Obesity has been one of the top illnesses of the twenty-first century. Thus, for the past decades, the search of the ideal weight management plans has been going on. There are several medical associations around the globe who have proposed dozens of obesity treatment. Most of them are successful, some need improvement. But above all the available obesity treatment, Bariatric Surgery or Weight-Loss Surgery is the most recommended by experts if one wish to get rid of his or her excess weight immediately. However, even though surgical intervention is highly effective, its safety should be considered. The right care for obesity surgery patient should follow the operation.
In this article, the right care for obesity surgery patient shall be discussed. But before that, obesity in general will be looked upon in order to have an extensive knowledge of patient caring, and the surgical operation itself should be visited at a glimpse in order to know where the nurse will start his or her work from.
The Reality of Obesity
Before discussing about obesity treatment, it is better to understand what it is to be treated. According to the National Health & Nutrition Examination Survey, 33% of men and 35% of women were obese in 2005 to 2006—these numbers are not inclusive of those individuals who are just overweight.
What’s alarming is the growing number of obese children. According to the Centers of Disease Control and Prevention, there are at least 17% children who are obese.
What is obesity, anyway? Obesity is the condition when you exceed your ideal weight according to your given height—each height has its own model weight. There is what we called Body Mass index or BMI. This is how obesity is being measured (those who will care for obesity surgery patient should know these numbers):
- Underweight – Lesser than 18.5 kg/m²
- Normal Weight – 18.5 to 24.9 kg/m²
- Overweight – 25 to 29.9 kg/m²
- Obesity (class 1) – 30 to 34.9 kg/m²
- Obesity (class 2) – 35 to 39.9 kg/m²
- Obesity (class 3) – Greater than 40 kg/m²
According to the Health and Human Services of the US Department of Health, Bariatric Surgery should be administered to people with BMI which is greater than 40 kg/m² or more than 35 kg/m². Also, they are candidate for surgery if their obesity is causing cardiovascular disease or type 2 diabetes.
Types of Surgery
There are plenty of surgical procedures that can be done as obesity treatment. Here are some of them:
- Laparoscopic Adjustable Gastric Band
- Laparoscopic Sleeve Gastrectomy
- Roux-en-y Gastric Bypass
The surgeon will be the one to choose the appropriate surgery for obesity treatment.
Nursing Care after the Obesity Surgery
To care for obesity surgery patient is like a 24-hour job. Why? It is because there could be potential complications that may occur after the procedure. The nurse should learn the proper way of caring for them who undergone Bariatric Surgery.
Here are what the nurses will do in order to care for obesity surgery patient:
- They should have thorough and careful baseline assessment and tight surveillance.
- They should perform the pain management:
- They must improve the mobility of the patient.
- They should lessen the morbidities of the pulmonary.
- Inside the first 48 hours, the nurses should administer the Patient Controlled Analgesia or PCA in order to reach pain control.
- They should care for the wound:
- They should monitor the surgical site in case there are bleeding or hematoma developments.
- They should observe for signs of any kind of infection.
- Always keep the surgical site clean and dry.
- They should perform the intra-abdominal pressure in order to strain the incision lines.
- They should do the nausea and vomiting treatment.
- They should care for the skin:
- The patient could have a skin breakdown. The nurses should monitor the skin devices such as foley-catheter tubing and surgical-drain, and repositioned them every 2 hours when the patient is turned.
- They should keep the skin clean and dry.
- They should monitor the skin from infection.
- They should keep the skin from infection by placing absorbent gauze or fabric within the skin folds.
- In order to avoid clump and irritation, they should apply powder or talc.
- They should use fabric pad rather than plastic-lined underpads—the latter can create heat and perspiration.
These are only some of the most common nursing care being given to patients who had undergone obesity surgery. The major objective of these all is to make the patient comfortable as much as possible. There are various treatments for obesity and should be managed by an expert bariatric and laparoscopic surgeon of your choice. For more information and factual statement of a physician, you can visit www.drreda-ez.com.
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