...literature reviews, qualitative research, and the results that have been construed from that data will be presented. It discusses the concept of the effects of bariatric surgery and answers the question - do people who have the surgery have better health outcomes, specifically with hypertension and type II diabetes mellitus, than those who do not? A summary of research reveals that there is a significant reduction and/or total remission of both of these co-morbidities that were often life long. Other benefits, such as quality of life, social standings, and healthcare cost reduction are examined and positively reported. Review of current data to include strengths and weaknesses, conceptual frameworks, and the current state of knowledge reveal that bariatric procedures have shown the efficacy and safety in the treatment of morbid obesity and have gained wider acceptance in the medical world. Synthesis of Bariatric Surgery and the Effects on Comorbidities For years people have turned to diets in an effort to lose weight and get healthier. At no time has that been more the case than in America today. People spend billions of dollars a year trying to lose weight and the numbers are not encouraging. The prevalence in obesity with related Type II Diabetes and Hypertension is growing at an alarming rate, calling for other alternatives such as crash diets and extreme exercise plans. People have now turned to a new method to lose weight. Bariatric surgery, in all...
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...IDENTIFY A HEALTH BEHAVIOR OR DISEASE THAT HAS A SIGNIFICANT IMPACT UPON A HEALTHY LIFESTYLE. The developed world has witnessed a growing trend in contemporary health issues. Society has been subjected to an unprecedented increase in availability and choice, these factors influencing both temptation and convenience within the modern lifestyle. It is recognized that the contributory factors to a person’s health are not confined solely to the body’s biological state, ‘health is seen to be a state valued not in nature, but in society’ (Murcott, 1979). Globally a steady increase in the amount of seriously overweight and obese adults and children has been observed, ‘There are now about one billion people worldwide who are overweight or obese’ (Ford Runge, 2007). Obesity is a major health concern and in danger of reaching epidemic proportions. Overweight and obese individuals risk the distinct possibility of a diminished quality of life and the consequence of developing serious illness and society in general is burdened with the financial implications of treatment. This essay will identify why obesity is a major health issue and examine its causes and associated behaviors. Overweight and obesity are terms that refer to an excess of body fat, the findings of a study conducted by the National Audit Office (2001) states that ‘Obesity is a condition in which weight gain has reached the point of seriously endangering health’. This opinion was reinforced in a report published by...
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...Diabetes and the Older Adult Christine McDermott Metro State University of Denver DIABETES AND THE OLDER ADULT General description of the Gerontological care issue The ageing population is unusually increasing in the history of humanity. With increase in number of the older persons, there is a decline in that of the younger people and it is estimated that by 2050 the percentage of the older persons would have increase by 10% from the current 15% (Cisneros & Hickie, 2012). These changes come with major challenges not only to the health sector, but also to the pension and welfare system in both the first and second world countries. Diabetes mostly among the old people is continuously being diagnosed in an epidemic magnitude. It is estimated to affect 592 million people in 2035 compared to 382 million people in 2013 (Guariguata et. al 2012). Type 2 diabetes is mainly more prevalent in the ageing population compared to type one diabetes, which affects mostly the going thus creating burden to the society as the sick mostly depend on the society. China is the leading country with the largest number of people with diabetes, followed by India, the United States, brazil and Mexico in the fifth position. These statistics bring about a considerable concern for the national healthcare system which come with various challenges in provision of focused diabetes management to the ageing population. This problem becomes complex by the different modalities of managing diabetic patients in...
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...performed a systematic search of English-language literature on WLS and mental health, quality of life, and behavior modification published between April 2004 and May 2007 in MEDLINE and the Cochrane Library. Key words were used to narrow the search for a selective review of abstracts, retrieval of full articles, and grading of evidence according to systems used in established evidence-based models. Our literature search identified 17 articles of interest; 13 of the most relevant were reviewed in detail. From these, we developed evidence-based best practice recommendations on the psychological assessment and treatment of WLS patients. Regular updates of evidence-based recommendations for best practices in psychological care are required to address the impact of mental health on short- and long-term outcomes after WLS. Key factors in patient safety include comprehensive preoperative evaluation, use of appropriate and reliable evaluation instruments, and the development of short- and long-term treatment plans. Obesity (2009) 17, 880–884. doi:10.1038/oby.2008.571 Introduction Evidence-based best practice guidelines for psychological assessment and care in weight loss surgery (WLS) have been previously described (1). Earlier recommendations focused on patient selection/screening, preoperative evaluation, the relationship between binge eating and outcome, the role of the mental health practitioner in the WLS team, and postoperative support. This report covers key...
