Obesity policy has received increasing prominence on the national agenda. Constricting national and state economies, however, threaten the public's perception and support of obesity as a national agenda item. Inversely related to the declining United States (U.S.) economy, obesity rates have continued to climb over the past decade. Economic detractors and incremental healthcare reform underscore the importance of nurses as policy leaders. Informing the policy process while educating the public regarding comprehensive treatment of obesity and related conditions is increasingly important in meeting current and future healthcare needs in a manner that reverses the physical and economic burden of obesity. The public health model is an effective model for addressing, treating, and mitigating the effects of chronic health conditions through primary and secondary management. Nurses are uniquely positioned to impact obesity through primary prevention, secondary prevention, and tertiary disease management. Nursing...
{"title":"Obesity Policy Streams, the Economy, and a Call for Nursing Leadership","authors":"Bobby Lowery","doi":"10.1089/BAR.2011.9972","DOIUrl":"https://doi.org/10.1089/BAR.2011.9972","url":null,"abstract":"Obesity policy has received increasing prominence on the national agenda. Constricting national and state economies, however, threaten the public's perception and support of obesity as a national agenda item. Inversely related to the declining United States (U.S.) economy, obesity rates have continued to climb over the past decade. Economic detractors and incremental healthcare reform underscore the importance of nurses as policy leaders. Informing the policy process while educating the public regarding comprehensive treatment of obesity and related conditions is increasingly important in meeting current and future healthcare needs in a manner that reverses the physical and economic burden of obesity. The public health model is an effective model for addressing, treating, and mitigating the effects of chronic health conditions through primary and secondary management. Nurses are uniquely positioned to impact obesity through primary prevention, secondary prevention, and tertiary disease management. Nursing...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"103-105"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9972","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818056","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}
K. Seidl, J. Bunke, Shannon Gallagher, Laurie D. McGinley, M. Muir, E. Race, Manon Short
{"title":"Safe Patient Handling and the Lift Team Concept","authors":"K. Seidl, J. Bunke, Shannon Gallagher, Laurie D. McGinley, M. Muir, E. Race, Manon Short","doi":"10.1089/BAR.2011.9964","DOIUrl":"https://doi.org/10.1089/BAR.2011.9964","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"2011-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60817146","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}
Angie Tagtow, K. Clancy, J. Gussow, Eduardo Sanchez, M. Story, J. Wilkins
{"title":"Food Policy, Systems, and Environment: Strategies for Making Healthful Food the Easiest Choice","authors":"Angie Tagtow, K. Clancy, J. Gussow, Eduardo Sanchez, M. Story, J. Wilkins","doi":"10.1089/bar.2011.9939","DOIUrl":"https://doi.org/10.1089/bar.2011.9939","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"167-172"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/bar.2011.9939","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60816002","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}
Liliana G. Suchicital, H. Gujral, K. Speroni, Diane Eldridge, M. Atherton
Background: Providing bariatric patients medications postoperatively is challenging. Research is warranted to determine a method to improve patient perception of crushed medication bitterness and/or taste. Purpose: The purpose of this study was to test whether a nursing intervention of administering ice chips to postoperative bariatric patients' tongues before and after administering crushed medications would result in improved patient perception of bitterness and/or taste. Methods: In this pilot, prospective study, 100 adult subjects were randomized to either the intervention group (ice chips intervention) or the control group (no ice chips). Intervention-group subjects provided pre- and post-ice scores for bitterness and taste on a validated 5-point categorical scale (bitterness: 1 = “least bitter,”, 2 = “less bitter,” 3 = “neutral,” 4 = “more bitter,” 5 = “most bitter”; taste: 1 = “least unpleasant,” 2 = “less unpleasant,” 3 = “neutral,” 4 = “more unpleasant,” 5 = “most unpleasant”). Control-group subj...
{"title":"Prospective, Randomized, Pilot Study Evaluating the Effect of Ice Chips Administration versus None on the Bitterness of Crushed Medications in Postoperative Bariatric Patients","authors":"Liliana G. Suchicital, H. Gujral, K. Speroni, Diane Eldridge, M. Atherton","doi":"10.1089/BAR.2011.9985","DOIUrl":"https://doi.org/10.1089/BAR.2011.9985","url":null,"abstract":"Background: Providing bariatric patients medications postoperatively is challenging. Research is warranted to determine a method to improve patient perception of crushed medication bitterness and/or taste. Purpose: The purpose of this study was to test whether a nursing intervention of administering ice chips to postoperative bariatric patients' tongues before and after administering crushed medications would result in improved patient perception of bitterness and/or taste. Methods: In this pilot, prospective study, 100 adult subjects were randomized to either the intervention group (ice chips intervention) or the control group (no ice chips). Intervention-group subjects provided pre- and post-ice scores for bitterness and taste on a validated 5-point categorical scale (bitterness: 1 = “least bitter,”, 2 = “less bitter,” 3 = “neutral,” 4 = “more bitter,” 5 = “most bitter”; taste: 1 = “least unpleasant,” 2 = “less unpleasant,” 3 = “neutral,” 4 = “more unpleasant,” 5 = “most unpleasant”). Control-group subj...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2011-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9985","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818321","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 in the United States is considered individualistic in nature because it tends to focus on the treatment of individuals rather than preventive medicine, which would affect whole segments of the American population. The terms individualism, collectivism, entitlement, and respect for personal autonomy are described within the context of ethically sound outcome research, policy formation, and ultimately how this impacts bariatric patient care.
