity prevention and management. Knowledge of available policy resources is vital to advocating for the prevention and management of childhood obesity. The purpose of this brief article is to identify some useful sources of information for the development, support, and implementation of policies impacting childhood obesity. Consumer and professional advocacy centers for childhood obesity, research and funding opportunities for policy research, and insurance policy information specific to childhood obesity are discussed. Focused childhood obesity policy resources are compiled for future policy reference.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"159-162"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816313","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":"Teaming Up Against Childhood Obesity","authors":"J. Perman","doi":"10.1089/BAR.2011.9961","DOIUrl":"https://doi.org/10.1089/BAR.2011.9961","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"109-110"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9961","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816947","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}
Childhood obesity rates continue to rise across the United States. With the increased availability of snack foods and greater portion sizes, children have increased caloric intake, snack more often, and eat more high-fat foods. Decreased physical activity and increased sedentary behavior result in less active children. Children can suffer from comorbidities such as hyperlipidemia, hypertension, type 2 diabetes mellitus, and sleep disorders (e.g., sleep apnea, insomnia). Obesity may be a result of unhealthy lifestyle choices. The clinical nurse leader (CNL) can play a key role in educating children and families. The CNL is a nurse with high-level critical thinking skills, leadership and case management abilities, who is well qualified to work on the complex issues that affect children with overweight or obesity and their families. CNLs can help to identify children and adolescents who are overweight or obese, coordinate their care, and assist their families to promote optimal health.
{"title":"The Clinical Nurse Leader: Playing an Integral Role in the Prevention and Treatment of Pediatric Overweight and Obesity","authors":"Amanda Hinebaugh, C. Calamaro","doi":"10.1089/BAR.2011.9950","DOIUrl":"https://doi.org/10.1089/BAR.2011.9950","url":null,"abstract":"Childhood obesity rates continue to rise across the United States. With the increased availability of snack foods and greater portion sizes, children have increased caloric intake, snack more often, and eat more high-fat foods. Decreased physical activity and increased sedentary behavior result in less active children. Children can suffer from comorbidities such as hyperlipidemia, hypertension, type 2 diabetes mellitus, and sleep disorders (e.g., sleep apnea, insomnia). Obesity may be a result of unhealthy lifestyle choices. The clinical nurse leader (CNL) can play a key role in educating children and families. The CNL is a nurse with high-level critical thinking skills, leadership and case management abilities, who is well qualified to work on the complex issues that affect children with overweight or obesity and their families. CNLs can help to identify children and adolescents who are overweight or obese, coordinate their care, and assist their families to promote optimal health.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"145-150"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9950","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816200","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}
Childhood obesity continues to be a public health concern in today's society. A variety of issues contribute to the development of childhood obesity, including culture and family lifestyle, maternal feeding habits, increased consumption of high-fat foods, and a decreased amount of physical activity. Early recognition of obesity in children is a key factor in the prevention of childhood obesity. Primary care providers play a vital role in the detection of childhood obesity. Using a multidisciplinary care approach and including families in the plan of care for these children will help to decrease the childhood obesity epidemic. Primary care providers can work together with families to ensure children become healthy and fit in order to prolong lives and decrease instances of co-morbidities.
{"title":"A Case Study of Obesity in a 3-Year-Old Nigerian Female: The Role of Culture and Additional Risk Factors in the Assessment and Treatment of Obesity","authors":"M. Bishop, C. Calamaro","doi":"10.1089/BAR.2011.9958","DOIUrl":"https://doi.org/10.1089/BAR.2011.9958","url":null,"abstract":"Childhood obesity continues to be a public health concern in today's society. A variety of issues contribute to the development of childhood obesity, including culture and family lifestyle, maternal feeding habits, increased consumption of high-fat foods, and a decreased amount of physical activity. Early recognition of obesity in children is a key factor in the prevention of childhood obesity. Primary care providers play a vital role in the detection of childhood obesity. Using a multidisciplinary care approach and including families in the plan of care for these children will help to decrease the childhood obesity epidemic. Primary care providers can work together with families to ensure children become healthy and fit in order to prolong lives and decrease instances of co-morbidities.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"115-120"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9958","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816681","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 incidence of pediatric obesity is on the rise. Because pediatric overweight and obese patients are presenting for elective surgery in the day surgery setting, there are concerns regarding perioperative complications in this population. Although there is a paucity of studies specific to the pediatric population, respiratory symptoms, airway management concerns, prolonged postanesthesia care unit (PACU) stays, and increased emesis are significantly more common in pediatric patients with an elevated body mass index (BMI).1 This resource guide will provide assistance to nurses and other healthcare providers to increase their awareness of the perioperative complications of pediatric patients with an elevated BMI in the day surgery setting.
