Obesity is a major health problem that is associated with significant comorbidities including Obstructive Sleep Apnea (OSA). OSA is a chronic condition characterized by partial or complete collapse of the upper airway during sleep. Laparoscopic bariatric surgery is one of the fastest growing surgical procedures in the United States to promote weight loss in morbidly obese patients. The number of patients undergoing bariatric surgery that have OSA is estimated to be >70%. However, the majority of these patients are neither diagnosed nor appropriately screened for OSA. The purpose of this paper is to discuss evidenced-based strategies to identify patients with OSA and to reduce postoperative respiratory dysfunction in obese patients undergoing laparoscopic bariatric surgery.
{"title":"Evidence-Based Strategies to Prevent Postoperative Respiratory Dysfunction for Patients with Obstructive Sleep Apnea Undergoing Laparoscopic Bariatric Surgery","authors":"D. Ernst, Tino Vekic, Laura S. Bonanno","doi":"10.1089/BAR.2011.9969","DOIUrl":"https://doi.org/10.1089/BAR.2011.9969","url":null,"abstract":"Obesity is a major health problem that is associated with significant comorbidities including Obstructive Sleep Apnea (OSA). OSA is a chronic condition characterized by partial or complete collapse of the upper airway during sleep. Laparoscopic bariatric surgery is one of the fastest growing surgical procedures in the United States to promote weight loss in morbidly obese patients. The number of patients undergoing bariatric surgery that have OSA is estimated to be >70%. However, the majority of these patients are neither diagnosed nor appropriately screened for OSA. The purpose of this paper is to discuss evidenced-based strategies to identify patients with OSA and to reduce postoperative respiratory dysfunction in obese patients undergoing laparoscopic bariatric surgery.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"20 1","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9969","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817706","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}
S. Zagarins, Nancy A. Allen, Sandra S. Skinner, A. Kemper, G. Welch
Background: Although regular exercise is a significant predictor of weight loss and weight loss maintenance, bariatric surgery patients are mostly sedentary/ low active presurgery, and up to 44% of these patients do not engage in regular exercise at 1 year postsurgery. Furthermore, of all postsurgical behavioral recommendations, exercise is the most likely area of nonadherence. The goal of this study was to evaluate adherence to a structured, postsurgical exercise program and to explore the preliminary efficacy of this program on trends in exercise frequency, duration, and intensity. Methods: Data on exercise behaviors during group exercise sessions and at home were collected from all 46 patients participating in a 12-week, structured, postsurgical exercise program. Linear regression was used to determine whether exercise behaviors changed over time. Results: The frequency and duration of at-home exercise increased from 3.3 (1.9) times per week for 37.4 (18.3) min/session at week 1 to 4.3 (1.7) times per ...
{"title":"Improved Exercise Behaviors Associated with a Comprehensive Structured Exercise Program Following Bariatric Surgery","authors":"S. Zagarins, Nancy A. Allen, Sandra S. Skinner, A. Kemper, G. Welch","doi":"10.1089/BAR.2011.9971","DOIUrl":"https://doi.org/10.1089/BAR.2011.9971","url":null,"abstract":"Background: Although regular exercise is a significant predictor of weight loss and weight loss maintenance, bariatric surgery patients are mostly sedentary/ low active presurgery, and up to 44% of these patients do not engage in regular exercise at 1 year postsurgery. Furthermore, of all postsurgical behavioral recommendations, exercise is the most likely area of nonadherence. The goal of this study was to evaluate adherence to a structured, postsurgical exercise program and to explore the preliminary efficacy of this program on trends in exercise frequency, duration, and intensity. Methods: Data on exercise behaviors during group exercise sessions and at home were collected from all 46 patients participating in a 12-week, structured, postsurgical exercise program. Linear regression was used to determine whether exercise behaviors changed over time. Results: The frequency and duration of at-home exercise increased from 3.3 (1.9) times per week for 37.4 (18.3) min/session at week 1 to 4.3 (1.7) times per ...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"85-90"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9971","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817987","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}
Every year the number of patients with morbid obesity entering the intensive care unit increases. Due to the comorbidities that are often present, the medical complications and increased mortality rates faced by this patient population are staggering. As a patient becomes more clinically unstable, mobility and nutritional status deteriorate, and the interventions that are intended to help can lead to further complications. Meeting the challenges of providing safe and highly effective care to this population must become a focus for nursing and hospital administrations.
{"title":"Septic Shock in a Critically Ill Young Man with Morbid Obesity","authors":"H. L. Martin","doi":"10.1089/BAR.2011.9967","DOIUrl":"https://doi.org/10.1089/BAR.2011.9967","url":null,"abstract":"Every year the number of patients with morbid obesity entering the intensive care unit increases. Due to the comorbidities that are often present, the medical complications and increased mortality rates faced by this patient population are staggering. As a patient becomes more clinically unstable, mobility and nutritional status deteriorate, and the interventions that are intended to help can lead to further complications. Meeting the challenges of providing safe and highly effective care to this population must become a focus for nursing and hospital administrations.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"65-68"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817386","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":"Obesity and Obstructive Sleep Apnea: Carry the Torch of Awareness","authors":"K. Joyner","doi":"10.1089/BAR.2011.9968","DOIUrl":"https://doi.org/10.1089/BAR.2011.9968","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"55-56"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9968","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817440","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: Weight bias and stigmatization may result in discrimination against obese individuals by healthcare professionals, decreasing the quality and quantity of healthcare to this at-risk population. The purpose of this program evaluation was to explore the impact of an educational Bariatric Sensitivity Educational Module on healthcare professionals. Description: An educational module was designed to address the many causes of obesity and to improve sensitivity through education and knowledge. The program evaluation materials included a demographic form, a pre-survey about attitudes, and an educational module. One month after completion of the module, the program evaluation participants received a post-survey to evaluate the effectiveness of the Bariatric Sensitivity Educational Module on respondents' attitudes toward bariatric patients. Discussion: In our sample, the educational module was effective in decreasing weight stigmatization in healthcare professionals one month after the completion of the...
