Bariatric Surgery Essay

corpulency affects to a greater extent than one-third of U.S. adults (Centers for Disease Control and Prevention). Obesity is defined by globe Health Organization as an individual that has a BMI greater than 30. Obesity alone lavatory hinder a mortals quotidian living lifestyle. However along with fleshiness come several co-morbidities that can affect a persons health and lifestyle in a negative way. Obesity related conditions imply heart disease, stroke, typewrite two diabetes, hypertension, sleep apnea, and asthma. matchless alternative solution for cogent uncomplainings to purify their quality of life is bariatric mathematical operation. Bariatric mental process is the only weight loss manner proven to achieve lasting, long term results (Kaser & Kukla., 2009, p. 3).Bariatric operating room fakes on two principals restriction and malabsorption (Kaser & Kukla. 2009 p. 3). Per Kaser & Kukla on page 3 of the Online Journal of Issues in nurse there ar 3 types of baria tric surgery available One is the least invasive, uses an adjustable gastric band to adjust the size of the be prevail and is reversible. The second one uses a sleeve that reduces the stomach and also eliminates somewhat of the ghrelin hormone that is used to stimulate appetite. The last execution divides the stomach to cook 15-30 ml pouch and is connected aspirely to the small intestine. This procedure is the nigh common weight lost surgery performed in the US and makes up 80% of all bariatric procedures (Kaser & Kukla. 2009 p. 3). This paper will discuss the controls role during the pre-op, intra-op, and post-op phases of bariatric surgery, including some of the complications that may arise, proper breast feeding interventions, and relevant nursing diagnoses with every phase of the endurings procedure. Nurses play a monolithic role in caring for patients who have bariatric surgery.The prevails role starts in the military rank phase during office visits and all the way t hrough to post-operative tradeincluding marry up visits. During the preoperative phase the nurse works with the health c atomic number 18 team of surgeons, dietingitians, psychologist, bariatriciansduring patient evaluation to help reinforce key even outs for prospered functional weight loss (Kaser & Kukla, 2009, p. 2) and provide on-going education regarding the patients current diet and future diet, activity, and the available surgical procedure options. The nurse en veritables that the surgery is appropriate by ensuring the person has .a BMI 40 or BMI 35 along with comorbid conditions, such(prenominal) as cardiovascular disease, sleep apnea, uncontrolled type two diabetes, and/or physical problems interfering with performance of daily activities (Kaser & Kukla, 2009, p.2).In the obese patient, minimizing chance factors is directly connected with patients assessment in the preoperative period. Important physiopathologic changes authorize in the cardiovascular, respiratory a nd gastrointestinal systems (Tanaka, D., & Peniche, A. 2009 p.619). Nursing diagnoses that should be considered for preoperative bariatric surgery would be knowledge deficit, anxiety, nutritional imbalance (more than the body requirements), risk for afflicted flake off integrity, and ineffective breathing pattern related to morbid obesity and/or comorbidities (Drake, McAuliffe. 2012 p.6). The key to an effective and safe bariatric patient handling political platform is to be prepared prior to the admission (Muir & Archer-Heese, 2009, pg.2). Studies have demonstrated that all over 50% of bariatric-surgery patients have a concurrent diagnosis of anxiety, depression, or a psychological disorder (Kaser & Kukla, 2009, p.6).Ensure the patient understands the lifestyle changes that are require for a safe, successful, postoperative course including a lifelong commitment to rewrite eating patterns, vitamin supplementation, and regular monitoring by their healthcare provider (Kaser & Kuk la, 2009, p. 2). The nurse can provide care during the intraoperative phase by making sure the operating room is sufficient in size, the equipment can accommodate obese patient size by having stretchers with a 1,000 pound capacity and unmandatory width, bariatric bed with expandable deck with power assisted for moving, and a intact scale (Muir & Kukla 2009 p. 4). Some of the most frequently practiced nursing diagnoses