Bariatric Surgery Essays (Examples)

However, there are alternate therapies that may be considered first. Providing an anti-obesity drug to overweight patients with diabetes has been estimated to cost $8,327. Certain studies have indicated that there may be available a variety of cost-effective anti-obesity interventions (Cawley 2006: 74). Furthermore, extreme obesity usual requires a multi-dsici0plamnry approach and more than surgery is often required to complete the process (Folope, et.al. 2008).

For decades, the psychological literature has promoted a causal link between obesity and psychological problems. Obesity has been attributed to pathologic denial, lack of impulse control, depersonalization, existential vacuum, problems in personality development, and excessive orality. However, the mounting biological evidence brings into question the validity of these etiological theories. In addition, several research studies have found that obese people do not experience any more psychopathology than nonobese people. Melcher and Bostwick 1998)

There is an explosion of bariatric surgery clients. It may be necessary…

Post Bariatric Surgery Outcomes

Importance of Patient Education: Deciding When and Improving Post Bariatric Surgery Outcomes

Obesity is one of the national and international problems affecting growth and development of the economies because of its influence on the health conditions of society members. Obesity and overweight contribute significantly to number of death cases in the context of the United States and across the global under the influence of globalization. There are various mechanisms towards reduction of the case of obesity and overweight thus the need to improve health conditions of the American citizens. Some of the treatment methods include transformation of behavior, diet, exercise, and drug therapy. The most recent treatment method is application of bariatric surgery. This is the most effective and efficient treatment method in relation to obesity and overweight. Weight-loss or bariatric surgery is not a cure for obesity. It is an essential tool facilitating weight-loss to…

Laparoscopic Sleeve Gastrectomy
In their article, The Effect of Laparoscopic Sleeve Gastrectomy on Morbid Obesity and Obesity-Related Comorbidities: A Cohort Study, Cetinkunar, Erdem, Aktimur, Aziret, Ozdas, Yurekli, and Yetisir seek to assess how effective their “initial LSG series of 73 patients on excess weight loss (EWL) and resolution of obesity-related comorbidities in short-term follow-up” was. According to the authors, obesity is regarded a truly significant public health concern across the world today. This, as the authors point out, is more so the case that morbid obesity “is a strong risk factor for several diseases [type 2 diabetes mellitus (T2DM), hypertension, steatohepatitis, pulmonary dysfunction, cardiovascular disease, and malignant tumors] and premature death.” In that regard, therefore, the need to rein in this health condition cannot be overstated. As part of my clinical rotation in the Pre-Surgical Testing unit of the hospital, I was responsible for a morbidly obese patient with a…

PICO Question: Bariatric Surgery
As the obesity rate continues to be an issue of great concern in America, the question arises as to the best ways to reduce the BMIs of individuals already suffering from the condition, as well as how to enact preventative means. Although the ideal is for people to never become obese at all, the fact remains that there is a need to develop proactive measures to facilitate weight reduction. For most patients, modifications in diet and exercise is recommended but, as even people who have attempted casual weight loss know, deploying such techniques in an effective and consistent fashion is far easier said than done.
PICO Question
The PICO question for the purpose of this study is, from the perspective of a family nurse practitioner, when treating patients with type 2 diabetes and obesity, can bariatric surgery be more effective than standard medical therapy at increasing…

Schneck Medical Center

Provide a description of the company, its mission, and values

SMC (Schneck Medical Center) is a nonprofit healthcare organization that provides specialized and primary care services. The center was established in 1911 with a donation of five thousand dollars and a land from Mary Schneck (Jcr, 2007). It was established in memory of the founder's Husband to provide healthcare requirements to people of Jackson County. Initially, the center had a seventeen-bed capacity but it has now developed to ninety five-bed capacity. SMC celebrated its 100th centenary in 2011. This medical center is located in Jackson Country where it provides medical services to people of this area and the surrounding communities. Schneck Medical Center provides a full continuum of primary care services (Jcr, 2007). Particularly the medical center focuses on the health of women, noninvasive cardiac care, bariatric surgery, cancer care and joint replacement. Schneck Medical Center provides…

Drug dosing is often based overall on the "volume of distribution for the loading dose and on the clearance for maintenance, with volume of distribution being increased if drug is distributed among lean and fat tissues (Casati & Putzu, 2005).

