Preview

PICOT Question

Good Essays
Open Document
Open Document
834 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
PICOT Question
Problem Statement
Only a few studies in nursing research provide some kind of study that looks into experiences of patients who choose to undergo bariatric surgical procedures or investigation. Within the growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providers initiate and Evaluate necessary changes in practice that will enhance the well-being and health of patients that undergo this procedure. With the current increase in the rate of obesity, people have now turned to bariatric surgery because they have tried all the other methods and find it not that helpful. Statistic shows that adults are obese or overweight with a percentage of 68.8%; 35.7% are obese. 31.8% of children and adolescents are obese of overweight; 16.9 are obese. (Olden et al.,2012). Death is a risk factor for patient undergoing this surgery and also co-morbidities like hypertension, diabetes, sleep apnea and heart problems that can affect the outcome of the surgery. After the surgical procedures, some of the problems that were identified were the lack of adequate pain management and social support system. This study shows that education of nurses on the continues need of assessment, implementation and evaluation on both the physical and psychosocial outcome of this patient is imperative to fully meet their needs.
Purpose and Research Questions
The reason or purpose of this study was to develop an understanding of women experience post- surgically after undergoing a surgical weight loose intervention to manage morbid obesity. The number of bariatric surgery being perform is increasing with the growing increase in obesity. Thus our duties as nurses is to be educated on how to manage this patient population well as we prepare for their plan of care, management



References: Ogden, C. L., Carroll, M. D., Kit, B.K., & Flegal, K. M. (2012). Prevalence of obesity and trends in body mass index among U.S. children and adolescents, 1999-2010. Journal of the American Medical Association, 307(5), 483-490. Sutton, D., Murphy, N., & Raines, D. (2009). Transformation: the "life-changing" experience of women who undergo a surgical weight loss intervention. Bariatric Nursing & Surgical Patient Care, 4(4), 299-306. doi:10.1089/bar.2009.9948

You May Also Find These Documents Helpful

  • Powerful Essays

    Lobstien, T; Baur, L; Uauy, R (2004). Obesity in children and young people: A crisis in public health. Obesity reviews, vol. 5 issue supplement. Pages 4-85.…

    • 1521 Words
    • 7 Pages
    Powerful Essays
  • Better Essays

    The article explains the research of Dr. Sayeed Ikramuddin of the department of surgery, University of Minnesota, Minneapolis and his colleagues relating to bariatric surgery its potential role in glycemic control in type two diabetics. Irkamuddin states that at 12 months, “the primary goal was considered successful if patients achieved the composite of the triple endpoint: HbA1c of less than 7.0%, an LDL cholesterol level of less than 100 mg/dL, and systolic blood pressure of less than 130 mmHg at the 12-month visit” (2013, p. 2242). The study was conducted at four sites, including New York, Minnesota, and two hospitals in Taiwan and lasted 12 months. Patients with mild to moderate obesity and adult-onset diabetes mellitus were offered a free intensive intervention and recruited using mass media advertisements, practice-based databases and contact with professional groups, leading to an unblinded randomized group after screening 2648 candidates. Body mass index in participants ranged from 30.0 to 39.9, with a mean of 34.6. The study participants had been diagnosed with diabetes for a mean of 9.0 years. The intensive intervention included lifestyle modification with daily caloric intake counts, increased physical activity, daily weights and counseling sessions, and intensive medical management including close monitoring and treatment from doctors with medications for cholesterol, blood pressure, and glycemic control. Sixty of these participants…

    • 1209 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Obesity, a condition that caused by an excess accumulation of body fat is currently affecting 19% of children 6 to 11 and 17% of children 12 to 19 years of age (Science Daily, 1995-2009). Obesity has no discrimination against age, gender, and cultural backgrounds although, it does affect different ethnicity groups and genders differently. The United States currently has the highest rates of obesity among other countries with rates doubling amongst adults and tripling amongst children since the 1980’s. Obesity in children has become a growing concern in America and without proper measures; will become a trend that will only continue to get worse instead of better.…

    • 3078 Words
    • 13 Pages
    Powerful Essays
  • Powerful Essays

    Chrysalis Year 1 module 6

    • 2612 Words
    • 8 Pages

    The purpose of this hypothetical case study is to demonstrate my knowledge and understanding of treating a client (Miss E) who has a desire to lose weight. I shall identify and explain Miss E’s issues, then, compile an outline plan of therapy in order to support her.…

