Bariatrics

REASON FOR REFERRAL: Mr. Douglas Hamilton was referred by his physician at Baptist Bariatric Clinic, for a psychological evaluation as a prerequisite for surgery. TEST ADMINISTERED: Personal History Check List, Overeating Questionnaire, Symptom Checklist 90- Revised (SCL-90-R), Personality Assessment Inventory (PAI), Wechsler Abbreviated Scale of Intelligence (WASI), Verbal I.Q, Forer Sentence Completion, Beck Depression Inventory and Clinical Interview. BEHAVIOR OBSERVATION: Mr. Douglas…

supplementation, despite this she has very low ferritin levels and is anaemic. Background to mineral deficiencies post Roux-en-Y gastric bypass The prevalence of vitamin and mineral deficiencies including iron varies depending on the type of bariatric surgery that has been performed, with minimal deficiencies in those with a gastric band and more common deficiencies in those with gastric by pass1. Due to Mrs X having a Roux-en-Y gastric bypass this is what this…

Over the last couple of years, America has been able to develop immunity to many of the common diseases found in underdeveloped countries. Our technology and intellectual skills provide us an invisible shield against common strains of bacteria and viruses. However, there is an even worse pandemic that has plagued Americans for years and eluded our efforts for a cure. This disease is absent in underdeveloped countries. Its name is obesity, and it has taken America by storm. Despite rising obesity…

Gout is a form of inflammatory arthritis and tend to develop in people with high levels of uric acid in their blood. The arthritis affects more than 8 million Americans and is more likely in men than women due to hormones women have in their bodies (Diagnosis Gout). Uric acid is formed when the human body breaks down cells and food that is ingested, it builds up in the joints causing crystals (Diagnosis Gout). The crystals are needle like and cause sudden pain to the body, the infected are…

Finally, although VR and box trainer simulation models are mostly used nowadays as an established tool for training in basic surgical skills, there are promising studies showing the validity of VR simulators in more difficult surgeries such as Bariatrics operations.…

HOW TO PREVENT PRESSURE ULCER: Understand the skin, nutrition, wound care, the Braden scales, immobility, various types of wound and including the etiology of wound is very important as a professional. The right equipment should be in place for bariatric patients “The National Center for Health statistics reports that 30% of American adults are obese-over 6million Americans” Reposition of the patient per nursing protocols q2hours while in bed and q1hour while in the wheelchair. Physical…

of an ideal bariatric operation (3, 4). The OAGB is a short, simple and low-risk operation. It has been shown in short- and long-term studies that OAGB results in excellent weight loss, good resolution of co-morbidities and high levels of patient satisfaction (17-21). In addition to the above advantages, it also offers the advantage of the ease of revision or reversal of the OAGB (6, 7, 22). In fact, OAGB has the powerful potentials of both a restrictive and a malabsorptive bariatric procedure.…

The issue of childhood obesity is not a new one. According to public health specialists Marion Nestle and Michael F. Jacobson (2000), “Prevention of obesity by individuals and population groups has been a explicit goal of national public health policy since 1980” (p. 15). Due to the processed foods and fast foods that American parents are feeding their children, this problem is getting more out of control as time goes on. Although it would be nice to think that this issue goes away, it is…

The American Medical Association is taking responsibility out of a person’s hands, placing it in the hands of the US government after declaring obesity as a disease. The US has one of the highest obesity rates in the world, over one-third of Americans are considered obese (Tanner, 2013). Obesity cost on average more than $190 billion dollars per year in medical bills and expenses (Tanner, 2013). The American Medical Associations decision to cover the cost of obesity will end up costing…

The GERD-HRQL is a nine-item, Likert-type questionnaire that measures the severity of heartburn, heartburn lying down, heartburn standing up, heartburn after meals, change of diet, nocturnal heartburn, dysphagia, odynophagia, and effects of medications (Table I). The GERD- HRQL score is derived from simply adding the scores from each of the nine items. The best possible score is zero (i.e, asymptomatic in each item) and the worst possible score is 45 (incapacitated in each item).1 3.0…