for the patient during bariatric surgery would be risk for ineffective airway, and risk for hypothermia. Bariatric surgery patients are especially susceptible to an ineffective airway during surgery be dothese patients tend to have decreased lung expansion due to an elevated diaphragm as intimately as less compliant lungs and actors assistant wallslayers of fat on the chest wall and abdomen along with an elevated diaphragm increase the work of breathing (Drake, D. J., & Lopez, C. C., 2005, p.5). It is the nurses job to closely monitor the patients work of breathing during surgery to ensure no complications arise.along with the post-op phase of bariatric surgery come an array of nursing interventions and much needed education for the patient. While the patient is fully aware of the lifestyle changes they must make before surgery is even performed, it now comes to a point where they must act on those changes with full confidence and tenacity if the procedure is to be a life-long success. Some common nursing diagnoses for post-op bariatric surgery include risk for nutritional imbalance (less than body requirements), risk for infection, risk for precarious blood glucose level, risk for impaired tissue integrity, mainly the tissue run along the stomach, and readiness for enhanced self-health management. Diet must be completely altered following surgery. Bariatric surgery patients are given a strict diet post-operatively that regulates the consistency, volume, nutritional and chemical makeup of foodsnurses must understand diet recommendations fo r the fast postoperative period and assist the patient in understanding the splendour of adherence (Drake, D. J., & Lopez, C. C., 2005, p.6).Diet compliance is of great importance, but there are other very heavy interventions to take into account afterward bariatric surgery. triplet important aspects of nursing care include pain management, wound and skin care, and venous thromboembolism prophylaxis. Pulmonary embolism is the second most common cause of mortality in bariatric-surgery patients (Kaser & Kukla, 2009, p.4). DVTs and VTEs can be substantially avoided when the proper nursing interventions are practiced. turning, coughing, and deep breathing (incentive spirometry) are the tested and true nursing interventions for pulmonary care in the postoperative surgical patient (Kaser & Kukla, 2009, p.5). As with wound care, patients should be careful with coughing or possible nausea leading to vomiting due to chances of dehiscence of the surgical bastard sites.Proper nursing ca re for wounds should be practiced, including observing for signs of infection, and keeping the dressings showy and drytreatment of nausea and prevention of vomiting are important during the postoperative phase (Kaser& Kukla, 2009, p.4). In conclusion the nurses role goes beyond providing direct nursing care in the preoperative, intraoperative, and postoperative phases. For nurses to be successful in caring for bariatric patients they need to look at their own personal attitudes and biases. study sure they are treating the individual, not making assumption on the persons character, intelligence, or health status based off their weight, be respectful and do not blame. Nurses need to treat the psychosocial aspect of the unique(predicate) needs of the bariatric patient by giving them appropriate feedback and encourage helminthic behaviors. All of these will make for a successful outcome for the patient. Bariatric surgery is a health promoting and life-sustaining intervention (Drake, D. J., & Lopez, C. C., 2005, p.7).REFERENCESCenters for Disease Control and Prevention. sonorous and Obesity Retrieved from http//www.cdc.gov/obesity/data/adult.html Drake, D. J., & Lopez, C. C. (2005). Postoperative nursing care of patients after bariatric surgery. Perspectives, 6, 1-5. Grindel, M., & Grindel, C. (2006). Nursing care of the person having bariatric surgery. MEDSURG Nursing, 15(3), 129-146. Kaser, N., Kukla, A., (January 31, 2009). Weight-Loss Surgery. OJIN The Online Journal of Issues in Nursing Vol. 14, No. 1, Manuscript 4. Retrieved from http//nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No1Jan09/Weight-Loss-Surgery.html Tanaka, D., & Peniche, A. (2009). Perioperative care for morbid obese patient undergoing bariatric surgery challenges for nurses Portuguese. Acta Paulista De Enfermagem, 22(5), 618-623.