Coe, Saleh, Samuel & Edwards (2004) report that multiple problems related to anesthesia and obesity exist. The level of obesity defined by MBI has a significant impact on the type of anesthesia most patients choose (Coe, et. al, 2004). ecent studies have focused on encouraging patients to lose a certain amount of weight prior to surgical intervention to make anesthesia delivery a more viable and safe option (Coe, et. al, 2004). Unfortunately most patients undergoing bariatric surgery have utilized all other resources thus must risk any potential contraindications associated with anesthetic delivery in order to lose weight.

Conclusions

Obesity is a complicated and rapidly advancing disease affecting millions of people…

Nursing

When I first met Dan (not his real name), I was a shift nurse filling in for a colleague. I had never before worked with a bariatric patient. His size shocked me at first. What we colloquially call "morbidly obese" certainly applied to Dan, who had to have an emergency tracheotomy due to his hypoxia. Dan was closer to death than he realized when I first encountered him on my rounds. As he came to work with us, he gradually started to fathom the seriousness of his situation. I would say that Dan was in denial when I first met him. Through the course of knowing him, I saw this patient change and grow in dramatic and inspiring ways.

Dan has a super sense of humor, which is the feature that most stood out about him when I worked. It became so that I looked most forward to the…

he researcher was able to pull up information on Venous hromboembolism hospitalizations by utilizing ICD-10 (Maynard & Stein, 2010)

Diagnosis

he clinical diagnosis of Venous hromboembolism is defective; people that are suffering with signs and symptoms of Venous hromboembolism, just 20% have thrombosis confirmed by diagnostic testing.13Clinical prediction rules have been developed to improve the probability of an accurate diagnosis. he most widely used model classifies patients into a high, moderate, or low probability of deep vein thrombosis (Maynard & Stein, 2010). When joined with research laboratory and radiological imaging tests, this method is superior to the old-style method of executing a diagnostic test in all patients with suspected Venous hromboembolism (Martinez- 2008).

Prognosis, broken down by risk groups

A lot of the Deep Vein hrombosis is occult and most of the time resolves instinctively without there being a problem. he main longstanding illness from Deep Vein hrombosis is PS,…

Obesity

Why Obesity is so Difficult to Treat

Determination of obesity

Proper definition of obesity

Obesity in perspective of the World Health Organization (WHO)

Historical trends

Health and Economic Costs

Prevalence and Time Trends

Prevalence of obesity among men

Prevalence of obesity among women

Prevalence of obesity among children

Demographic Variations in Overweight and Obesity Prevalence

Economic Costs of Overweight and Obesity (The Evidence eport,1998)

The world market for treating obesity

Causes of obesity

Continuous availability of high-energy foods

a) Imbalance calorie intake and BM requirements (Gayle M. Galletta)

b) Craze of consumption of unhealthy food

c) Quick life style and less determination of hunger satisfaction

d) Other factors associate with weight gain

Way of eating

Unintentionally over eating

Less planning to make and eat healthy meals (A.D.A.M. Medical Encyclopedia, 2012)

Major reduction in the obligatory need for physical activity (Joseph Proietto, 2011)

a) Spending long hours in front of…

experts would likely agree with the very general statement that individuals who exercise, or who implement an exercise regime, are much more likely to lose weight and alleviate pain experienced from a variety of diseases and maladies. It would seem that much of the current literature would provide evidence of this hypothesis. This specific study, however, seeks to do more than just ascertain the results from such a general question. This study seeks to determine whether initiating an exercise regime for patients experiencing osteoarthritis can lower the level of the pain they are feeling and increase their mobility through adherence to that regime.

This study will, in essence then, take a two-pronged approach. The first is to determine whether patients with suffering from osteoarthritis can lower the level and incidence of pain they suffer by implementing a basic exercise regime. If so, this study wishes to determine just how much…

Weightloss Counseling and Physical Exercise

PHASE II Search Paper

Scholarly Project

Dana Delatush RN BSN ONC

"I pledge my honor that I have neither given nor received inappropriate aid on this assignment."