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...Obesity Institution Date Analyze with substantial details the pathophysiology of Obesity Obesity is a condition whereby there is excess Accumulation of body fat. Obesity is medically defined in terms of body mass index (BMI). The BMI is the arithmetical way of coming up with the correct weight range as far as the height of an individual is concerned. Obesity is indicated when a body mass index exceeds 30kg/m2. When BMI increases it is further classified as severe, super obesity and morbid. (Campos, P. F. 2004). Obesity is a lifestyle disease which is spreading swiftly universally. Every Individuals of all age, gender and ethnicity are affected by this disease. Women are affected more than the men. The tendency to gain weight increases with the growing age. However, in the recent years alarming trend of childhood obesity has been noticed. Obesity renders an individual vulnerable to various other diseases like, coronary artery disease, type 2 diabetes, hypertension, sleep apnoea etc. The main cause for Obesity is when the intake of the calories exceed the dissipated calories. In simple terms, when one tends to eat more than his body requirement the extra fat start depositing in the body tissues giving rise to obesity. Junk food is the main cause. Children enjoy unhealthy food items and hence are getting more affected by the rising incidences of obesity. The lack of physical activity is the other common cause for obesity. For proper digestion of the consumed food, physical...
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...Social Analysis Report Children Obesity Mengtong Huang Holly Lachapelle Jung Ohyeon Professor Fidaa Shehada Global Citizenship (GNED500204) Due date: December 3, 2015 Introduction of children abesity and connected with GNED 500(by Holly Lachapelle) The topic of our social analysis is child obesity. As far as we know, childhood obesity is becoming a growing epidemic in the modern world. According to Centres for Disease Control and Prevention, “The percentage of children aged 6–11 years in the United States who were obese increased from 7% in 1980 to nearly 18% in 2012. Similarly, the percentage of adolescents aged 12–19 years who were obese increased from 5% to nearly 21% over the same period.” (Ogden,2012) These numbers are concerning because childhood obesity leads to long term health risks including diabetes, heart disease and many cancers. As our society becomes increasingly technologically driven, our youth are becoming less and less physically active. Today’s children are more likely to send a friend a text rather than run over to their house and “call on them”. Modern conveniences and entertainment such as videogames, television, the internet, facebook and kid-friendly fast food joints play a major role in the growing rate of childhood obesity. Currently there are many efforts being made to slow down or reverse the negative effects of living in modern day society for our children. Some of these attempts include increased awareness about nutrition and...
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...08/10/2014 HEALTH PROMOTION The Effects of Socioeconomic Influences of Health LO1 ICON COLLEGE (LO1) = TASK 1 1 • The notes contained in this PowerPoint presentation will cover LO1 (1.1;1.2;1.3) • Please print notes prior to attending lectures ICON COLLEGE (LO1) = TASK 1 2 1 08/10/2014 Learning Outcomes (LO) On successful completion of this lecture a learner will: LO1: Understand the socio-economic influences on health 1.1 explain the effects of socio-economic influences on health. 1.2 assess the relevance of government sources in reporting on inequalities in health. 1.3 discuss reasons for barriers to accessing healthcare. ICON COLLEGE (LO1) = TASK 1 3 Unit Content (LO1) Influences: social e.g. disposable income, unemployment, lifestyle choices, environment, access to healthcare facilities, access to information, citizenship status, discrimination. Sources of information: reports and enquiries e.g. Black Report DHSS 1980, Acheson Report ‘Independent Inquiry in ‘Inequalities in Health’ 1998, Health and Lifestyle Surveys (HALS), Health Survey for England (HSFE), census data ICON COLLEGE (LO1) = TASK 1 4 2 08/10/2014 Definitions (Class participation Review) • What is health promotion? • What is public health? • What do we mean by determinant of health? • What do we mean by environmental factors? ICON COLLEGE (LO1) = TASK 1 5 The main determinants of health Dahlgren and Whitehead's model, 1992 Figure 1: adapted from...
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...Falls in the Elderly Dana Painter 000339195 WGU Falls in the Elderly A. 1. Kings Mountain, North Carolina is located in Cleveland County, the Piedmont region of North Carolina, close to the Blue Ridge Mountains. Kings Mountain is about 30 miles from Charlotte, NC. Cleveland County contains a total area of 469 square miles with 465 square miles of that being land and 4 square miles water. Cleveland County has eleven townships. The 2013 census reflects a population of 98,078 people, 37,046 households, and 27,006 families. The population for Kings Mountain is 10,296 people with 3,821 households, and 2,674 families. ("USCB," 2013) The ethnic structure of the city is 74.85% White, 21.55% African American, 0.15% Native American, 1.81% Asian, and 0.65% from other races, and 2.42% were Hispanic or Latino of the population. ("USCB," 2013) Of the 3,821 households for Kings Mountain, almost 50% were married couples, a little over 172% had a female as the head of household, and 30% were non-families. 12.6% had someone living alone who was 65 years of age or older. The average family size was a little under 3. The median income for a household in the city was $31,000-$32,000 with a family income of $39,000 - $40,000. About 19% of the population were below the poverty line, including 21% of those age 65 or over. ("CC Chamber,") Our county has a Job Ready Partnership that offers tax credits for new corporations. With the availability of a skilled labor force and support services...