    • 2612 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Essay On Gastric Banding

    • 509 Words
    • 3 Pages

    Many of the obvious consequences of obesity are quietly infiltrating our everyday life. When exercises and diets fail to effectively treat people with extreme and excessive obesity, bariatric surgeries are recommended. Two of the laparoscopic surgeries - gastric banding and gastric bypass will be compared in this essay. Analyzing in terms of surgery complexity, dietary modification and potential problems, proved that gastric banding is better than gastric bypass.…

    • 509 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Week 3 Hcs 465

    • 883 Words
    • 4 Pages

    Childhood obesity leads to gastric bypass which is the operation recommended by the National Institute of Health for treatment of morbid obesity because of its low morbidity and mortality rates and excellent long-term results regarding weight loss”. The laparoscopic surgical procedure for obesity is generally referred to as the Lap-band procedure and is known for the smaller and less invasive incisions. The goal of the chosen study was to determine the effects of the laparoscopic surgery and the gastric bypass based on hospitalization time, surgical duration, rate of mortality, and the surgeries that are repeated. The patients used for the study were each morbidly obese and had tried and failed at other diet and exercise methods however gender, age, race, weight, and height did not factor in when randomly selecting the test patients for participation in this meta-analysis. Some exclusion was made due to previous surgeries for weight control, respiratory and cardiac issues, and certain diseases that would be complicated by participating in the study and alters the results obtained…

    • 883 Words
    • 4 Pages
    Good Essays
  • Good Essays

    In Escudero’s essay, “Bariatric Surgery: The Unspoken Truth,” he explores the risks and benefits of gastric bypass surgery. In this argumentative essay the author explains what the surgery is, what it does and how the different lifestyles of the patients change drastically in order to support their new body. Escudero mentions how before reaching a decision there should be research conducted in order to determine whether the operation is right for the individual whose life is at risk. He begins with a background check of what the surgery does and then incorporates positive and negative feedback from the surgery. Escudero’s intentions for writing this paper are difficult to understand. It seems to be an informative piece for the general audience because he talks about the advantages and disadvantages of the surgery but upon further inspection he points out how “the benefits outweigh the complications” making the paper a persuasive essay.…

    • 1068 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Lap Band Procedure

    • 862 Words
    • 4 Pages

    After the surgery a patient can expect to spend one day in the hospital, then 2-3 days of limited activity. I have also interviewed a woman named Liz Englebert who has had the surgery performed. She reports that in 7 months she has lost 125 pounds. For the first six weeks she was on a recovery diet with levels of food types. First was a liquid diet, which then moved in to pureed food, such as yogurts etc. After you can handle those you move to mechanical softs, finally to solid foods. There are some foods you may not be able to have anymore but that depends on the patient. Liz states " The order of priority of food is proteins first, then veggie, carbs , breads, and extremely limited sugars." The lap_band gives you a feeling of being full and limits food intake. Liz said that if she over eats her stomach won 't take it, but "it is not like vomiting it 's more like coughing up a hair ball." The Lap-Band trains patients to eat slower and in moderation. Patients are also encouraged to engage in physical daily activity. Patients are also encouraged to take vitamins as they may not get all of the nutrition they need with the diet changes.…

    • 862 Words
    • 4 Pages
    Powerful Essays
  • Better Essays

    Which weight loss option is more beneficial, surgery or diet and exercise? When considering a weight loss method, this is an important question to think about. In the United States obesity is an epidemic affecting 149.3 million people every year (American Heart Association, 2011). A person is considered obese when he or she has a body mass index (BMI) of at least 30 and or has developed medical conditions from being obese. Losing weight for an obese person can be difficult, sometimes too difficult to accomplish it alone. For this purpose many diet aides are available including pills, plans like Weight Watchers, shots, surgery, and do not forget eating healthy and exercising. This paper will compare and contrast the risks and benefits of the Lap-Band, a surgical weight loss aide against eating healthy and exercising.…