Abstract Comment by Patricia: Place the abstract on a separate page for your final search paper

This paper is focused on the literature search related to the PICOT question: Does weight loss counseling and physical exercise improve pain and mobility in obese patients with a BMI >25 suffering from osteoarthritis? To answer this clinical question, six databases were searched including the Cumulative Index of Nursing and Allied health Literature (CINAHL), The Cochrane Library, PubMed/Medline, Google Scholar, PsycInfo®, and ProQuest Nursing and Allied Health Source™. The paper describes the search methodology. Keywords: osteoarthritis, obesity, weight loss counseling, pain, mobility

Introduction to Search Strategy

I will be creating a search strategy to help me clarify what information I need, and…

Parents of Obese Children and Charges of Child Abuse: What Is Our

esponse? Pediatric Ethics, Issues, & Commentary, 337-342.

This article provides a discussion on the problems related to childhood obesity and the potential redresses that could be ethically used to help mitigate the growing trend. Some healthcare professionals have also argued that obesity in children is sufficient grounds for some parents to be prosecuted for a form of child abuse in extreme cases. Yet, there are many social and cultural barriers that are present that can prevent parents from being able to understand proper diets or have access to nutritious foods. Some researchers have noted the irony of a country that allows removing obese children from their homes but that does not support healthier children through controlled advertising, legislating a living wage, or making healthy foods affordable (Lang, 2012).

The article notes that states have a mandate to protect…

Te need for so many new workers will tend to elp women enter fields were tey ave been istorically under-represented since tere is suc a need for so many new workers.

Wile tis synergy of so many different factors is useful for workers at all stages of teir careers, it may be tat it is especially elpful to new graduates. Higly skilled and qualified senior workers are likely to ave more opportunities open to tem tan are younger workers and so are likely to suffer less during economic downturns. Younger workers, especially tose just finising teir undergraduate work, will fare better in an environment tat as a range of opportunities and an overall good business climate. In fact, tis may be te only kind of business environment in wic new graduates will reliably be able to find jobs tat matc teir training and ambitions. Tis may be especially true for…

Offered under the same roof are "consultative, diagnostic, and treatment services" which are stated to be provided "by board-certified practitioners in the fields of pulmonary medicine, otolarngology, family medicine and more." (2006)

Smith reports that the laboratories experiencing the most dramatic growth are two which are located the "farthest from the Hillsboro flagship" as they are located in two areas that were "formerly underserved." (2006) Smith additionally reports that the demand is stronger in the areas where the two fastest growing centers are located which supplies "plenty of fuel for expansion."

Smith states that the Sleep Health & Wellness NW is attempting to "fill a gap so that patients who previously were overlooked or not being reached or who fell through the cracks no longer are," she says. "We have no plans to open centers in areas where there are already quality sleep services programs. We only want to go…

HCC Life Insurance vs. Coventry

Purpose of the INSUANCE COMPANY: The purpose of HCC Life Insurance Company is to provide Short-Term Health Insurance for a period of six months. Applicants must reapply for a policy every six months. The purpose of Coventry Health Care of South Florida is to provide Health Insurance that fulfills the Patient and Affordable Care Act (Coventry, 2015). It provides insurance for a period of 12 months, after which the insured must reapply for a new policy.

Benefits offered: Urgent Care, Hospital oom and Board, Local Ambulance, Intensive Care, Physical Therapy, Mental and Nervous Disorders, Home Health Care, Extended Care. Primary Care, Specialist Care, Other Practitioner Care, Preventive Care, Screening, Immunizations, Diagnostic Tests, Imaging, Drugs, Facility Fees (Outpatients and Hospitals), Surgeon/Physician Fees, Emergency oom Services, Emergency Medical Transportation, Urgent Care, Mental Behavior Health, Substance Use Disorders, Prenatal and Postnatal Pregnancy Care, Home Health Care, ehabilitative Services,…

Evidence-Based Practice

Translation of esearch in Evidence-Based Practice

Nursing involves men and women who are willing to help the patients with their skills like health maintenance, recovery of ill or injured people and the treatment. They develop a care plan for the patient sometimes in collaboration with the physicists or therapists. This paper discusses the current nursing practice in which I am involved and needs to be changed.

Identification of a Current Nursing Practice equiring Change

Description of the Current Nursing Practice

Children of all age groups are facing a grave problem these days: obesity. It is considered as a chronic disease when the weight-gain reaches dangerously increased level, which becomes risky for the health. The raised body mass becomes dangerous for children and some schools are now looking into this matter with concern. They are sending notices to the parents to take care of their child's diet, and within…

"…people with NES tend to be more depressed than obese people without NES, and the mood of those with NES tends to worsen during the evening, something not seen in other obese people"(Logue, 2004, p. 185).