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...GI and Diabetes Exam Study Guide Tube Feeding – (enteral nutrition) refers to the administration of a nutritional balanced liquefied food or formula through a tube inserted into the stomach, duodenum, jejunum. It is used to provide nutrients via the GI tract either alone or as a supplement to oral or parenteral nutrition. - Nasogastric (NG) Tube – is most commonly used for short-term feeding problems. Other means of feeding are; esophagostomy, gastrostomy or jejunostomy. Transpyloric tube placement or placement into the jejunum is used when physiologic condition warrant feeding the pt below the pyloric sphincter. Special Indications – anorexia, orofacial fractures, head and neck cancer, neurologic or psychiatric conditions that prevent oral intake, extensive burns and those who are receiving chemotherapy or radiation therapy. Procedure for tube feeding 1. Patient position – 30-45 degrees position. Head remain elevated for 30-60 mins 2. Patency of tube – Tube should be irrigated with water before and after each feeing to ensure patency. 3. Tube Position – Placement of tube is checked before each feeing or every 8 hours with continuous feeings. Checking methods; aspiration and pH. 4. Formula 5. Administration of feeding – feeing are given either by gravity drip method or by feeding pump. 6. General Nursing Considerations – daily weight, accurate I’s and O’s. Blood glucose check. Complication Related To tube and feeding - Vomiting and or Aspiration -...
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...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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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...abscission abscond absolute absolve abstain lower; degrade; humiliate; make humble; make (oneself) lose self-respect embarrass subside or moderate shorten renounce; give up (position, right, or responsibility) abnormal or deviant deviation from the normal; mental disorder assist usually in doing something wrong; encourage suspended action detest; hate Dwell; abide by: comply with; put up with; tolerate; Ex. abide by the rules; Ex. I can't abide rude people. (of a condition) wretched; as low as possible; lacking pride; very humble; showing lack of self-respect; Ex. abject apology renounce upon oath washing renunciation; self-sacrifice; self-abnegation dwelling place; home cancel; put an end to detestable; extremely unpleasant loathe; hate being the first of its kind in a region; primitive; native; indigenous; N. aborigine unsuccessful; fruitless rubbing away; tending to grind down condense or shorten abolish cutting off; separation depart secretly and hide complete; totally unlimited; having complete power; certain; not relative; Ex. absolute honesty/ruler; CF. absolutism pardon (an offense) refrain; withhold from participation; intentionally not use one's vote; abstemious abstinence abstract abstruse abusive abut abysmal abyss academic accede accelerate accessible accessory acclaim acclimate acclivity accolade accommodate accomplice accord accost accoutre accretion accrue acerbity acetic acidulous sparing in eating and drinking; temperate restraint from pleasant things,...
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...GMAT Vocabulary List MovieHONG abaft (adv.) on or toward the rear of a ship The passengers moved abaft of the ship so as to escape the fire in the front of the ship. abandon (v.; n) to leave behind; to give something up; freedom; enthusiasm; impetuosity After failing for several years, he abandoned his dream of starting a grocery business. Lucy embarked on her new adventure with abandon. abase (v.) to degrade; humiliate; disgrace The mother's public reprimand abased the girl. The insecure father, after failing to achieve his own life-long goals, abased his children whenever they failed. abbreviate (v.) to shorten; compress; diminish His vacation to Japan was abbreviated when he acquired an illness treatable only in the United States. abdicate (v.) to reject, renounce, or abandon Due to his poor payment record, it may be necessary to abdicate our relationship with the client. aberrant (adj.) abnormal; straying from the normal or usual path The aberrant flight pattern of the airplane alarmed the air traffic controllers. His aberrant behavior led his friends to worry the divorce had taken its toll. abeyance (n.) a state of temporary suspension or inactivity Since the power failure, the town has been in abeyance. abhor (v.) to hate By the way her jaw tensed when he walked in, it is easy to see that she abhors him. The dog abhorred cats, chasing and growling at them whenever he had the opportunity. abject (adj.) of the worst or lowest degree ...
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...This text was adapted by The Saylor Foundation under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License without attribution as requested by the work’s original creator or licensee. Saylor URL: http://www.saylor.org/books Saylor.org 1 Preface Writing is often a challenge. If you were ever challenged to express yourself via the written word, this book is for you. Writing for Success is a text that provides instruction in steps, builds writing, reading, and critical thinking, and combines comprehensive grammar review with an introduction to paragraph writing and composition. Beginning with the sentence and its essential elements, this book addresses each concept with clear, concise, and effective examples that are immediately reinforced with exercises and opportunities to demonstrate learning. Each chapter allows students to demonstrate mastery of the principles of quality writing. With its incremental approach, this book can address a range of writing levels and abilities, helping each student prepare for the next writing or university course. Constant reinforcement is provided through examples and exercises, and the text involves students in the learning process through reading, problem solving, practicing, listening, and experiencing the writing process. Each chapter also has integrated examples that unify the discussion and form a common, easy-tounderstand basis for discussion and exploration. This will put students at ease and allow for greater...
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