Fleshiness affects more than tierce of U. S. grownups ( Centers for Disease Control and Prevention ) . Obesity is defined by World Health Organization as an person that has a BMI greater than 30. Obesity entirely can impede a person’s day-to-day life life style. However along with fleshiness come several co-morbidities that can impact a person’s wellness and life style in a negative manner. Obesity related conditions include bosom disease. shot. type two diabetes. high blood pressure. sleep apnea. and asthma. One alternate solution for corpulent patients’ to better their quality of life is bariatric surgery. Bariatric surgery is the lone weight loss method proven to accomplish lasting. long term consequences ( Kaser & A ; Kukla. . 2009. p. 3 ) .

Bariatric surgery works on two principals: limitation and malabsorption ( Kaser & A ; Kukla. 2009 p. 3 ) . Per Kaser & A ; Kukla on page 3 of the Online Journal of Issues in Nursing there are 3 types of bariatric surgery available ; One is the least invasive. uses an adjustable stomachic set to set the size of the tummy and is reversible. The 2nd one uses a arm that reduces the tummy and besides eliminates some of the ghrelin endocrine that is used to excite appetency. The last process divides the tummy to make 15-30 milliliters pouch and is connected straight to the little bowel. This process is the most common weight lost surgery performed in the US and makes up 80 % of all bariatric processs ( Kaser & A ; Kukla. 2009 p. 3 ) . This paper will discourse the nurse’s function during the pre-op. intra-op. and post-op stages of bariatric surgery. including some of the complications that may originate. proper nursing intercessions. and relevant nursing diagnosings with every stage of the patient’s process. Nurses play a big function in caring for patients who have bariatric surgery.

The nurses’ function starts in the rating stage during office visits and all the manner through to post-operative attention including follow up visits. During the preoperative stage the nurse works with the wellness attention squad of “…surgeons. dieticians. psychologist. bariatricians…during patient rating to assist reenforce cardinal points for successful surgical weight loss…” ( Kaser & A ; Kukla. 2009. p. 2 ) and supply ongoing instruction sing the patient’s current diet and future diet. activity. and the available surgical process options. The nurse ensures that the surgery is appropriate by guaranting the individual has “… . a BMI & gt ; 40 or BMI & gt ; 35 along with comorbid conditions. such as cardiovascular disease. sleep apnea. uncontrolled type two diabetes. and/or physical jobs interfering with public presentation of day-to-day activities” ( Kaser & A ; Kukla. 2009. p. 2 ) .

In the corpulent patient. “minimizing hazard factors is straight connected with patients’ appraisal in the preoperative period. Important physiopathologic alterations occur in the cardiovascular. respiratory and GI systems” ( Tanaka. D. . & A ; Peniche. A. 2009 p. 619 ) . Nursing diagnosings that should be considered for preoperative bariatric surgery would be knowledge shortage. anxiousness. nutritionary instability ( more than the organic structure demands ) . hazard for impaired skin unity. and uneffective external respiration form related to morbid fleshiness and/or comorbidities ( Drake. McAuliffe. 2012 p. 6 ) . “The key to an effectual and safe bariatric patient managing plan is to be prepared prior to the admission” ( Muir & A ; Archer-Heese. 2009. pg. 2 ) . “Studies have demonstrated that over 50 % of bariatric-surgery patients have a coincident diagnosing of anxiousness. depression. or a psychological disorder” ( Kaser & A ; Kukla. 2009. p. 6 ) .

“Ensure the patient understands the lifestyle alterations that are required for a safe. successful. postoperative class including a womb-to-tomb committedness to revised feeding forms. vitamin supplementation. and regular monitoring by their health care provider” ( Kaser & A ; Kukla. 2009. p. 2 ) . The nurse can supply attention during the intraoperative stage by doing certain the operating room is sufficient in size. the equipment can suit corpulent patient size by holding stretchers with a 1. 000 lb capacity and excess breadth. bariatric bed with expandible deck with power assisted for traveling. and a constitutional graduated table ( Muir & A ; Kukla 2009 p. 4 ) . Some of the most often practiced nursing diagnosings for the patient during bariatric surgery would be hazard for uneffective air passage. and hazard for hypothermia. Bariatric surgery patients are particularly susceptible to an uneffective air passage during surgery because these patients “…tend to hold decreased lung enlargement due to an elevated stop every bit good as less compliant lungs and chest walls…layers of fat on the chest wall and venters along with an elevated stop increase the work of breathing” ( Drake. D. J. . & A ; Lopez. C. C. . 2005. p. 5 ) . It is the nurse’s occupation to closely supervise the patient’s work of take a breathing during surgery to guarantee no complications arise.