{"title":"Individualism and Collectivism: Impact on Outcome and Effectiveness Research, Policy, and Bariatric Patient Care","authors":"S. Gallagher","doi":"10.1089/BAR.2011.9978","DOIUrl":"https://doi.org/10.1089/BAR.2011.9978","url":null,"abstract":"Healthcare in the United States is considered individualistic in nature because it tends to focus on the treatment of individuals rather than preventive medicine, which would affect whole segments of the American population. The terms individualism, collectivism, entitlement, and respect for personal autonomy are described within the context of ethically sound outcome research, policy formation, and ultimately how this impacts bariatric patient care.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"11-14"},"PeriodicalIF":0.0,"publicationDate":"2011-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9978","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818212","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}
Since the publication of the Institute of Medicine (IOM) reports, To Err is Human,1 and Crossing the Quality Chasm,2 much attention has been focused on improving quality outcomes in healthcare organizations across the country. Increased use of evidence-based practice in care, as well as transparency surrounding patient outcomes, have challenged healthcare organizations and executives to focus attention on the improvement of quality outcomes within their institutions. Nationally, many programs are promoting and requiring that specific outcome metrics be met or exceeded in order to achieve accreditation. Bariatric surgery, an example of one of these disciplines, considers quality outcomes in its prestigious accreditation program. In order to be considered for this designation, organizations are not only required to meet specific program criteria, but must also demonstrate that specific clinical outcome metrics are met. A theoretical framework can be used as a tool to guide the understanding of the bariatric...
{"title":"Applying Donabedian's Theory as a Framework for Bariatric Surgery Accreditation","authors":"L. Naranjo, Priya Viswanatha Kaimal","doi":"10.1089/BAR.2011.9979","DOIUrl":"https://doi.org/10.1089/BAR.2011.9979","url":null,"abstract":"Since the publication of the Institute of Medicine (IOM) reports, To Err is Human,1 and Crossing the Quality Chasm,2 much attention has been focused on improving quality outcomes in healthcare organizations across the country. Increased use of evidence-based practice in care, as well as transparency surrounding patient outcomes, have challenged healthcare organizations and executives to focus attention on the improvement of quality outcomes within their institutions. Nationally, many programs are promoting and requiring that specific outcome metrics be met or exceeded in order to achieve accreditation. Bariatric surgery, an example of one of these disciplines, considers quality outcomes in its prestigious accreditation program. In order to be considered for this designation, organizations are not only required to meet specific program criteria, but must also demonstrate that specific clinical outcome metrics are met. A theoretical framework can be used as a tool to guide the understanding of the bariatric...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2011-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9979","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818240","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}
In response to escalating obesity in Manitoba, Canada, the Winnipeg Regional Health Authority (WRHA) formed a Bariatric Care Committee to address the issue of providing safe, efficient, and effective care for this population. The WRHA proposed that Deer Lodge Centre (DLC) be designated as the site for the management and care of bariatric patients requiring long-term chronic care. As a result, a DLC Bariatric Committee with several working groups was formed. The working groups were to provide plans for clinical program, communication, research and education, staffing, capital planning, and equipment. The Research and Education Working Group conducted literature reviews for each of the working groups. A selection of the most pertinent resources found for the DLC Bariatric Committee Working Groups are highlighted here. It is anticipated that this resource will provide assistance for others wishing to establish bariatric programs within their facility. Citations are categorized under the headings: clinical ca...
