Introruction
Obesity among the adolescents in the contemporary healthcare setting have turned out to be one of the prominent issues. The number of individuals suffering from obesity in United States have reached an alarming number. Consequently, an increasing number of the individuals are being surgically treated in order to lose excessive weight. Furthermore, it is highly imperative for the nurses to precisely evaluate the needs and dynamics patients undergoing weightless surgery to present adequate as well as safe nursing interventions at the time of perioperative sequence of care.
Obesity if not treated can lead to several health issues and even deaths. Nearly 65, percent of the people in United States are obese. Hence, it is a major health issue in the country that needs to be address on immediate basis to avoid further health issues and mortalities. To this end, the nurses ought to identify the issues faced by obese individuals. This is important particularly because the perioperative nurses act as the primary members of the multidisciplinary team involved in perioperative as well as post-operative treatments of overweight patients. The paper examines whether the overweight teenager undergoing weight loss surgery receive better care prior and after the operation when the nurse is the chief member of the healthcare team. The ultimate goal of this paper is to analyze the crucial goals of nurses in presenting perioperative as well as postoperative nursing care to the patients undergoing bariatric surgery.
PICOT QUESTION
Do the overweight teenager undergoing weight loss surgery receive better perioperative and postoperative care when the nurse is the chief member of the healthcare team.
Literature Search
Article 1 - (Qualitative Research)
Barreca, M., Renzi, C., Tankel, J., Shalhoub, J., & Sengupta, N. (2016). Is there a role for enhanced recovery after laparoscopic bariatric surgery? Preliminary results from a specialist obesity treatment center. Surgery for Obesity and Related Diseases, 12(1), 119-126. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25892343
The research conducted by Barreca et al. in 2016 sought to assess the impact that rehabilitation after laparoscopic bariatric surgery has on the improvement. Authors also said that nurses also greatly decreased the rate of readmission of patients via the peri-operative and post-operative gastric bypass. The researchers deduced that the nurses as the primary members augment the recovery days of patients and at the same time boosts their satisfaction levels.
Article 2 - (Qualitative Research)
Cooley, M. (2017). Preventing Long-term Poor Outcomes in the Bariatric Patient Postoperatively. Dimensions of Critical Care Nursing, 36(1), 30-35. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/27902660
Research carried out by Cooley, (2017) included a systematic review that aimed to analyze the critical role of the nurses in the postoperative gastric bypass. The findings of the study noted that the participation of the Nurses is crucial for managing the acute pain.
Article 3 - (Quantitative Research)
Dogan, K., Kraaij, L., Aarts, E. O., Koehestanie, P., Hammink, E., van Laarhoven, C. J., ... & Berends, F. J. (2015). Fast-track bariatric surgery improves perioperative care and logistics compared to conventional care. Obesity surgery, 25(1), 28-35. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24993524
The authors performed a randomized controlled research comprising of two groups. The findings of the research noted that involvement of the nurses before and after the bariatric surgery minimize the hospitalization time (Dogan et al., 2015).
Article 4 - (Quantitative Research)
Johnston, M. J., Davis, R. E., Arora, S., King, D., Reissis, Y., & Darzi, A. (2015). Raising the alarm: A cross-sectional study exploring the factors affecting patients’ willingness to escalate care on surgical wards. World journal of surgery, 39(9), 2207-2213.Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26013208
The authors analyzed the factors that influence the willingness of the patients to receive care in the operation wards. The findings of the research pointed out that patients undergoing a gastric bypass are keener to attain the support of the nurses in contrast to the doctors (Johnston et al., 2015). They are willing to receive both perioperative as well as postoperative care from the nurses.
Article 5 - (Quantitative Research)
Shah, M. M., Hunter, B. W., Sweeney, J. F., Lin, E., Perez, S. D., Parker, C., & Davis Jr, S. S. (2017). Operating Room Efficiency in Bariatric Surgery: The Effect of Team Member Experience on Operative Times in Laparoscopic Roux-en-Y Gastric Bypass. Bariatric Surgical Practice and Patient Care, 12(3), 100-106. Retrieved from https://doi.org/10.1089/bari.2017.0010
Research carried out by Shah et al. in the year 2017 intended to examine the role of the hospital settings in Bariatric surgery. Total operation time as well as surgical times are minimized in scenarios where the nurses are involved in both perioperative and postoperative care. The outcomes of this particular research further highlighted that active participation of the nurses as the primary care providers assists in reinforcing the confidence of the patients following the surgery. The implementation multidisciplinary approach in the health care setting augments the effective dissemination of the information that eventually enhance the delivery of the healthcare.
Article 6 - (Qualitative Research)
Van der Beek, E. S., Monpellier, V. M., Eland, I., Tromp, E., & Van Ramshorst, B. (2015). Nutritional deficiencies in gastric bypass patients; incidence, time of occurrence and implications for post-operative surveillance. Obesity surgery, 25(5), 818-823.Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25330868
Researchers performed meta-analysis consisting of 427 gastric bypass patients. Full consideration ought to be given to nutritional deficiencies that might prevail among the patients undergoing weight loss surgery. Nurses should take the role of the primary participant in both perioperative as well as postoperative care (Van der Beek et al., 2015).
References
Barreca, M., Renzi, C., Tankel, J., Shalhoub, J., & Sengupta, N. (2016). Is there a role for enhanced recovery after laparoscopic bariatric surgery? Preliminary results from a specialist obesity treatment center. Surgery for Obesity and Related Diseases, 12(1), 119-126. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25892343
Cooley, M. (2017). Preventing Long-term Poor Outcomes in the Bariatric Patient Postoperatively. Dimensions of Critical Care Nursing, 36(1), 30-35. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/27902660
Dogan, K., Kraaij, L., Aarts, E. O., Koehestanie, P., Hammink, E., van Laarhoven, C. J., ... & Berends, F. J. (2015). Fast-track bariatric surgery improves perioperative care and logistics compared to conventional care. Obesity surgery, 25(1), 28-35. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24993524
Johnston, M. J., Davis, R. E., Arora, S., King, D., Reissis, Y., & Darzi, A. (2015). Raising the alarm: A cross-sectional study exploring the factors affecting patients’ willingness to escalate care on surgical wards. World journal of surgery, 39(9), 2207-2213. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26013208
Shah, M. M., Hunter, B. W., Sweeney, J. F., Lin, E., Perez, S. D., Parker, C., & Davis Jr, S. S. (2017). Operating Room Efficiency in Bariatric Surgery: The Effect of Team Member Experience on Operative Times in Laparoscopic Roux-en-Y Gastric Bypass. Bariatric Surgical Practice and Patient Care, 12(3), 100-106.Retrieved from https://doi.org/10.1089/bari.2017.0010
Van der Beek, E. S., Monpellier, V. M., Eland, I., Tromp, E., & van Ramshorst, B. (2015). Nutritional deficiencies in gastric bypass patients; incidence, time of occurrence and implications for post-operative surveillance. Obesity surgery, 25(5), 818-823.Retrieved from, https://www.ncbi.nlm.nih.gov/pubmed/25330868
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