Health and Wellness Plan

Benefit of bariatric surgery is that overweight patients lose excess Body fat. Another benefit is that obesity related health conditions often improve or are eliminated because of this loss weight. The common conditions are diabetes, severe arthritis, high blood pressure and sleep apnea which often improve after a patient undergoes bariatric surgery. For some, weight loss surgery can even be a lifesaving process. Noticeably, weight reduction surgery also conveys dangers. They are quite negligible. Truth be told, weight reduction surgery carries a risk that is proportional to having your hip supplanted. That

All patients regardless of healthy BMI or not should have their BMI check by a healthcare worker at least yearly. Patients that are noted to have one co morbidity and a BMI of 25 should be counseled on weight loss. Patients that are noted to be obese have a suggested weight loss goal of anywhere from 3% to 10%. Obesity is a lifestyle disease so it would only be right to have the next point beginning at changing your diet, and physical activity while still counseled by your healthcare worker. When dieting an individual’s diet should be tailored to their co morbidities if any present. Patient that need to be counseled will need to be advised on how to reduce their caloric intake while gradually starting toincreasetheirworkouts and physical activity. A caloric restriction of 1800 kcal for men and 1500 kcal a day for women is usually recommended. Some patients may also benefit from different workout programs like group sessions or one to one sessions with a personal trainer. If those intervention fail and the patient has a BMI of 40 or more or a BMI of 35 or more with one or more comorbidities some form of bariatric surgery may be suggested. There are not many pharmaceutical treatments available for weight loss management. Many of these drugs on the market are known to have severe side effects such as cardiac

“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.

At the Veterans Health Administration (VHA) located in Durham, North Carolina, approximately one-third of the patients are obese. For the past ten years, studies were conducted that estimated, 25-35% of the patients at the VHA were considered obese or overweight. The VHA introduced the patients to a program called, “MOVE!”. The programs goal was weight management to help patients overcome short-term weight loss goals and create a positive reinforcement that encourages to stay at a healthy weight. It was introduced in 2006, and has helped approximately six million veterans lose weight. This program was implemented in 153 hospitals and 956 outpatient clinics. This program started when VHA clinicians noticed the rate of obese patients coming

Not only do they address the underling medical problems linked to weight gain, but they also provide extra support with heartfelt encouragement, nutrition education, and customized diet plans. Every cases is overseen by a trained medical professional dedicated to helping people loss weight and reclaim their lives.

When it comes to surgery, there is an intensive pre-operative and post-operative procedure to ensure that the patient is well-prepared and healing mentally and physically, respectively. Now depending on the type of surgery performed, there are a specific set of health risks. Two types of weight loss surgery are currently being utilized, Roux-en-Y gastric bypass, a form of stomach stapling to curb food intake, and adjustable gastric banding, a placing of an adjustable band around the stomach to restrict food intake. With Roux-en Y Gastric Bypass, the health risks include Infection at incision points, narrowed links between the stomach and the intestines, loosened staples, vomiting, diarrhea, and hernia. Gastric Banding has health risks, including bleeding, infection, erosion of the band into the inside of the stomach, blockage of the stoma, and band slippage, occurring when moderate food intake does not take place, thus inducing vomiting. Other concerns for both these types of surgery is the after effect and the true effectiveness of the procedure, and the careful and strict adherence to diet, exercise, mental support groups, body contouring, etc. A 2006 group of obese teens who have undergone surgery will be interviewed again in 2011 to determine the actual effectiveness of their

Losing weight can be a challenge, particularly when underlying health problems are contributing to the weight. At RCMC Medical Center, we believe that sometimes people need a little medical intervention to help them reach their weight loss goals.

Gastric Sleeve Surgery, also known as the sleeve gastrectomy, has become a popular choice for patients seeking excelling weight loss in a straightforward procedure that doesn't require maintenance and long-term complication rates of a Lap Band. On January 1st, 2010 United Healthcare added gastric sleeve surgery to their list of covered surgeries for weight loss. Over the following two years, almost every other major insurance company followed suit. From 2010 to 2015 gastric sleeves became the fastest growing bariatric surgery procedure. (www.obesitycoverage.com.)

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).

They want to make sure that patients have access to staff members who will help them with their expertise. This is especially helpful to patients with more extreme medical needs that require special attention. In 2010, patients were provided access to group and individual sessions with MOVE!. Between the two, group-based sessions were most popular and made up about 72% of attendance. Another component that helps patients reach their goal weight faster, is the intensity of the program they participate in. Patients who only attend one to two sessions have a lower chance of obtaining their goal weight, but those that consistently are active in the program get better results. From the patients who participated in the MOVE! program, only 13.6% of them met the intensity component. Some stable techniques used in between 2008 and 2010 include methods to deal with relapse prevention, monitoring health, creating explicit goals such as losing this amount of weight by this time, and social support. These methods have been consistently used for those years and showed signs of help and improvement.

However, diet changes also need to happen in conjunction with the surgery. The surgery isn’t a quick-fix solution; it’s simply a tool to help you lose weight.

MOVE! is a weight management health promotion outpatient program designed to improve the lives of Veterans. In 2015 more than three quarters of Veterans receiving care in VHA facilities were considered to be overweight or obese (MOVE! Weight Management Program, n.d.). The goal of the Bruce W. Carter Veteran’s Affair Medical Center (VA) is to annually screen every Veteran who receives care at the facility for obesity, refer individuals to weight management services, and make available different treatment options that fit the needs and preferences of our Veterans (In person communication G. Cuadrado-Umbaugh, March 14,2017). Some of the treatment options are telephone lifestyle coaching, a mobile app for reminders and a group session which has show to have the greatest evidence of participant success (MOVE! Weight Management Program, n.d.). Small weight loss can reduce health risks, prevent or reverse chronic diseases, and improve quality-of-life and longevity (MOVE! Weight Management Program, n.d.) . Every sixteen weeks is the beginning

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

Obesity has threatened people’s health; generally, there are around 200,000 Americans receive Bariatric surgery each year. For this news article, a middle-aged computer programmer, Keith Oleszkowicz and a young college student, Jessica Shapiro accepted the Bariatric surgery because of their obesity. Bariatric surgery forces people to eat less and changes people physiologically and biologically. During this operation, doctors cut away most of the patients’ stomachs and reroute their small intestines; this process eliminates patients’ access of too much food. Patients’ lives will change dramatically after this operation; for example, people may see themselves differently, and others will also see them differently. This experience can be

A rising health epidemic that America is currently facing today is obesity. This is becoming very wide spread among all races and class levels due in part to the abundance of inexpensive food available, most notably, fast food restraints . There are literally thousands of diet books available but due to the extreme will power many of these programs demand, more and more people are turning to weight loss surgery as a final solution. The most popular procedures being Gastric Bypass, and Lap Band surgery. Although these are now fairly common procedures with a high rate of success there are also many differences that one should consider when choosing which would be a better fit for themselves . Three of the biggest differences would be