Medical Case Summary: A Case Evaluation Of Surgical Weight Loss

Once the nurse and patient establish a rapport, and the patient is comfortable and willing to proceed with the intervention, preoperative care

To assist patients who have a (BMI) of >30 to achieve a weight loss of at least 5%.

At the present time, the patient has two of the risk factors for heart disease, genetic predisposition, and obesity. The first risk factor, genetic disposition, is non-modifiable, however, the second, obesity, is a modifiable risk factor. The nursing diagnosis that can be applied in this situation is imbalanced nutrition: more that body requirements, evidenced by weight is more than 20% over ideal for height and frame, triceps skinfold >25mm in women and, sedentary lifestyle. The desired outcome for this individual is to demonstrate a change in eating patterns to attain desirable body weight with optimal maintenance of health, as well as to initiate and maintain an individually appropriate exercise program. Nursing interventions for this client should be (1) determine client’s desire to lose weight, (2) review usual daily caloric intake and dietary choices, (3) establish a realistic weight-reduction plan with the client, (4) encourage client to maintain a food diary that includes when and where eating takes place and the circumstances and feelings around which the food was eaten, and (5) refer to dietitian or weight management program (Doenges, Moorhouse, & Murr,

CB underwent a laparoscopic cholecystectomy with open incisional hernia repair in the Surgery Center of Pinehurst. This means that she had

The following procedures were performed on this visit and/or recommended: manipulation; physical performance test; and

The first step in the surgical process is a visit to the preadmission clinic. This is where James and his mother will meet with nursing and medical staff to begin planning and assessing for potential risk factors and complications that may arise during surgery.

In Bijal P. Trivedi’s report “The Bypass Cure,” she details the history of gastric bypass surgery, its effect on type two diabetes, and the how one doctor is using his understanding of modern gastric bypass applications to save the lives of his patients. Diabetes is a serious disease that affects over 25 million people in America, and 439 million people worldwide. Over 200,000 gastric bypasses are performed in America each year. Due to the cost many patients are unable to receive the life changing procedure. One of the patients who will be receiving this procedure is Nancy Rubio who was nearly twice the normal weight of a person her height. Her weight had slowly increased throughout her life, due to her unhealthy diet and having two children. She eventually developed type two diabetes which then led to arthritic knee pain, high blood pressure, increased cholesterol and elevated blood sugar. Fearing for her life, Rubio opted to receive a modern version of the Roux-en-Y. The Roux-en-Y involves surgically decreasing the lining of the stomach to a small pouch, which reduces the patient’s appetite and eating. The pouch is then connected to the lower section of the intestine. Due to the nature of the surgery Rubio will lose weight very fast, but also miraculously have her type two diabetes go into remission or possibly eliminated.

DOI: 5/12/2016. Patient is a 30-year-old female “WNA 2” who sustained an injury while she was driving, a vehicle rear-ended their vehicle and she injured her back, neck and right arm. As per OMNI notes, the patient is diagnosed with cervical/thoracic/lumbar strain and right upper limb pain.

Now that the patient is ready to commit to the weight loss procedure, they will work closely with the team while preparing for the surgery. They will support the patient as they make appointments with the Psychologist for testing, provide regular assessments of the patient’s state of health to include body measurements and progress. The patients will become used to the process of going

Lap-band surgery requires a short stay in the hospital. Your surgeon will tell you when you can return to work, when to resume normal activities, and when you’ll need follow-up office visits. You’ll receive detailed instructions on what foods, and in what amounts, you can and cannot eat with a lap-band, and if you need to take any supplements. You’ll be restricted to liquid or pureed foods for the first few weeks after surgery. When needed, the band can be adjusted in the surgeon’s office or

policies and therapies. In caring for this patient, USPSTF guidelines should be followed and multicomponent behavioral interventions should be initiated. This would include 12 to 26 sessions in the first year focusing on setting weight loss goals, managing diet/nutrition and increasing physical activity. It is also recommended that barriers to change be addressed with the patient at each visit and techniques to maintain lifestyle changes (Seals, 2007). The patient should be educated about pharmaceutical agents as an adjunct to a healthy lifestyle and then she can make an educated decision. The case study patient is taking Saxenda (liraglutide) 3.0mg subcutaneous injection daily but has yet to see substantial improvement in weight loss. The patient should be educated on proper injection techniques and possible side effects such as nausea which can be dose related (Pi-Sunyer, et al. 2015).

On the day of and the days following your operation please observe the following recommendations:

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

Soon, in addition to providing care tailored to the obese patient, IR may be called upon to treat obesity directly with left gastric artery (LGA) embolization, which could be a stand-alone treatment, or an adjunctive therapy to bariatric surgery. According to a recent NIH assessment, bariatric surgery is offered to three distinct groups of patients: first, those with BMI ≥40 kg/m2 with no major medical comorbidities, typically after they have failed lifestyle modification; second, patients with BMI ≥35 kg/m2 and a serious medical comorbidity like hypertension, obstructive sleep apnea or type 2 diabetes are also eligible; third, patients with BMI ≥30 kg/m2 and uncontrolled diabetes or metabolic syndrome are candidates for bariatric surgery.

Following the incision, the nipple is repositioned. Dr. Thomassen takes great care to ensure the nipple remains tethered to its original nerve and blood supply.