?course, assessment id- 131108 18course ids 96150 1co Question Completion Status

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?course, assessment id- 131108 18course ids 96150 1co Question Completion Status Ms. Carron is a 24 year-old African-American female. She currently weighs 349 pounds and has a BMI of 40 Her weight concerns began in middie school, when Ms. Carron states that she had trouble "itting in" with other children To comfort herself, she turned to food Her weight gradually increased over the years, and became problematic in her early college years. She has tried multiple approaches to weight loss, with va she weighed 355 pounds, but she states that she cannot seem to lose any more weight. She has lost her has come to visit a bariatric clinic today to see if baniatric surgery is the right answer for her rying (yet minimal) amounts of success. Af her heaviest motivation, and What assessment questionis should the nurse ask to assess Ms Carron's psychosocial state? (5 Points) TT! Paragraph , Arial 3(12pt) , Path:p Words:o Click Save and Submit to save and subenit. Click Save All Anistoers to save all amswers Save All Answers Close window

Explanation / Answer

Answer for q1:

The nurse not only has to assess for physical conditions but also need to do a psychological assessment on the patient. The aim of the psychological testing is to obtain the patient's psychological adjustment and assess their preparation to the surgery.

The psychological assessment includes the patient's understanding of the surgery and the necessary lifestyle changes; expectations regarding the results; the ability to adhere to operatory recommendations; eating behavior (weight history, diet, exercise); psychiatric comorbidities (current and previous); reasons to undergo the surgical procedure; social support; substance use; socioeconomic status; conjugal satisfaction; cognitive functioning; self-esteem; history of trauma/abuse; quality of life and suicidal ideation.

Patient's behavior, presence of psychiatric symptoms, understanding of the surgical procedure, eating behavior, stress level, presence of a stable and supporting environment, expectations and reasons that lead to the surgery are some of the aspects usually investigated during the clinical interview.

The psychological interview contains seven major areas that are assessed:

1) weight, diet and nutritional history;

2) current eating behaviors;

3) medical history;

4) understanding of surgical procedures, risks and postoperative regime;

5) motivation and expectations regarding surgical results;

6) relationships and support system;

7) psychiatric functioning

The other questions are:

1) faking good/minimization/denial;

2) surgical motivation;

3) emotional eating;

4) anger;

5) binge eating;

6) obesity-related depression;

7) weight-related impairment;

8) weight-related social impairment;

9) knowledge of postsurgical eating behavior;

10) substance/alcohol abuse;

11) surgical anxiety.

Answer for q5:

Exercise and diet alone often fails to effectively treat people with extreme and excessive obesity. Bariatric surgery is an operation that is performed in order to help such individuals lose weight.

The basic principle of bariatric surgery is to restrict food intake and decrease the absorption of food in the stomach and intestines.

The digestion process begins in the mouth where food is chewed and mixed with saliva and other enzyme-containing secretions. The food then reaches the stomach where it is mixed with digestive juices and broken down so that nutrients and calories can be absorbed. Digestion then becomes faster as food moves into the duodenum (first part of the small intestine) where it is mixed with bile and pancreatic juice.

Bariatric surgery is designed to alter or interrupt this digestion process so that food is not broken down and absorbed in the usual way. A reduction in the amount of nutrients and calories absorbed enables patients to lose weight and decrease their risk for obesity-related health risks or disorders.

There are four types of operations that are offered:

Adjustable gastric banding (AGB)
Roux-en-Y gastric bypass (RYGB)
Biliopancreatic diversion with a duodenal switch (BPD-DS)
Vertical sleeve gastrectomy (VSG)

Gastric banding, gastric bypass (sometimes referred to as roux-en-Y gastric bypass) is a permanent reduction in the size of the stomach. Gastric bypass is the most common type of weight loss surgery. The proximal portion of the stomach is used to create an egg-sized pouch that is connected to the intestine in a location that bypasses about 2 feet of normal intestine. The amount of food that can be eaten is limited by the size of the pouch and the size of the opening between the pouch and the intestine.

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