...for Bariatric Surgery Candidates 1 The Total Support System will provide comprehensive support through the patient’s process of choosing bariatric surgery as a choice for weight loss and a healthier lifestyle. The goal is successful support starting with the first consultation and following the patient through the process. To provide a comprehensive support program the four major components will include mental support, medical support, nutritional support and healthy life style assistance. Mental support will include personal, one on one counseling, group therapy with a psychologist and other members in the program. Nutritional support will begin with regular sessions, meeting with the nutritionist and registered dieticians. Health care or medical support will be provided by the patient’s Primary Care Physician, Bariatric Surgeon, nursing staff, surgical team and hospital staff after surgery. Office staff and local business will also lend a hand to support the patients in their community. 2 Physical activity and life style changes will be guided by Exercise Physiologists, personal trainers and community gyms. Obesity is the #1 health issue in our country today with so any Americans suffering from morbid obesity. There are multiple health risks associated with obesity that can improve with any of the surgical treatments offered where there is successful weight loss. Treating the obese patient and reducing the weight offers...
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...Shaleta Lathon PE 112-02 Saint Xavier University In Today’s society one in three American children are either overweight or obese, which is triple the rate it was in 1963 (American Heart Association, 2014). Childhood Obesity is not limited to the United States it is becoming more of a problem for every child all over the world. Childhood obesity is defined as having excess body fat, and being overweight means that having excess body weight from fat, muscle, bone water or a combination of these factors (CDC, 2013). A way to determine if a child is overweight is by using the body mass index chart. This chart can determine if a child is at an unhealthy weight, healthy weight, overweight, or obese (CDC, 2013). There are many health issues for those who are overweight or obese such as high blood pressure, high cholesterol, diabetes and more. There has been a lot of research conducted on childhood obesity from kindergarten to middle school, whether or not appetite is linked to obesity, and whether or not children should have bariatric surgery to remove the fat. Obesity is a major problem because it causes many health problems. Children that are overweight or obese are more likely to suffer from high blood pressure or high cholesterol (CDC, 2013). In a sample of obese children 70% hat at least one risk for cardiovascular disease (CDC, 2013). Children who suffer from obesity are also more likely to suffer from joint and bone problems (CDC, 2013). Being overweight or obese also leads...
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...much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for his or her height. Obesity occurs over time when you eat more calories than you burn off. The balance between calories-in and calories-out differs for each person. Factors that might affect your weight include your genetic makeup, environment, television, and not being physically active. Being obese increases your risk of diabetes, heart disease, stroke, arthritis, and some cancers. These diseases can be deadly and if something is not done, more people are going to become obese and later on possibly die. Obesity costs taxpayers millions of dollars every year and needs to be put to a stop. What is Obesity? Obesity is a term used to describe a person who weighs 20 percent more than their ideal weight. To determine that, doctors use what is called the BMI (body mass index) to measure a person’s height, gender, age, and build (MedicineNet.com, 2012). Obesity happens when someone regularly consumes more calories than what they burn. It is the point where the body is physically delayed and is in need for medical attention. Obesity is very common all over the world, but especially in the United States. One-third of all adults are obese in the United States (Centers for Disease Control and Prevention, 2015), but it is a medical condition that can be preventable...
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...Nurses Addressing the Obesity Epidemic Joanne Bertrand The Center for Allied Health Nursing Education Abstract The prevalence of obesity is increasing in the United States and globally. Obesity has been linked as a precursor to many diseases and conditions. It has been recognized as a risk factor to many chronic diseases and premature death. Children, especially ethnic minorities and low income populations are more at risk for obesity and its co-morbidities. Some contributors to obesity are physical and social environments that promote foods high in fat and calories. Coincidently, promote environments with little or no physical activities. Even with these environments that contribute to bad nutrition and sedentary lifestyles, society still view obesity is as a personal responsibility. Nurses addressing the obesity epidemic require a shift from the norm of blaming individuals for the lack of will power to control their eating and physical activity but toward a healthy environment as a primary determinant. This paper addresses the obesity crisis from individual, family, local community and public policy perspectives and the nurses’ role to promote change, advocate for policy initiatives, and help reverse the obesity epidemic. This paper also addresses the nurse’s role in anticipating obesity related issues, such as, skin, pulmonary, intravenous access, and mobility. Challenges are considered and interventions to address these issues are presented. Nurses Addressing...