{"title":"Caring for Your Bariatric Patient: A Resource Guide to the Literature on Care of the Morbidly Obese","authors":"Tracy Thiele, A. Osterreicher","doi":"10.1089/BAR.2011.9982","DOIUrl":"https://doi.org/10.1089/BAR.2011.9982","url":null,"abstract":"In response to escalating obesity in Manitoba, Canada, the Winnipeg Regional Health Authority (WRHA) formed a Bariatric Care Committee to address the issue of providing safe, efficient, and effective care for this population. The WRHA proposed that Deer Lodge Centre (DLC) be designated as the site for the management and care of bariatric patients requiring long-term chronic care. As a result, a DLC Bariatric Committee with several working groups was formed. The working groups were to provide plans for clinical program, communication, research and education, staffing, capital planning, and equipment. The Research and Education Working Group conducted literature reviews for each of the working groups. A selection of the most pertinent resources found for the DLC Bariatric Committee Working Groups are highlighted here. It is anticipated that this resource will provide assistance for others wishing to establish bariatric programs within their facility. Citations are categorized under the headings: clinical ca...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"24 1","pages":"43-48"},"PeriodicalIF":0.0,"publicationDate":"2011-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9982","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818277","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}
Clear clinical practice guidelines (CPGs) for primary care providers (PCPs) are available that address the identification, evaluation, and treatment of obesity. The number of bariatric surgeries being performed is still low when compared to the number of obese Americans. This is despite guidelines, data on the efficacy and safety, and technical advances in bariatric surgery. The purpose of this project was to develop a reproducible educational program for PCPs based on CPGs for the identification, evaluation, and treatment of obesity in adults. Sixty PCPs from an existing database were electronically sent an Internet survey. The PCPs were asked to identify a list of items of importance to be included in the program. Sixteen of 60 PCPs responded to the survey. The educational program was developed based on their recommendations and pilot tested in a hospital-owned primary care practice association. Sessions were scheduled with office practice managers in 10 offices. Twenty-one of 26 providers attended the ...
{"title":"Implementing an Educational Program for Primary Care Providers on Obesity Management and Bariatric Surgery","authors":"Shannon Idzik, Joan M. Davenport","doi":"10.1089/BAR.2011.9983","DOIUrl":"https://doi.org/10.1089/BAR.2011.9983","url":null,"abstract":"Clear clinical practice guidelines (CPGs) for primary care providers (PCPs) are available that address the identification, evaluation, and treatment of obesity. The number of bariatric surgeries being performed is still low when compared to the number of obese Americans. This is despite guidelines, data on the efficacy and safety, and technical advances in bariatric surgery. The purpose of this project was to develop a reproducible educational program for PCPs based on CPGs for the identification, evaluation, and treatment of obesity in adults. Sixty PCPs from an existing database were electronically sent an Internet survey. The PCPs were asked to identify a list of items of importance to be included in the program. Sixteen of 60 PCPs responded to the survey. The educational program was developed based on their recommendations and pilot tested in a hospital-owned primary care practice association. Sessions were scheduled with office practice managers in 10 offices. Twenty-one of 26 providers attended the ...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2011-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818286","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}
M. Swanson, M. Rose, G. Baker, D. Drake, M. Engelke, M. Pokorny, Frank R Watkins, W. Waters
Abstract Pressure ulcer development is a significant problem for any hospitalized patient, but the obese patient may be at higher risk for ulcer development. The purpose of this study was to examine the relationship of the individual Braden subscales to pressure-ulcer occurrence in the obese and non-obese hospitalized patient. Pressure-ulcer prevalence was slightly higher in the obese (17%) compared to the non-obese (14%). However, mean total Braden and Braden subscale scores were similar between the obese and non-obese. Although high-risk total Braden and Braden subscales, except for moisture, were significantly related to the occurrence of ulcer occurrence in both groups, high-risk total Braden score and mobility and friction/shear subscale scores were much more strongly related to ulcer occurrence in obese patients. Additionally, the prevalence of ulcers in obese patients with both high-risk mobility and friction/shear scores (79%) was much higher than in non-obese patients with both high-risk mobility...
{"title":"Braden Subscales and Their Relationship to the Prevalence of Pressure Ulcers in Hospitalized Obese Patients","authors":"M. Swanson, M. Rose, G. Baker, D. Drake, M. Engelke, M. Pokorny, Frank R Watkins, W. Waters","doi":"10.1089/BAR.2011.9984","DOIUrl":"https://doi.org/10.1089/BAR.2011.9984","url":null,"abstract":"Abstract Pressure ulcer development is a significant problem for any hospitalized patient, but the obese patient may be at higher risk for ulcer development. The purpose of this study was to examine the relationship of the individual Braden subscales to pressure-ulcer occurrence in the obese and non-obese hospitalized patient. Pressure-ulcer prevalence was slightly higher in the obese (17%) compared to the non-obese (14%). However, mean total Braden and Braden subscale scores were similar between the obese and non-obese. Although high-risk total Braden and Braden subscales, except for moisture, were significantly related to the occurrence of ulcer occurrence in both groups, high-risk total Braden score and mobility and friction/shear subscale scores were much more strongly related to ulcer occurrence in obese patients. Additionally, the prevalence of ulcers in obese patients with both high-risk mobility and friction/shear scores (79%) was much higher than in non-obese patients with both high-risk mobility...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"6 1","pages":"21-23"},"PeriodicalIF":0.0,"publicationDate":"2011-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2011.9984","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818319","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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