Among the many studies that provide insight into the background and origins of this syndrome, one of the most enlightening was Obesity by Stunkard, in Fairburn and Brownell (2002). This provides an in-depth analysis of night eating syndrome as well as a concise overview of the background of this condition. Stunkard also refers to a detailed overview of this condition.

Studies using the above criteria estimate that the prevalence of the night eating syndrome in the general population is approximately 1.5% and that prevalence increases with increasing weight, from about 10% of persons enrolling in obesity clinics to as high as 25% of patients undergoing surgical treatment for obesity…it occurs among about 5% of…

Being able to merge the resources of a variety of different specialists is one strength of the Memorial Herman approach. In the future, as the interrelationship between the body and the brain, and psychological disorders and overall functioning has become an accepted part of mainstream science: studies such as these will be even more important for research institutes. Memorial Herman is clearly on the cutting-edge of the field in this regard.

Because of its impressive outreach, the hospital is also able to draw upon a wide array of specific populations, as in the case of studies such as the "Evaluation of cardiovascular effects of smoking cessation in HIV-infected patients" (Bell 2009). Few other hospitals would be able to draw from a large amount of HIV-positive patients who were smokers and willing to participate in research studies. The study may prove beneficial to the research subjects as well as to the…

They offer the same flexibility and costs saving available to people at larger organizations. According an article published by Physicians Care,

"hen we set up a self-funded plan for a smaller employer, we help them select the appropriate level of stop-loss or excess-loss insurance, which provides reimbursement for large catastrophic claims. Stop-loss insurance allows smaller employers to consider this very economical approach to providing employee health benefits because it protects them from large claims ("Is Self-Funding or Fully Insured Right for Your Company?")."

Although self-funding can offer many organizations with the chance to reduce costs there are instances when this option is simply not appropriate. The inappropriateness of the option has a great deal to do with the demographics of the employees. If a company has a significant number of older workers or workers with chronic illnesses, such a plan would not be advantageous. The main reason for the lack…

Evidence-Based Practice

Translation of esearch in Evidence-Based Practice

Nursing involves men and women who are willing to help the patients with their skills like health maintenance, recovery of ill or injured people and the treatment. They develop a care plan for the patient sometimes in collaboration with the physicists or therapists. This paper discusses the current nursing practice in which I am involved and needs to be changed.

Identification of a Current Nursing Practice equiring Change

Description of the Current Nursing Practice

Children of all age groups are facing a grave problem these days: obesity.

Childhood obesity is a major risk factor for future health problems, in addition to being a significant public health problem, given the evidence available in research literature. Literature properly documents the risk factors and multi-related factors associated with childhood obesity and overweight that threatens public health.

According to the Centers for Disease Control and Prevention…

Obstructive Sleep Apnea
Overview
Obstructive sleep apnea (OSA) happens to be the most common of all the other kinds of sleep apnea – with the other types of OSA being mixed sleep apnea and central sleep apnea. Garvey, Pengo, Drakatos and Kent (2015) point out that as a matter of fact, there is evidence to suggest that it is the most common respiratory disorder. This, in the words of the authors, is more so the case given “recent data from the United States and Europe suggesting that between 14% and 49% of middle-aged men have clinically significant OSA” (Garvey, Pengo, Drakatos and Kent, 2015, p. 274).
Breathing Cessations and Severity Assessment
In basic terms, OSA involves periodic breathing cessations during sleep – with the occurrence (and the number) of the said cessations varying significantly. Most cases of OSA go unrecognized, effectively meaning that a very small percentage of those suffering…

References

Boulton, Martha (2005) Exploring alexithymia, depression, and binge eating in self-reported eating disorders in women. Perspectives in Psychiatric Care

Dahm, Lori (2005) Obesity update: are we getting any thinner?(Special Report)

Private Label Buyer

Merrick, Joav (2005) Psychosomatic reasons for chronic pains.(Editorial)

Southern Medical Journal

____(2006) Obese people may be more sensitive to pain.(NEWS Breaks)(Brief article) Nutrition oday

PORER, LAWRENCE C. WAMPLER, RICHARD S (2000) Adjustment to Rapid Weight Loss. Families, Systems & Health

