27+ documents containing “bariatric surgery”.
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 that….
"Adjustable Stomach Band Approved for Severe Obesity." 2001. FDA Consumer, September, p. 4.
'Biliary pancreatic diversion and laparoscopic adjustable gastricbanding in morbid obesity: their long-term effects on metabolicsyndrome and on cardiovascular parameters. 2009.' Cardiovascular Diabetology, 837: 43.
Baum, Fran. 2008. The New Public Health (3rd Ed.) London: Oxford University Press
De-Looper M, & Bhatia K. 2001.Australian health trends 2001. Canberra: Australian Institute of Health and Ageing.
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 live healthier,….
David E. Arterburn et al., (2011). Randomized Trial of a Video-Based Patient Decision Aid
for Bariatric Surgery. Obesity (2011) 19, 1669 -- 1675. doi:10.1038/oby.2011.65
David H. et al., (2011). Teaching Medical Students about Obesity: A Pilot Program to address an unmet need through Longitudinal Relationships with Bariatric Surgery Patients.
Surg Innov 2011 18: 176 Originally Published Online 22 February 2011. Doi:
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 BMI….
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.
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 the probability of….
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.
Obesity is a complicated and rapidly advancing disease affecting millions of people every year.….
Bostwick, G.J. & Melcher, J. (1998). "The obese client: Myths, fats, assessment and intervention." Health and Social Work, 23(3): 195.
Cabay, C., Dreyer, M.G. & Pellegrinelli, N. (2001 - May). "Leptin directly induces the secretion of interleukin-1 receptor antagonist in human monocytes." Journal Clinical Endocrinology Metabolism 86: 783-91.
Casati, A. & Putzu, M. (2005 - mar). "Anesthesia in the obese patient: Pharmacokinetic considerations." J. Clin Anesth. 17(2): 134-45.
Coe, A.J., Saleh, T., Samuel, T., Edwards, R. (2004 - Jun). "The management of patients with morbid obesity in the anaesthetic assessment clinic." Anaesthesia, 59(6): 570-3.
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 time I….
he researcher was able to pull up information on Venous hromboembolism hospitalizations by utilizing ICD-10 (Maynard & Stein, 2010)
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, which confuses something….
Takahashi, H., Yokoyama, Y., Iida, Y., Terashima, F., Hasegawa, K., Saito, T., . . . Wada, a. (2012). Incidence of venous thromboembolism after spine surgery. Journal of Orthopaedic Science, 17(2), 114-7.
Wolowacz, S.E., Hess, N., Brennan, V.K., Monz, B.U., & Plumb, J.M. (2008). Cost-effectiveness of venous thromboembolism prophylaxis in total hip and knee replacement surgery: The evolving application of health economic modelling over 20 years. Current Medical Research and Opinion, 24(10), 2993-3006.
Zalavras, C.G., Giotopoulou, S., Dokou, E., Mitsis, M., & al, e. (2002). Lack of association between the C677T mutation in the 5, 10-methylenetetrahydrofolate reductase gene and venous thromboembolism in northwestern Greece. International Angiology, 21(3), 268-71.
Why Obesity is so Difficult to Treat
Determination of obesity
Proper definition of obesity
Obesity in perspective of the World Health Organization (WHO)
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 TVs and computers doing work
b) elying on cars instead of walking
c) Modern technology and fewer physical demands at home
d) Lack of physical education classes….
1) The Evidence Report, clinical guide lines on the identification, evaluation and treatment of overweight and obesity in adults, nhlbi.nih.gov, September 1998, pdf. Retrieved 20 October 2012 from http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.pdf
2) Joseph Proietto, Why is treating obesity so difficult? Justification for the role of bariatric surgery, mja.com.au, 19 May 2011, web. Retrieved 20 October 2012 from https://www.mja.com.au/journal/2011/195/3/why-treating-obesity-so-difficult-justification-role-bariatric-surgery
3) A.D.A.M. Medical Encyclopedia, Obesity, ncbi.nlm.nih.gov, 12 May 2012, web. Retrieved 20 October 2012 from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004552/
4) Melissa Conrad Stoppler, Obesity, medicinenet.com, 18 July 2012, web. Retrieved 20 October 2012 http://www.medicinenet.com/obesity_weight_loss/article.htm
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….