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...Schools: The Solution To Obesity In the last thirty years the rate of overweight and obese adults has doubled and the rate for children has tripled. Today, more than one-third adult citizens, and seventeen percent of children are overweight (CDC). Unhealthy weight is caused by a lack of physical activity and an unbalanced diet. With the rise of technology and improved living standards in the United States, sedentary lifestyle has become a normal practice in today’s American citizens: using elevators and escalators instead of stairs, driving short distances instead of walking or biking, eating in fast food places, and spending most free time as a “couch potato.” Part of the blame is placed on the greedy food industry, which produces unhealthy products and give obscure information regarding what their products contain. However, the public still has the many options of healthy eating and physical activity available to them: many fast food places offer salads and exercise can be done in the comfort of one’s home. A lack of an active and healthy lifestyle will eventually cause obesity and it’s consequences: coronary heart disease, type 2 diabetes, hypertension, dyslipidemia, osteoarthritis, reproductive health complications, and stroke. Health implications that can be fatal. In fact, for the first time in two centuries, the expected life span of today’s current generation is shorter than the previous (Belluck NYT). The alarming rate of children and adults that are overweight and...
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...Management Of Malignant Hyperthermia, Perioperative Services 10929 Source: Clinical Surgery & Procedures I. PURPOSE: To provide guidelines of early recognition and warning signs for Malignant Hyperthermia (MH). Instructions for suggested standard treatment regimen per physician's orders. II. DEFINITIONS: Malignant Hyperthermia (MH) is a potentially lethal, severe hypermetabolic state triggered in genetically predisposed individuals when exposed to certain inhalation agents and depolarizing muscle relaxants. Early recognition of warning signs: A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. III. Increase in end-tidal carbon dioxide Muscle rigidity, including masseter spasm (the masseter muscle raises and lowers the jaw) Tachycardia or arrhythmias Fever; rapid rise in temp., sustained rise (to as high as 108 F, 42.2 C or more) Tachyphena (spontaneous hyperventilation) Unstable blood pressure Dark blood in surgical field despite adequate inspired oxygen Cyanotic mottling of skin Profuse sweating Discolored urine Central venous desaturation Central venous and arterial hypercarbia Metabolic acidosis Respiratory acidosis Hyperkalemia Myoglobinuria/Myoglobulinemia Elevated CPK (late) Applies to Facilities: Official (Rev: 7) Applies to Departments: STANDARDS OF PRACTICE: A. B. Performed by: IV. STEPS OF PROCEDURE: A. B. Equipment: Contents of the Malignant Hyperthermia Cart are monitored through the use of the break-away lock system. All locks have a serial number which...
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...Trident University Data analysis is a procedure of inspecting, cleaning, transforming, and modelling data with the goal of highlighting useful information, suggesting conclusions, and supporting decision making. There are multiple facts and approaches, encompassing diverse techniques under a variety of names, in different business, science, and social science domains in data analysis. For data analysis we have to mine the data first for our purpose such that the data we can handle easily. Basically for data analysis our first thing to do our planning, how we are going to collect the data, our going data going to make sense or not, actually data will be meaningful for our object, after planning all this we have to target which population we are going to take, how we are going to frame them first and from that population we have to take samples for our purpose. Target population: The complete collection of objects whose description is the major goal of the study. Designating the target population is a crucial but often difficult part of the first step in an observational or experimental study. For example, in a survey to decide if a new storm-water drainage tax should be implemented, should the target population be all persons over the age of 18 in the county, all registered voters, or all persons paying property taxes? The selection of the target population may have a profound effect on the results of the study. We are going...