Rubin, Jay J. (2005) Psychosomatic pain: new insights and management strategies.(CME opic: Psychosomatic Pain) Southern Medical Journal

ucker, Miriam E. (2005) Depression tied to poor adherence to cardiac Rx: results of two studies show that use of aspirin and [beta]-blockers was lower in depressed patients.(Psychosomatic Medicine) Clinical Psychiatry News

MEHODOLOGY

his study will seek to determine whether or not obese post operative patients have a higher incidence of psychosomatic disorders and illnesses than non-obese post op…

SOP Nursing

When I look back on my early career as a nurse, I want to be sure that I challenged myself to step outside my comfort zone and stretch my boundaries of what I deemed possible to achieve. I am applying to the Georgetown University program because I know this is the program that, when I reflect upon it, would have challenged me personally and professionally in ways that improve my attitude, outlook, skills, and practice. The Georgetown program offers an unprecedented level of flexibility with regards to online courses, offered from a reputable university. It is not just because of convenience that I apply; it is also because my colleagues at ANP coaxed me into pursuing a higher degree at Georgetown.

In five or ten years, I hope to be working in a rural health facility because I see great need to improve public health in non-urban communities…

Alonso, J., Banegas, J.R., Graciani, A., Guallar-Castillon, P., Gutierrez-Fisac, J.L., Lopez-Garcia, E., & Rodriguez-Artalejo, F. (2007). Relationship between obesity, hypertension and diabetes, and health-related quality of life among the elderly. European Journal of Cardiovascular Prevention & Rehabilitation, 14(3): 456-462.

This study examined health-related quality of life among elderly people living with obesity, hypertension, and diabetes. The results found that obesity in elderly women and diabetes in elderly men are the two factors that were most closely and dramatically related to a reduced health-related quality of life. Obese elderly women with hypertension and diabetes should the greatest decline in health-related quality of life. The researchers conclude by stating that these high-risk groups are in need of special attention and further research.

This article pertains to my research because it discusses the impact obesity has on the elderly population. As well, it discusses the implications of this epidemic for health care professionals.…

Hospital Project

The new outpatient surgical center that is being proposed will support the orthopedic service line and support the bariatric service line initiative for volume growth. Recently Mercy has started to gain recognition at both the state and national levels for its bariatric work as well, in particular where this work has contributed to reduction in diabetes rates. It is expected that the center will remain at or near capacity for its useful life, which will be between 20-30 years. It is expected that, with the forecasted 90% capacity rate, the center will provide an additional $3-4 million in revenue, depending on the payer mix for this type of surgery.

The advisory board has advised that the hospital's outpatient surgery workload will experience an additional 8% increase annually over the next eight years. The additional outpatient surgery center will focus more on hip scopes, regional nerve blocks, minimally invasive…

Mcardie Estate v. Cox case, by providing a case summary, comparison of exclusive professional practice scope and right to health care professionals' title, and protections for healthcare workings abiding by practice standards.

Malpractice and neglect are perhaps the aspects most carefully covered by healthcare policymakers. Healthcare law may be considered distinctive in the legal sphere, as it is one subdivision that affords numerous scholarship approaches a chance to succeed (Jocelyn, et.al, 2002). Healthcare law is an interdisciplinary and dynamic domain, with numerous legal, scientific, economic, social, political and philosophical grounds for its dynamism.

Case Summary

McArdie Estate v. Cox was an appellate court case. Gastroplasty reversal surgery was performed on the deceased patient on 26th June, 1995. Gastroplasty refers to a weight-loss tactic of stapling the stomach; the patient in question had two staple lines across her tummy. She was made aware of the fact that, in view of her…

U.S. Healthcare

Hard Economic and Finance Choices in U.S. Healthcare

The United States has recently undergone a financial crisis that has made the government, and the citizens, more conscious of what things cost and have produced debates regarding the costs of items. One debate that has intensified in volume is that over the large, and ballooning cost of healthcare. Although the Affordable Healthcare Act is supposed to take care of a portion of that, evidence shows that costs will remain exorbitant. The main reason for that is the research and development costs of therapies and associated drug treatments. Currently, new therapies have been coming on the market that are able to prolong the lives of cancer patients, but a cost-benefit analysis prove that these therapies are too costly. The debate then is whether a few weeks, months, years of life are worth hundreds of thousands to millions of dollars. This…