Barile, J.; Reeve, B.; Smith, A.; Zack, M.; Mitchell, S.; Kobau, R.; Cella, D.; Luncheon, C.; & Thompson, W.; (2013) Monitoring population health for healthy people 2020: evaluation of the NIH PROMIS GlobalHealth, CDC Healthy Days, and satisfaction with life instruments, Quality of Life Research, Vol. 22, Issue 6, pp. 1201 -- 1211
Cushing, C.C. And Steele, R.G. (2014). Evidence-based obesity management for primary care. Public Interest Directorate. American Psychological Association. Retreived from http://www.apa.org/pi/families/resources/primary-care/obesity-management.aspx?item=1
Do, B., Hootman, D., Helmick, C.G., & Brady, T.J. (2011). Monitoring healthy people 2010 arthritis management objectives: education and clinician counseling for weight loss and exercise. American Family Medicine, 9(2), 136-141. doi: 10.1370/afm.1210 Retrieved http://www.ncbi.nlm.nih.gov/pubmed/21403140
Edwards, C., Rogers, A., Lynch, S., et al. (2012). The effects of bariatric surgery weight loss on knee pain in patients with osteoarthritis of the knee. Arthritis, 2012, [Clinical Study]. http://dx.doi.org/10.1155/2012/504189
Weightloss Counseling and Physical Exercise
PHASE II Search Paper
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 what keywords can be used to yield relevant….
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 children from harm….
Hopkins, K. D., & Elliot, L. (2010). How can primary care providers manage pediatric obesity in the real world? Journal of the American Academy of Nurse Practitioners, 278-288.
Lang, K. (2012). Parents of Obese Children and Charges Of Child Abuse: What Is Our Response? Pediatric Ethics, Issues, & Commentary, 337-342.
Savinon, C., Taylor, J., Canty-Mitchell, J., & Blood-Siegfried, J. (2012). Childhood obesity: Can electronic medical records customized with clinical practice guidelines improve screening and diagnosis? Journal of the American Academy of Nurse Practitioners, 463-471.
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 into….
Inspiration! Sleep Study Results & Analysis (2006) Q&a with Ron Richard, senior vice president of strategic marketing initiatives at ResMed HME Business April 2006. Online at http://www.hme-business.com/articles/55305/
Johnson, Duane, PhD (2008) Are you Really Managing Your Sleep Lab? The Business of Sleep. Focus Journal May/June 2008. Online at http://www.foocus.com/pdfs/Articles/MayJune08/Duane.pdf
Kay DC, Pickworth WB, Neider GL. Morphine-like insomnia from heroin in nondependent human addicts. Br J. Clin Pharmacol. 1981;11(2):159-169
MacFarlene, James (2009) the Painful Pursuit of Sleep. Sleep Review Journal Jan/Feb 2009. Online available at http://www.sleepreviewmag.com/issues/articles/2009-01_07.asp
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, Skilled Nursing….
Coventry Health Care. (2015). Federal health care reform. http://www.coventryhealthcare.com Retrieved from http://www.coventryhealthcare.com/federal-health-care-reform/index.htm
HCC Medical Insurance Services. (2015). Short-term medical insurance. http://www.hccmis.com Retrieved from
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 the schools, the management is….
Berkowitz, B. & Borchard, M. (2009). Advocating for the prevention of childhood obesity: A call to action for nursing. The Online Journal of Issues in Nursing, 14. Retrieved from http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/T ableofContents/Vol142009/No1Jan09/Prevention-of-Childhood-Obesity.html
Clark, A. (2009). The role of school nurse in tackling childhood obesity. Nursing Times, 100. Retrieved from http://www.nursingtimes.net/Journals/2012/12/07/p/u/c/040608the-role - of-the-school-nurse-in-tackling-childhood-obesity.pdf
Collins, P.M., Golembeski, S.M., Selgas, M., Sparger, K., Burke, N.A., & Vaughan, B.B. (2007). Clinical excellence through evidence-based practice model to guide practice change. Topics in Advanced Practice Nursing eJournal, 7. Retrieved from http://www.medscape.com/viewarticle/567682_2
Jenike, L.R. (2013). A primary care intervention for overweight and obese children and adolescents (A Capstone Project). Retrieved from http://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1027&context=nursing_dnp_ capstone
Business - Miscellaneous
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…Read Full Paper ❯
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…Read Full Paper ❯
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…Read Full Paper ❯
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…Read Full Paper ❯
Health - Nutrition
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…Read Full Paper ❯
Health - Nursing
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…Read Full Paper ❯
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…Read Full Paper ❯
Business - Miscellaneous
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…Read Full Paper ❯
Medical - Nursing
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…Read Full Paper ❯
Medical - Nursing
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…Read Full Paper ❯
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…Read Full Paper ❯
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…Read Full Paper ❯
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…Read Full Paper ❯
Health - Nursing
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…Read Full Paper ❯
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…Read Full Paper ❯