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...“Obesity is a disease that affects 34 percent of adults age 20 and over in the United States, which amounts to more than 72 million people. About 32.2 percent of American men and about 35.5 percent of American women are obese.” Gaining weight drastically is a good sign of obesity. For a person to be considered obese his or her body mass index has to be over 30 or weight is 20 percent or more above normal weight. Researched by the Control Disease Center (2010) mentioned that one-third of U.S adults are obese as of 2010 and rates remain high; “Obesity is common, serious, and costly. In 2009, about 2.4 million more adults were obese than in 2007. This epidemic has affected every part of the United States. In every state, more than 15% of adults are obese, and in nine states, over 30% of adults are obese.” There are many dangers to being obese because it may influence your risk of developing high blood pressure, heart disease, stroke, type 2 diabetes, gallbladder disease, age-related macular degeneration and breast cancer, and other types of cancer such as; prostate and colon cancer. Obesity is very common amongst Americans and has been for some decades now, but why the sudden increase? I have personally experience this condition of gaining weight due to lack of exercise, overeating, and Depo-Provera. Many say obesity comes from genetics. Have you ever heard someone say, well look at his mother or father? I have to disagree with that because there are many American children who...
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...become a vast dilemma in our nation. Adults, children, even animals are suffering from obesity. It has come to be all too normal. The media has latched onto the dangers of this disease, while various diets and weight programs have been released to the public. It is very difficult to understand why America ignores the warnings of countless TV shows, the government, and news. Even the event of a family member’s death doesn’t seem to wake our nation up. The American Society for Metabolic & Bariatric Surgery shows that Obesity and overweight issues cost the U. S 117 million dollars in healthcare annually(McCue, 2010). Tobacco is currently the lead cause of preventable death, a statistic that obesity could soon obtain (Lemonick, 2004). Excess weight takes a horrible toll on the body. Various health problems such as heart disease, stroke, diabetes, and more come from obesity. Michael Limerick’s (2004) “How We Grew So Big,” places the blame on technology stating “We humans have utterly transformed our environment; over the past century especially, technology has almost completely removed physical exercise from the day-to-day lives of most Americans” (p.1). While some may argue that technology has created weight loss supplements, new machines, and surgeries to help keep off the weight; fast food restaurants, and high calorie foods are growing at an alarming rate. The consensus across the nation seems to be that Americans are not active enough. The soaring amounts of calories...
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...obesity is one of the important issues in our country because of the shocking increase that this disease has reached in the past few years. It causes when a child is well above the normal weight for his or her age and height. The rise of obesity rates must be prevented and the massive issue must have a solution. There are so many ways to help which includes educating at young ages, improving nutrition facts at restaurants, and providing more tools on improving diet and involvement of physical activities with the entire family. It may seem like childhood obesity is not a serious problem, however it is a medical condition that can have major effects on a child. Although genetics play a role in determining a child’s weight, it is usually due to a child’s lifestyle like the amount of exercise and how much and what kinds of food he or she intake. Doctors are concerned with the issue, as we all should be, and they are creating new programs that geared toward helping children learn how to follow a healthier lifestyle. Obesity is defined as abnormal or excessive fat accumulation that may harm health and childhood obesity is a medical condition that affects children and teenagers. Obesity is determined by an individual’s body mass index or BMI using a formula that includes his or her height and weight. For adult, it is considered obese if the BMI value is 30 or more. This formula is not applicable for children and teens. BMI’s...
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...countries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. People have been traveling across the continents in search of cures for any imaginable illnesses and making therapeutic trips for health wellness. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios at Epidaurus, and from the 18th century wealthy Europeans have been traveling to spas from Germany to the Nile. In recent years, medical tourism is becoming more popular with patients seeking treatment for health and well-being purposes abroad. Medical Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation The qualifications of the doctors are important but as U.S. board certification requires specialist training...
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...occurs thru ingestion and usually, it was unintentional. Acute toxicity is the single exposure or multiple exposures for short periods to the substance causing the injury. Symptoms may be rapid and are in close relation to the toxic agent. On the other hand, chronic toxicity are caused by repeated or multiple exposure for longer periods to the poison. Signs and symptoms of chronic toxicity may appear even after several years upon the initial exposure. ADULT TOP TEN TOXICITIES 1. CAUSTICS Caustics are strong acids and alkali that when ingested can cause tissue injury by chemical reaction. They damage the tissues by accepting a proton (alkaline substance) or donating an proton (acidic substance) in an aqueous solution. In aqueous solutions, the hydrogen ion (H+) produces the principle toxic effects for the majority of acids, whereas the hydroxide ion (OH-) produces such effects for alkaline substances. Hydrochloric acids, sodium hypochlorite and sodium hydroxide are just a few of the more common substances that cause the injury due to...
