Bariatric Surgery Manual Paper Example

Introduction

Sporting activities, especially specific types of exercises such as aerobics, are essential complements to bariatric surgery. Research shows that exercising is one of the most significant ways of losing weight, and thus, it is a core pillar of preparatory measures pertinent to bariatric surgery (Bretthauer, Schauer and Schirmer 285). Even though exercise is utterly beneficial, most individuals are resistant to it, and this is because it is a step-by-step process that demands much attention and focus. Below is a procedural approach to exercise preparatory mechanisms to bariatric surgery.

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Regular Exercise

Exercises and physical activities are essential in the processes of reducing weight, and in this perspective, regular exercise aims at facilitating weight loss which is the primary goal of bariatric surgery. Even though regular exercising and physical activity is an obvious recommendation for most patients, it is prudent to consider the patient's level of fitness as well as conditioning as they are factors influencing safe and appropriate exercises (Apple, Lock and Peebles 44). They type and intensity of the physical activities recommended for such patients are subject to influence by these factors. For instance, aspects of general health in which the patient's fitness, physical issues as well as problems stand out (Apple, Lock and Peebles 44). To this end, it becomes clear that there are exercises that no one would want to subject a patient preparing for bariatric surgery. Consider an example of a patient bound for bariatric surgery and has been subjected to intensive exercises such as heavy weightlifting. For instance, extremely obese patients, who hardly walk, and have difficulties walking short distance are required to undertake a slow, but a progressive approach to exercise requirements (Apple, Lock and Peebles 44). Much of the merits of regular exercising narrow down into an increase in flexibility, endurance enhancement as well as strength (Howard, Rockwood, and Woodhouse 688). In this dimension, there is no exception, and this means that whether young or old, any patient preparing for bariatric surgery should undergo these activities.

Intensity

The intensity of exercises for patients scheduled for bariatric surgery is a critical factor. Some of the patients could be new to exercise and physical activities, and as such, simple exercise such as rope jumping could be a problem (Apple, Lock and Peebles 44). In such cases, it is not ideal that the patient pushes himself or herself too hard since they could create discomfort as well as health complications to themselves in the process (Apple, Lock and Peebles 44). The discomfort may trigger pain that can discourage the patients, and possibly scare them away from such activities. Therefore, this makes compliance with physical activity and exercises a crucial point.

Training Program Table

Consider a scenario where there is a beginner and a patient who has evolved to the advanced level of training. It will be noted that the beginner can only train for nine minutes as he or she performs exercises such as pushups, planks, and leg raises in that order (Figure 1.0). The case is utterly different for an advanced level or intermediate patients, and this is because they can achieve three and twice the accomplishments of the beginner. In this manner, beginners should not be allowed to take on the exercises that are performed by patients at the advanced level, and likewise, patients at the advanced level of physical activity should not be allowed to slip back to either intermediate or beginner exercises.

Exercise Time Table

Naturally, such patients should begin with low intensive exercises, then moderate, and finally intensive exercises, depending on their abilities (Howard, Rockwood and Woodhouse 688). Again, the aspect of the duration of the exercises, as well as the frequencies, also matter (Howard, Rockwood and Woodhouse 688). To this end, watching out for the beginning and the progress is critical. Normally, starting exercises at high frequency and a long time may discourage the patient through pain and discomfort. In this perspective, a patient preparing for bariatric surgery should start of less intensive exercises, less frequent and for shorter hours. This enhances adherence and compliance with the demands and needs of preparation (Howard, Rockwood and Woodhouse 688). This trend prepares the body of the patient to allow more intensive, long and frequent exercises in the future, and thus, most patients undergoing these physical activities and exercises are seen to increase the number of exercise hours in weeks and months (Apple, Lock, and Peebles 45). A typical example is illustrated in the table above, and it is visible that patients preparing for bariatric surgery should transition from low to moderate exercises within five minutes (Figure 1.1). They should also watch out for their resistance to exercise as they take two-minute breaks at intervals of thirty seconds of exercise. The processes of exercises and adherence to the requirements is a function of regular schedules and exercising routines. To a larger extent, there is need to keep a log of activities performed by the patients for assessment, and especially, the beginners who are not yet well-conversant with various forms of exercises appropriate for patients preparing for bariatric surgery (Apple, Lock, and Peebles 45).

Even though these precautionary measures apply, the processes of exercises should intensify with time and span over long durations (Howard, Rockwood and Woodhouse 688). To this end, aerobics, strength exercise alongside stretching are the most appropriate forms that are recommended (Howard, Rockwood and Woodhouse 688). The fundamental point painted in this perspective is that patients preparing for bariatric surgery should indicate progress in their participation in physical activities. For instance, if they are taking a minute to perform either mountain climber or a given number of pushups at the beginner level, they should double and triple their performance as soon as they graduate to the intermediate and advanced level respective (Figure 1.0). The same case applies to the requirement suggesting that they should transition low to moderately intense exercises within a given period; 5 minutes in this case. In the process, they should also ensure a consistent increment in the speed of their exercising (Figure 1.1). Even though the high intensity of the exercises is crucial, caution must be taken to ensure that the patients do not overdo the exercises. The risk of overdoing the exercise is that it predisposes the patient to problems such as stiffness of the body, unbearable pain as well as musculoskeletal disorders, especially in the lower parts of the body (Apple, Lock, and Peebles 45).

