Beattie 1991 Case Study

However, despite this less than 1% of patients in the UK who could benefit from bariatric surgery end up getting treatment with numbers of bariatric surgery falling 31% from 8794 operations between 2011-2012 to 6032 operations in 2014-2015. 7

The concept of health promotion has emerged with the increasing realisation in society that our health is one of our most valuable personal assets, as well as an asset for society (Crafter, 1997). The Health Promotion Agency (2008) describes health promotion as a process enabling people to

The three Health Promotion issues I have chosen to discuss are smoking, physical inactivity and unhealthy diet. According to NICE (2007) Smoking, poor diet and lack of exercise play an important role in the health and behaviour of people in relation to their social and cultural background. I have chosen to discuss a group of patients aged 70-75 years old who have previously been diagnosed with heart disease; multiple medical conditions include hypertension, high cholesterol and diabetes; they are currently being treated on a cardiac ward waiting for further tests. I will explore the three areas of Health Promotion and discuss how they are Linked to the patients underlining medical issues. Ethnics in nursing practice will be discussed, focusing on the patient’s views, values and principles; Inter-professional working in educating the patient and the impact it can have on how we think and react to our lifestyle choices; I will focus on Various models and discuss how they are linked in relation to the patient and health promotion. In accordance to the Nursing and Midwifery Council (NMC) (2015) full consent has been verbally granted; also in respect of their privacy the patients names and placement area will remain anonymous.

“I think I may go out on the town today and see what kind of fun things I can do.” Mommy look at that fat girl, fat people shouldn’t be allowed out, quack quack waddle fat girl, hey shamu go back to the water. These are some of the things that I have endured and heard on a day-to-day when going out in public as an obese individual. Like myself, a lot of other obese individuals have embarked on many failed weight loss attempts only to gain instead of lose weight. Bariatric Surgery is a great lifelong tool to help aid in weight loss and manage the success;, however, many individuals shy away from the surgery because many health professionals only state the risks over the benefits. Bariatric surgery has become very popular in the United States, but there are many factors to consider such as the risks and benefits, success rates, and procedure options offered. Bariatric surgery has afforded many obese individuals a new lease on life. Medical doctors and insurance companies seem to be down playing the benefits as a way to keep patients with many obesity related ailments to keep them in business. The benefits that bariatric surgery has greatly outweigh the risks and allows for new beginnings.

Weight loss surgery, also known as bariatric surgery is recommended by many physicians to people who are unable to benefit from traditional weight loss methods. However, choosing to undergo weight loss surgery isn’t an easy decision. It is an important decision that will drastically and permanently impact a person’s life. Therefore, before making such a significant decision, an individual should be aware of both the risks and benefits associated with weight loss surgery (McGowan & Chopra ix).

The second article selected as best evidence was a randomized control trial by (Anita P. Courcoulas, Bret H Goodpaster, Jessie Eagleton, Steven H Belle, Melissa A Kalarchian, Wei Land, and Frederico G.S. Toledo, 2014). The study concluded that bariatric surgery was an effective weight loss measure that resulted in low HbA1c, low glycemic index, decrease in diabetes medication intake and type II diabetes remission. The sample size was small which affecting the study findings generalizability and transferability. In addition, the study included people with broad range of diabetes severity and follow up was limited to 1 year leading to no definitive conclusions drawn. (Courcoulas et al, 2014). Strengths of the study were, it was a comparison of two current and most common surgical procedure with an intensive non-surgical arm that has been reported (Courcoulas et al, 2014). There was consistency findings in comparison to other studies which increased the study’s reliability .There is a further need for randomized control trial in larger population and in different sites to compare the three bariatric surgical procedures with conventional therapy in long term management of type II diabetes. Despite much interest and growing body of literature, there is lack of enough level 1 evidence to support the use of bariatric surgery to treat type II diabetes, bariatric surgery is

They also influence the choice of strategies and actions for addressing health issues. If health is viewed simply as the absence of disease, then health promotion is seen as preventing disease principally through treatment and drug regimes. If health is viewed as the consequence of healthy lifestyles, then health promotion is seen as education, communication of health messages, giving information and facilitating self-help and mutual aid programmes. If, on the other hand, health is seen as a consequence of the socio-economic and environmental circumstances in which people live, then health promotion becomes a matter of tackling these issues to make healthy choices easier. The first two perspectives are much in evidence in nursing practice. A socio-economic and environmental perspective is more challenging for a setting which still emphasizes one-to-one

Those who are significantly overweight suffer from a host of life-threatening, obesity related health conditions, referred to as co-morbidities. The most common of these include Type 2 diabetes mellitus (adult onset diabetes), high blood pressure, and high cholesterol. The higher an individual's body mass index (BMI), the more prevalent and severe these co-morbidities become. The "super obese" - those with a BMI over 50 - are at particularly high risk. Achieving sustained weight loss as well as resolving related health conditions are the two main objectives of weight loss surgery at our San Francisco practice.

Bariatric surgery is an alternative option for indivuals like these who cannot lose excess weight via the tradional remedies. While it may be true that Bartiatic surgery was

The diagnosis of a patient for bariatric surgery begins with measurement of the patient's degree of obesity. This measure is important because the NIH and almost all health insurers have set

A study that was conducted in Italy which consisted of a group of patients that underwen gastric band surgery and another group that underwent gastric bypass surgery, sought to see the long term effects that each distinvtive surgery had on the pateints, ten years after they ntially underwent it. What they found was that the pauitents in the gastric bypass group, loss a singinantly greater percetage of excess weight (69%) compared to the band pateints who lost 46% of their excess weight over the ten year span. It's also worth noting that they also obsevered that approxiamtely 40% of the band patents, needed more surgery, over the course of ten yeears, in comprarions to the gastric bypass

However, pre-operative, operative, and post-operative guidelines are quiet variable and not well understood. National Institute for Health and Care Excellence (NICE) established “guidelines for the clinical management of obesity in both adults and children to provide a general appraisal of the evidence, with broad suggestions for care pathways” (Black, White, Viner, & Simmons, 2013). More substantive guidelines on “how to manage pediatric-adolescent bariatric surgery populations, advice concerning, which complications and co-morbidities to measure, and encouraging longer-term follow-up would benefit both patients and clinicians” (Black, White, Viner, & Simmons,

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

So surgery is for patients who have sort of exceeded an aligned in the sand. So to speak a metabolic wind in the sand where weight loss is nearly impossible. The reason for that is that we all have a set point a place where we store a certain amount of energy, and genetically designed differently, and some of us have the propensity to store more energy than we need, and others don't. And that's genetically determined, but the problem is that once you go beyond the set point. Weight loss becomes impossible in general a hundred pounds refers to like that set point but in truth, the set point is different for many people it could be higher or lower. The problem is that if you exceed that set point what starts to happen is that your ability to

The World Health Organisation - WHO (2015) defines Health Promotion as fundamental discipline in disease prevention through social /environmental intervention, health education and behaviour change towards health. This description coincides with Dahlgren and Whitehead’s Social Determinants of Health (1992) where the individual’s health is not only limited to medical factors but it is largely influenced by lifestyle – rooting from its social factors from familial, societal to national level. In this regard, the vital role of the nurse as a health promotion practitioner is to uphold individual’s autonomy by increasing their knowledge about how the body functions to prevent diseases and making them aware of how the healthcare