Module 1 Assignment 1 Brooke Gaillard UNA Evidence Based Practice and Nursing Scholarship NU 615-01 Dr. Michelle Nelson January 18, 2018 Module 1 Assignment 1 As we know, obesity is a major health issue in the United States. According to Trust for America’s Health and Robert Wood Foundation (2017), Mississippi has the second highest adult obesity in the nation. (para. 1). I currently work in short stay surgery at the hospital and get patients ready for surgery on a daily basis. I cannot help but notice the increased number of gastric sleeve bypasses we do each week. This information has led me to my research topic of the benefits and effectiveness the gastric sleeve is in obese patients. Description of Problem Obesity is a major problem in the United States. Being obese can lead to other health issues that may include: heart disease, diabetes, high blood pressure, strokes, sleep apnea, certain cancers, kidney disease, osteoarthritis, and fatty liver disease. (National Institute of Diabetes and Digestive and Kidney Disease, 2015, para. 1-2). The measurement of someone’s body mass index can used to determine if one is considered overweight or …show more content…
In short stay surgery, I pre-op patients for surgery. Gastric sleeve patients come from home and are admitted to the hospital after their gastric sleeve procedure. There seems to be an increasing number of patients who are having this surgery. There are certain requirements to be met if paid by insurance, but others pay “out of pocket” price to have the procedure done. In my research, I wanted to explore the benefits and effectiveness of obese patients having the gastric sleeve surgery. The research findings could be helpful for those considering having the gastric sleeve bypass
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Gay knew that after the surgery she would be taking supplements for the rest of her life, as well as worrying about complication and risks that came with the weight loss. After, the surgery she was worried she would stretch out her stomach, and she was very cautious with food and how much she ate. In the end, this surgery seems more like a chore than anything. Is it really worth getting rid of a little fat rather than owning
Gawande demonstrates his point through several different stories involving patients who had gastric-bypass surgery. For example, when telling the story of a woman named Carla, Gawande states, “She had slowly found herself to have a profound and unfamiliar sense of willpower over food.” Gawande argues that as a result of this change, “she no longer wanted to eat like she did before. She thought that the surgery was why she no longer ate as much as she used to. Yet she felt as if she were choosing not to do it” (174).
However, like in everything, there are exceptions. Gawande made the acquaintance of a man who regained all his weight after the surgery, exemplifying the problem of uncertainty with the procedure. Magnifying the doubt, gastric bypass is not found to reduce mortality and many of the so called professionals are not properly trained to perform the
Atul Gawande author of the nonfiction novel, Complications: A Surgeon’s Notes on an Imperfect Science, writes in the second section of his book that mystery fills the lives of doctors as the medical world are constantly changing. Doctors are often expected to have answers for questions that they do not yet possess. Gawande illustrates his thesis using a doctor’s experience with a severely obese patient.. A gastric-bypass is a serious operation that significantly restricts the amount a food a person can consume; the underlying outcome is extreme weight loss. However, the question is why a particular person, in this case “Mr. Caselli”, becomes grossly overweight?
According to surgeon and Master of Public Health Atul Gawande, the morbidly obese should consider Roux-en-Y gastric-bypass surgery (Gawande 187). In “The Man Who Couldn’t Stop Eating,” Gawande describes Vincent Caselli’s gastric-bypass operation as well as his complete recovery. He explains what a Roux-en-Y gastric-bypass is, and retells several personal accounts from his experience as a surgeon. Throughout the article, Gawande gives many facts about the surgery, stating that many problems can arise during the recovery phase. Overall, many people lose at least two-thirds of their weight in a year; however, in rare cases, people can regain their weight or even exceed their original weight (194, 196).
If you 'll invest a little more time in reading, you 'll be that much nearer to expert status when it comes to bypass gastric morbid obesity surgery. Yet while gastric bypass surgery has become a burgeoning industry, some fear that as more and more people require the surgery, there are less and less qualified and experienced surgeons to go around. In the gastric bypass procedure, a 15-20cc stomach pouch is constructed (usual stomach approximately 1500cc or greater). The remainder of the stomach is separated from the new stomach pouch and stapled closed.
Preventing obesity educating individuals and families through the proper eating practices to prevent childhood and adult obesity. The study of sociology regarding obesity could use the theory of structural functionalism that analyzes obesity in the United States. However, millions of Americans remain obese and overweight which affect the whole body through fatty tissue that causes many conditions like high blood pressure, heart disease, diabetes, stroke and many types of cancer. Nevertheless, obesity in the United States leads to indirect costs of higher medical and psychological costs of around
Every nurse, at some point, has questioned why something is done. Perhaps the procedure misuses time, is painful for the patient, or is unnecessarily unsafe for the nurse. Is this process or procedure utilized because of an outdated method or is it proven to be the best practice? Thus, every nurse, and especially nurse leaders, have the unique ability to question, research, and discover enhanced nursing processes that can improve patient and nurse outcomes alike.
There are more Americans now than ever before who are considering the benefits of tummy tuck surgery. In a world that is increasingly less active but where portions keep increasing, plenty of people have been fighting the battle of the bulge for longer than they would care to remember. And while surgery is not the only solution for getting in shape, sometimes those who have made a serious effort to lose weight, only to be confronted with extra skin or other trouble after accomplishing part of one's goal, the idea of a tummy tuck is a perfect middle ground solution between working hard on maintaining a physique and getting the extra help that really makes all the difference in feeling 100 percent accomplished. Known scientifically as abdominoplasty,
disorders, major depression, chronic anxiety, and cognitive impairment (Galla, O’Reilly, Kitil, Smalley, & Black, 2014, p. 1). All of these health problems can be avoided if people took time for themselves and learned methods to decrease their stress levels such as exercise, meditation, and prayer etc. Secondary prevention is the next level in which health-care providers can promote optimal wellness to their patients. Due to Jane’s familial history examples of secondary prevention could include screening for obesity, cardiovascular disease, as well as type 2 diabetes. The U.S. Preventive Services Task Force (USPSTF) advises screening all adults for obesity.
This procedure is no longer practised due to multiple complications and need for further revisional surgery. Bariatric surgery on the whole has been proven to maintain successful weight-loss long term, but should only be considered in extreme circumstances. Where and individual is obese, when other weight-loss options have been explored and for the morbidly obese individuals. As with any surgery, it comes with risks due to anaesthetics and should not be opted for lightly. Surgery has been said to help eliminate some of the medical problems accompanying obesity such as high blood pressure, diabetes, heart disease, respiratory problems, sleep apnea, heartburn and high cholesterol.
This article discusses gastric sleeve surgery, how it works, some of the advantage and disadvantage to keep in mind when considering this procedure. Also, at the end some hospital recommendations are provided. GastricSleeve surgery procedure started in England
As a hole there should be more restaurants that promote healthy food choices. Obesity in the United States is out of proportion and something need to be don , not necessarily at the point of government intersection but this needs to be fix some way somehow. ”public health experts say that an unhealthy diet and the lack of exercise are still the two biggest culprits. ”-Felix gusson.
I. Introduction: a. Attention Getter: Nothing can be as satisfying and enjoyable as eating junk food. Is it not? It can be so good! Food is what makes us who we are.