Cool-Down and Warm Up Activities

Cooling down and warming up are bare necessities of every exercising activity, especially among patients preparing for bariatric exercises. This is because some of them may not be fit. However, the two activities are also important among athletes even though they exercise regularly. To this end, there are exercising activities that should be part of the routines put in place by the patient preparing for bariatric exercise alongside his or her medical support. In this part, stretching of the body, muscle relaxation and as well as breathing training are fundamental approaches to cooling down the body after the exercises or warming up before exercising (Apple, Lock, and Peebles 45).

Preoperative Exercises

Preoperative exercises are sets of exercises put in place for patients preparing for the bariatric operation. Typical examples of these exercises include aerobics, deep breathing and leg exercises (Lutfi, Palermo and Cadiere 338). Much of these exercises brace the body towards weight loss and prepares it for the events following the surgery. However, the most fundamental benefit they improve the post-operative results among patients by reducing straining of respiratory muscles. To this end, patients preparing for bariatric should embrace exercises that favor weight loss, and this aims at achieving the primary objective as well as preventing unnecessary injuries that may arise from the processes of undertaking exercise that do not serve the original purpose. For instance, stretching of the muscles, breathing training as well as relaxation of the body are ideal forms of exercises (Apple, Lock, and Peebles 45). As they pursue effective exercises, they should refrain from those that may elucidate pain to the body (Apple, Lock, and Peebles 45). The purpose of adopting effective exercises is to enhance comfort and reducing pain, and the converse of this means that the patient will quit the exercises, and further sustain injuries. Once the exercising process starts, it should not stop or pause. This is because of the implications such as physical pain and discomfort arising from it. Thus, patients should not give themselves breaks. Instead, patients preparing for bariatric surgery should challenge themselves to perform even better exercises with time.

Conclusion

In preparation for bariatric surgery, exercises become a fundamental pillar of the items on the to-do list. To a larger extent, exercises are inevitable even after the operation. However, exercises and physical activities regarding patients preparing for bariatric operation are quite different and unique, and this is because their primary objective is losing the excess weight. Some of these patients are too obese to exercise effective, and again, they are not active in physical activities. Therefore, this poses a significant challenge to the processes of preparing them for surgical procedures cutting away some of their body fats. Ideally, such patients should not be subjected to intensive exercises. Instead, they should be subjected to a gradual and progressive exercise until they are ready for the surgical procedure. For instance, obese patients should start with simple, less intense and short episodes of exercises. They should undertake the exercises while keeping a log of the activities they do. Eventual, they are expected to post a gradual improvement in their physical activities. For instance, the duration within which they undertake exercises such as squats, rope jumping or pushups. The same case applies to intensity, and with this, they should indicate consistency in the intensity of the exercises they do. However, it is also significant to watch out for appropriate exercises that favor the weight loss plan, but not those that elucidate pain to the body.

Works Cited

Apple, Robin F, James Lock, and Rebecka Peebles. Preparing for Weight Loss Surgery: Therapist Guide. Oxford: Oxford University Press, 2016. Print. Accessed from https://books.google.co.ke/books?id=WzBLASSrpuYC&pg=PA44&dq=preparation+for+bariatric+surgery+through+exercises&hl=en&sa=X&ved=0ahUKEwjO9LS2l5fhAhWMoBQKHem8DnwQ6AEILjAB#v=onepage&q=preparation%20for%20bariatric%20surgery%20through%20exercises&f=false

Brethauer, Stacy A, P R. Schauer, and Bruce D. Schirmer. Minimally Invasive Bariatric Surgery. New York: Springer, 2015. Accessed from https://books.google.co.ke/books?id=LaYSBwAAQBAJ&pg=PA285&dq=importance+of+exercises+while+preparing+patients+for+bariatric+surgery&hl=en&sa=X&ved=0ahUKEwjnrzvkpfhAhWNohQKHYgMAF8Q6AEIMjAC#v=onepage&q=importance%20of%20exercises%20while%20preparing%20patients%20for%20bariatric%20surgery&f=false

Fillit, Howard M, Kenneth Rockwood, and Kenneth Woodhouse. Brocklehurst's Textbook of Geriatric Medicine and Gerontology E-Book. Saunders, 2010. Accessed from https://books.google.co.ke/books?id=DPcUtY0kP7oC&pg=PA688&dq=intensity+of+exercises+preparing+patients+for+bariatric+surgery&hl=en&sa=X&ved=0ahUKEwj...