    • 1407 Words
    • 6 Pages
    Better Essays
  • Best Essays

    The science of nursing is guided by theories which forms the foundation of understanding patients, their health problems and plan interventions to address these problems. Nursing has a set of beliefs unique to nurses and forms the foundation of practice. The objective of this paper is to explore various nursing theory and ethical framework as it relates to obesity. Phenomenon of Interest The rapid increase in obesity rate worldwide in the last decade has reached an epidemic proportion. Obesity has become a notable public health problem because of its overspreading impacts and measures to curb or reduce the obesity rates have not been successful (Hammond, 2014). Obesity has been identified as a complex problem which involves multi- related contributing factors. The Institute of Medicine (IOM) recent report recommended a “systems approach” and model tools from complexity science (Institute of Medicine [IOM], 2012). Reducing the obesity problem will require a holistic, multi-systems and integrated approach. Nursing Meta-paradigm A meta-paradigm is a generalized concept of a discipline. It acts as an enveloping structure where the most restrictive concepts can be developed (Fawcett & DeSanto-Madeya, 2013). The meta-paradigm of nursing focuses on the person, environment, health and nursing. These four concepts are the unifying force for all nurses regardless of their practice setting. In caring for an obese patient, the nurse approaches the care of this condition not only with the person in mind but that the individual is part of the family and the family is part of the environment , attempting to restore the patient back to health through various nursing interventions. The meta-paradigm of nursing. According to Nightingale, nurses should work to prevent disease and care for patients in an optimal environment that…

    • 2106 Words
    • 61 Pages
    Best Essays
  • Better Essays

    The teaching summary provided offers an understanding into the relationship between obesity and type 2 diabetes as well as information given to assist those who currently struggle with obesity. Obesity is not simply an inconvenience or a cosmetic issue but a very dangerous and potentially deadly circumstance. In fact, one source explains, “Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some of the leading causes of preventable death (CDC, 2014)”. Although obesity is preventable and reversible, it is not easy for most to do. The task of sheading unwanted pounds is not entirely determined by will power alone, defeating cravings and the decrease in the metabolic rate that complements weight loss are also factors (Skolnik & Ryan, 2014). The fact that will power is not the single factor in weight loss, this task is very difficult to achieve, especially with life stressors involved. The teaching summary includes diet and exercise recommendations as well as information on weight loss surgery.…

    • 1544 Words
    • 4 Pages
    Better Essays
  • Good Essays

    From 1986 to 2000, the number of people who are severely obese–which is identified by having a body mass index of 40 or more–has quadrupled, from about 1 in 200 adults to 1 in every 50. This startling statistic has caused more people to be aware of this rising occurrence that has swept over the United States. Obesity has medical professionals worrying; not only are the numbers of overweight people continuing to rise but weight-related medical costs are soaring. Healthcare costs for illnesses due to obesity have now exceeded those related to both smoking and alcoholism. The obesity epidemic is a big contributor to skyrocketing health care costs in the United States, partly due to the weight-related diseases that come hand-in-hand with obesity. Ailments such as type II diabetes, heart disease, hypertension, and high cholesterol are closely connected to obesity and an alarming 80 percent of obese adults suffer from one of these…

    • 963 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Research Critique

    • 1578 Words
    • 7 Pages

    The article selected for review in this investigation is entitled "Perioperative outcomes of coronary artery bypass grafting: Effects of metabolic syndrome and patient's sex." The article was published in the September 2009 edition of the American Journal of Critical Care and was written by Brackbill, Sytsma and Sykes. A review of pertinent background for the authors demonstrates that Brackbill and Sykes both posses Doctoral Degrees in pharmacology and are employed in this field. Further, Sytsma holds a Master of Science in Nursing and is currently the director of Winchester Medical Center’s Heart and Vascular Center in Winchester, Virginia.…

    • 1578 Words
    • 7 Pages
    Powerful Essays
  • Better Essays

    I recently spoke with S.P., a recipient of gastric bypass just over a year ago, and not only has she lost over 100 pounds she has also lowered her cholesterol, discontinued use of two hypertensive meds and no longer has a need for her Metformin that she was prescribed three years ago for “pre-diabetes”. She stated that although it was a huge lifestyle change it has provided her with an opportunity to enjoy a better quality of life.…

    • 2259 Words
    • 10 Pages
    Better Essays
  • Better Essays

    Informative Speech

    • 1216 Words
    • 4 Pages

    Specific Purpose: I want to inform my audience to understand what gastric bypass is, what their benefits are, and who it affects.…

    • 1216 Words
    • 4 Pages
    Better Essays