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...Metabical After spending millions of dollars for ten years in research and development, Metabical was finally able to receive FDA approval, making it the first and only drug to receive FDA approval to meet the needs of customers who have been trying to lose weight. Like with any other new product, numerous issues need to be considered before Metabical is actually introduced in the market. Decisions about pricing, packaging and demand forecast of the product are key to the success of Metabical. Barbara Printup, senior director of marketing for CSP, needs to analyze the market critically in order to decide the pricing and packaging strategy and forecast the demand for the product before it is launched. The demand forecast and the pricing and packaging strategies all plays a significant role in determining the long-term success of Metabical because the drug market is intensely competitive and only those products which are marketed with innovative strategies can survive in the market. Packaging decision is the first thing that needs to be taken care of. Since FDA trials showed that most of the people were able to achieve their weight loss goals by week twelve, the drug would be approved as a twelve- week treatment plan. The major issue that Printup needs to consider is the number of pills that would be included in each pack. Packing the entire twelve- week supply in one package does sound like a good plan but CSP should not forget that packaging plan directly ties in with the...
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...The Ethical and Legal Complexity of Medical Tourism: Questions of International Justice, Economic Redistribution and Health Care Reform Professor Sarah McBride Toro Longe April 18, 2010 M.J. Thesis in Health Law Abstract This is an essay on medical tourism in the United States of America (U.S.). It includes a brief history of the U.S. health care system, examines the social, cultural, ethical, and legal issues that have affected health care changes in America. With the number of Americans going overseas to seek medical care steadily rising, the American insurance industry expanding benefits, and the Joint Commission accrediting facilities for globalization of the health care marketplace, medical tourism should become increasingly important in the health care industry. While there are many reasons for patients seeking health care outside of their own country, one that is particularly easy to overlook is the outsourcing of health care and its effect in U.S. and around the world. The purpose of this paper is to examine the concept of medical tourism, noting the specific medical tourism destinations, presenting reasons for the recent increase in medical tourism, and examining the risks and benefits, as well as wrestling with the challenging ethical and legal issues inherent in medical tourism. The paper will conclude with consideration of the role of the law in medical tourism. Introduction Over the past 100 years, the United States of America (U.S.) has changed greatly...
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...Focus 18 Category 6: Process Management 23 Category 7: Results 7.1: Best Quality (Healthcare Outcomes) 27 7.2: Best Customer Service (Customer Focused Outcomes) 32 7.3: Best Financial Performance & Growth (Financial & Market Outcomes) 35 7.4: Best People and Workplace (Workforce Focused Outcomes) 38 7.5: Best 5 Bs (Process Effectiveness Outcomes) 41 7.6: Best 5 Bs (Leadership Outcomes) 45 GLOSSARY OF TERMS AND ABBREVIATIONS APP: Annual Planning Process 5Bs: AtlantiCare’s five “Bests” or performance excellence commitments – Best People and Workplace, Best Quality, Best Customer Service, Best Financial Performance, Best Growth ARMC : AtlantiCare Regional Medical Center ASC: Ambulatory Surgery Center ASPP: Annual Strategic Planning Process A AAAHC: Accreditation Association for Ambulatory Health Care AAI: AtlantiCare Administrators Incorporated AAP: Annual Action Plan B BFP: Best Financial Performance Big Dots: The system-level measurements or targets for each of the 5 Bs (performance excellence commitments). Business units (and their departments) have measurable action plans and goals that align with/support the Big Dots. ABCs: AtlantiCare’s Best Customer Service Standards– AtlantiCare’s customer service training program. BMI: Body Mass Index ABH: AtlantiCare Behavioral Health BOT: Board of Trustees ACS: American College of Surgeons BP: Blood Pressure ACR: American College of Radiology...
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