Along with the post-op stage of bariatric surgery come an array of nursing intercessions and much needed instruction for the patient. While the patient is to the full cognizant of the lifestyle alterations they must do before surgery is even performed. it now comes to a point where they must move on those alterations with full assurance and doggedness if the process is to be a life-long success. Some common nursing diagnosings for post-op bariatric surgery include hazard for nutritionary instability ( less than organic structure demands ) . hazard for infection. hazard for unstable blood glucose degree. hazard for impaired tissue unity. chiefly the tissue run alonging the tummy. and preparedness for enhanced self-health direction. Diet must be wholly altered following surgery. Bariatric surgery patients are given a “strict diet post-operatively that regulates the consistence. volume. nutritionary and chemical make-up of foods…nurses must understand diet recommendations for the immediate postoperative period and help the patient in understanding the importance of adherence” ( Drake. D. J. . & A ; Lopez. C. C. . 2005. p. 6 ) .

Diet conformity is of great importance. but there are other really of import intercessions to take into history after bariatric surgery. Three of import facets of nursing attention include hurting direction. lesion and tegument attention. and venous thromboembolism prophylaxis. “Pulmonary intercalation is the 2nd most common cause of mortality in bariatric-surgery patients” ( Kaser & A ; Kukla. 2009. p. 4 ) . DVT’s and VTE’s can be easy avoided when the proper nursing intercessions are practiced. “…turning. coughing. and deep external respiration ( incentive spirometry ) are the tested and true nursing intercessions for pneumonic attention in the postoperative surgical patient” ( Kaser & A ; Kukla. 2009. p. 5 ) . As with lesion attention. patients should be careful with coughing or possible sickness taking to purging due to opportunities of dehiscence of the surgical scratch sites.

Proper nursing attention for lesions should be practiced. including “observing for marks of infection. and maintaining the dressings clean and dry…treatment of sickness and bar of purging are of import during the postoperative phase” ( Kaser & A ; Kukla. 2009. p. 4 ) . In decision the nurses’ function goes beyond supplying direct nursing attention in the preoperative. intraoperative. and postoperative stages. For nurses’ to be successful in caring for bariatric patients they need to look at their ain personal attitudes and prejudices. Make certain they are handling the person. non doing premise on the person’s character. intelligence. or wellness position based off their weight. be respectful and do non fault. Nurses need to handle the psychosocial facet of the specific demands of the bariatric patient by giving them appropriate feedback and promote healthful behaviours. All of these will do for a successful result for the patient. Bariatric surgery is a wellness promoting and vital intercession ( Drake. D. J. . & A ; Lopez. C. C. . 2005. p. 7 ) .

Mentions
Centers for Disease Control and Prevention. Overweight and Obesity ; Retrieved from: hypertext transfer protocol: //www. Center for Disease Control and Prevention. gov/obesity/data/adult. html Drake. D. J. . & A ; Lopez. C. C. ( 2005 ) . Postoperative nursing attention of patients after bariatric surgery. Positions. 6. 1-5. Grindel. M. . & A ; Grindel. C. ( 2006 ) . Nursing attention of the individual holding bariatric surgery. MEDSURG Nursing. 15 ( 3 ) . 129-146. Kaser. N. . Kukla. A. . ( January 31. 2009 ) . “Weight-Loss Surgery” . OJIN: The Online Journal of Issues in Nursing Vol. 14. No. 1. Manuscript 4. Retrieved from: hypertext transfer protocol: //nursingworld. org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No1Jan09/Weight-Loss-Surgery. hypertext markup language Tanaka. D. . & A ; Peniche. A. ( 2009 ) . Perioperative attention for morbid corpulent patient undergoing bariatric surgery: challenges for nurses [ Lusitanian ] . Acta Paulista De Enfermagem. 22 ( 5 ) . 618-623.