{"title":"Common Perioperative Complications in the Pediatric Day Surgery Setting of a Patient with an Elevated BMI: A Resource Guide to the Literature on the Care of the Obese Pediatric Surgical Patient","authors":"B. Middlebrooks, T. Winters","doi":"10.1089/BAR.2011.9956","DOIUrl":"https://doi.org/10.1089/BAR.2011.9956","url":null,"abstract":"The incidence of pediatric obesity is on the rise. Because pediatric overweight and obese patients are presenting for elective surgery in the day surgery setting, there are concerns regarding perioperative complications in this population. Although there is a paucity of studies specific to the pediatric population, respiratory symptoms, airway management concerns, prolonged postanesthesia care unit (PACU) stays, and increased emesis are significantly more common in pediatric patients with an elevated body mass index (BMI).1 This resource guide will provide assistance to nurses and other healthcare providers to increase their awareness of the perioperative complications of pediatric patients with an elevated BMI in the day surgery setting.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"155-157"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817001","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 is a major concern for many adults, but more importantly, it is thought to be the leading health problem facing U.S. children today. In healthcare settings, children of size may become immobile simply because of their body weight, postural instability, and weight maldistribution. Patient safety and caregiver injury are fast becoming serious considerations in managing the clinical care of children who are obese. This article explores and identifies some of the challenges in mobilizing larger children, with an eye to preventing caregiver injury. Safety, risk, and ethical concerns are discussed within this context.
{"title":"Pediatric Bariatrics: Trends in Mobility, Safety, Risk, and Ethics","authors":"S. Gallagher","doi":"10.1089/BAR.2011.9953","DOIUrl":"https://doi.org/10.1089/BAR.2011.9953","url":null,"abstract":"Obesity is a major concern for many adults, but more importantly, it is thought to be the leading health problem facing U.S. children today. In healthcare settings, children of size may become immobile simply because of their body weight, postural instability, and weight maldistribution. Patient safety and caregiver injury are fast becoming serious considerations in managing the clinical care of children who are obese. This article explores and identifies some of the challenges in mobilizing larger children, with an eye to preventing caregiver injury. Safety, risk, and ethical concerns are discussed within this context.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"121-123"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9953","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816358","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}
Childhood obesity has reached epidemic proportions, and the problem is disproportionately represented in low-income, minority settings. In an attempt to intervene, an elementary school-based prevention program designed to educate children and their caregivers in healthy and active lifestyles was developed by a community-based coalition. The coalition was anchored by faculty, staff, and students of a medical school. The design, launch, and operations of this program serves as a model that may be useful to other communities.
{"title":"Nurse Practitioner-Coordinated Childhood Obesity Early Intervention and Prevention Program","authors":"Elsie M. Stines, S. Perman, S. Sudharshan","doi":"10.1089/BAR.2011.9960","DOIUrl":"https://doi.org/10.1089/BAR.2011.9960","url":null,"abstract":"Childhood obesity has reached epidemic proportions, and the problem is disproportionately represented in low-income, minority settings. In an attempt to intervene, an elementary school-based prevention program designed to educate children and their caregivers in healthy and active lifestyles was developed by a community-based coalition. The coalition was anchored by faculty, staff, and students of a medical school. The design, launch, and operations of this program serves as a model that may be useful to other communities.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9960","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816779","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":"Preparing the Hospital Environment for Patients with Obesity","authors":"C. McComiskey, David G. Hunt, Jennifer Servary","doi":"10.1089/BAR.2011.9951","DOIUrl":"https://doi.org/10.1089/BAR.2011.9951","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"153-154"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9951","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816273","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}
Background: The prevalence of childhood obesity is rapidly increasing. There has been little research regarding inpatient pediatric nurses' perceptions, attitudes, and knowledge of childhood obesity. The aim of this study is to evaluate nurses' perceptions, attitudes and knowledge toward childhood obesity, as well as to evaluate what nurses perceive as the barriers to teaching patients about obesity. Methods: A cross-sectional quantitative study was conducted with a purposive convenient sample of registered nurses working on a pediatric unit at an urban medical center in Washington DC. An investigator-developed survey was used to collect data about nurses' perceptions, attitudes, and knowledge of childhood obesity. Results: Overall, about 97% of the sample reported taking care of obese patients on their pediatric units. The majority of the respondents, however, reported that they were only somewhat prepared to educate patients and families about obesity. Additionally, less than half of respondents reporte...
{"title":"Pediatric Nurses' Perceptions, Attitudes, and Knowledge of Childhood Obesity at an Academic Medical Center","authors":"C. DiNapoli, Eileen Sytnyk, Caitlin Waddicor","doi":"10.1089/BAR.2011.9954","DOIUrl":"https://doi.org/10.1089/BAR.2011.9954","url":null,"abstract":"Background: The prevalence of childhood obesity is rapidly increasing. There has been little research regarding inpatient pediatric nurses' perceptions, attitudes, and knowledge of childhood obesity. The aim of this study is to evaluate nurses' perceptions, attitudes and knowledge toward childhood obesity, as well as to evaluate what nurses perceive as the barriers to teaching patients about obesity. Methods: A cross-sectional quantitative study was conducted with a purposive convenient sample of registered nurses working on a pediatric unit at an urban medical center in Washington DC. An investigator-developed survey was used to collect data about nurses' perceptions, attitudes, and knowledge of childhood obesity. Results: Overall, about 97% of the sample reported taking care of obese patients on their pediatric units. The majority of the respondents, however, reported that they were only somewhat prepared to educate patients and families about obesity. Additionally, less than half of respondents reporte...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"125-131"},"PeriodicalIF":0.0,"publicationDate":"2011-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816848","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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