{"title":"Utilizing a Bariatric Sensitivity Educational Module to Decrease Bariatric Stigmatization by Healthcare Professionals","authors":"Antoinette Falker, Jennifer A. Sledge","doi":"10.1089/BAR.2011.9974","DOIUrl":"https://doi.org/10.1089/BAR.2011.9974","url":null,"abstract":"Background: Weight bias and stigmatization may result in discrimination against obese individuals by healthcare professionals, decreasing the quality and quantity of healthcare to this at-risk population. The purpose of this program evaluation was to explore the impact of an educational Bariatric Sensitivity Educational Module on healthcare professionals. Description: An educational module was designed to address the many causes of obesity and to improve sensitivity through education and knowledge. The program evaluation materials included a demographic form, a pre-survey about attitudes, and an educational module. One month after completion of the module, the program evaluation participants received a post-survey to evaluate the effectiveness of the Bariatric Sensitivity Educational Module on respondents' attitudes toward bariatric patients. Discussion: In our sample, the educational module was effective in decreasing weight stigmatization in healthcare professionals one month after the completion of the...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9974","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817688","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":"Music City, Here We Come!","authors":"S. Sarvey","doi":"10.1089/BAR.2011.9966","DOIUrl":"https://doi.org/10.1089/BAR.2011.9966","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"95-96"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9966","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817270","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":"Nutritional Resources for Post-Bariatric Surgery Patients and Healthcare Workers","authors":"Pauline U. Muoneke, Shannon Idzik","doi":"10.1089/BAR.2011.9963","DOIUrl":"https://doi.org/10.1089/BAR.2011.9963","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"99-102"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9963","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817331","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":"To EBP or Not to EBP … Why Is It a Question?","authors":"K. Seidl","doi":"10.1089/BAR.2011.9962","DOIUrl":"https://doi.org/10.1089/BAR.2011.9962","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"53-54"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9962","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817036","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}
Recent statistics from the Centers for Disease Control and Prevention have identified 17% of American children between the ages of 2 and 19 years as obese. There are numerous consequences related to obesity in children and adolescents. Providers are faced with treating a variety of comorbidities never before present in the pediatric population. Providers should address the special needs of the obese child having routine surgery. During the perioperative course, the obese child requires close assessment and monitoring for complications such as airway compromise, pressure ulcers, wound complications, nonalcoholic fatty liver disease, prediabetic risks, and complete metabolic syndrome. Healthcare personnel need to be on the alert to anticipate the special needs of this high-risk pediatric population.
美国疾病控制与预防中心(Centers for Disease Control and Prevention)最近的统计数据显示，17%的2岁至19岁的美国儿童患有肥胖症。在儿童和青少年中，有许多与肥胖有关的后果。提供者面临着治疗各种从未出现在儿科人群的合并症。提供者应解决肥胖儿童常规手术的特殊需要。在围手术期，肥胖儿童需要密切评估和监测并发症，如气道损害、压疮、伤口并发症、非酒精性脂肪性肝病、糖尿病前期风险和完全代谢综合征。卫生保健人员需要保持警惕，以预测这一高危儿科人群的特殊需求。
{"title":"Special Considerations in the Perioperative Preparation of the Obese Child: An Evidence-Based Review","authors":"M. Connolly, A. French","doi":"10.1089/BAR.2011.9970","DOIUrl":"https://doi.org/10.1089/BAR.2011.9970","url":null,"abstract":"Recent statistics from the Centers for Disease Control and Prevention have identified 17% of American children between the ages of 2 and 19 years as obese. There are numerous consequences related to obesity in children and adolescents. Providers are faced with treating a variety of comorbidities never before present in the pediatric population. Providers should address the special needs of the obese child having routine surgery. During the perioperative course, the obese child requires close assessment and monitoring for complications such as airway compromise, pressure ulcers, wound complications, nonalcoholic fatty liver disease, prediabetic risks, and complete metabolic syndrome. Healthcare personnel need to be on the alert to anticipate the special needs of this high-risk pediatric population.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"91-94"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9970","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817962","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}
Women of size are at risk for inadequate preventive well-woman care, delays in cancer diagnosis, and access to prenatal care. The threat of nursing injuries related to caring for women of size compound the issue. The impact of nursing injuries is serious in the United States, yet processes to date fail to address the real-life demands of nursing care. This challenge is debated herein using an ethical framework to present the issues bariatric nurses face on a daily basis pertaining to the concern of women's health, size, and safe patient handling.
{"title":"Women's Health, Size, and Safe Patient Handling: What Are the Ethical Issues?","authors":"S. Gallagher","doi":"10.1089/BAR.2011.9973","DOIUrl":"https://doi.org/10.1089/BAR.2011.9973","url":null,"abstract":"Women of size are at risk for inadequate preventive well-woman care, delays in cancer diagnosis, and access to prenatal care. The threat of nursing injuries related to caring for women of size compound the issue. The impact of nursing injuries is serious in the United States, yet processes to date fail to address the real-life demands of nursing care. This challenge is debated herein using an ethical framework to present the issues bariatric nurses face on a daily basis pertaining to the concern of women's health, size, and safe patient handling.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"69-72"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9973","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818127","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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