What is the role of nurses in supporting patients undergoing bariatric surgery?
The nurse recognizes bariatric surgery as a treatment for which disorder? 1. Anorexia Nervosa 2. Binge Eating 3. Rumination 4. Bulimia Nervosa Ans 2. Rationale Bariatric surgery is an option to treat binge eating disorder as the patients are obese due to overeating, with no compensatory activities such as exercise.
Can bariatric surgery treat binge eating disorder?
Background: Eating pathologies among bariatric surgery candidates are common and associated with adverse surgical outcomes, including weight regain and low quality of life. However, their assessment is made difficult by the great variety and inconsistent use of standardized measures. Objective: The purpose of this review was to synthesize current knowledge on the prevalence …
When is bariatric surgery appropriate?
May 27, 2016 · The fundamental basis for bariatric surgery for the purpose of accomplishing weight loss is the determination that severe obesity is a disease associated with multiple adverse effects on health which can be reversed or improved by successful weight loss in patients who have been unable to sustain weight loss by non-surgical means.
Are eating pathologies associated with adverse outcomes of bariatric surgery?
May 07, 2019 · Bariatric surgery for obesity and obesity-related metabolic disorders is increasingly common; The role and training of nurses in supporting bariatric patients need to be better defined; A biopsychosocial approach is needed in the long-term care of bariatric patients
What is obesity related comorbidity?
Obesity-related comorbidity is defined as conditions either directly caused by overweight/obesity or known to contribute to the presence or severity of the condition. These comorbid conditions are expected to improve or go into remission in the presence of effective and sustained weight loss.
What is Roux en Y gastrojejunostomy?
A Roux-en-Y gastrojejunostomy is done, thus diverting ingested nutrients from the body of the stomach, duodenum, and proximal jejunum. The vagal trunks are not disturbed but a variable number of branches to the body of the stomach are divided in the process of dividing the stomach.
What are the factors that determine weight loss?
These factors include but are not limited to the presence of specific comorbid conditions such as diabetes, gender, age and behavioral variables, including physical activity and eating behaviors10.
Does bariatric surgery affect the microbiome?
Finally, the gut microbiome is modified following metabolic surgery and this change seems to play an important role in the metabolic benefits gained from bariatric surgery. Two types of surgeries, RYGB and VBG, result in similar changes in the microbiome, an effect that can be maintained for at least a decade.
What is the role of a nurse in bariatric care?
However, practice nurses are well placed to provide follow-up using a focused biopsychosocial approach, as patients learn to negotiate the processes of living with a body changed by surgery.
How many bariatric surgeries were performed in 2016?
Bariatric surgery is becoming an established intervention for obesity and obesity-related metabolic disorders (such as type 2 diabetes) in adults, with 5,675 procedures performed in NHS settings in 2016-17 (Welbourn et al, 2014).
What is the complexity of obesity?
The complexity of obesity as a condition – and often the presence of at least two obesity-related comorbidities – means that bariatric patients are generally seen by all members of the MDT from initial referral to discharge.
What is the focus of nursing?
Nursing already has a clear focus on compassionate care and the need to integrate patient and carer perspectives into values-based learning for professionals in the discipline; this provides an additional opportunity for specialist care in bariatric surgery for patients and their families and carers.
How long after surgery do you have to be discharged to a practice nurse?
Practice nurse’s role. Approximately two years after surgery, patients are discharged to general practice to receive long-term follow-up. The National Institute for Health and Care Excellence (2014) recommends annual monitoring of nutritional status and supplementation.
Is bariatric surgery more common?
Bariatric surgery is becoming more common, but there is uncertainty about the bariatric care pathway and a lack of definition of the role of nurses in bariatric patient care. Abstract. Patients who undergo bariatric surgery are likely to have wide-ranging care needs, not only because obesity is a complex condition but also because ...