Bariatric (CBN) Certification Review (Certification in Bariatric Nursing Book 1)
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A daily journal of activity and eating is useful. Assisting the patient to identify rewards that are not food related is important. If it is suspected that the patient has an addictive eating disorder, the nurse must be creative in assisting the patient to develop a reward system that would not fuel another addictive behavior.
A manicure, movie or tickets to a sporting event are possible rewards for goals reached or steps taken to reach goals. To those who are of ideal, or near ideal body weight, it may be hard to understand why a patient would refuse surgery that holds the promise of positive changes; but to the patient contemplating the procedure, it can be very frightening.
There are many risks involved in having surgery, and most obese patients have multiple comorbid conditions, such as hypertension, diabetes and sleep apnea. While these health issues generally improve greatly following surgery, they increase the risks of general anesthetics and surgical procedures. For some patients, the decision seems easy; for others, the decision has taken months or years of consideration.
American Society For Metabolic And Bariatric Surgery (ASMBS) CBN Online Review Course
Jennifer struggled with obesity all of her adult life, and now, although still overweight, she is pounds lighter than a year ago. Right then and there, I knew I had to do something. Several other patients said they were short of breath with any exertion. Many stated they could only walk short distances and were unable to accompany children or grandchildren to amusement parks, school functions or the store. An article that appeared in the Journal of the American Medical Association vol.
It improves the quality and length of life for most patients. It is important that if we as nurses are to bring this information to those we serve, we must educate ourselves about the options available to obese patients and the results of various treatment modalities.
Passing the Certified Bariatric Nurses Exam (eBook, PDF)
Find a bariatric program near you and call to see when they hold support group meetings. Attend a meeting; you will learn something new and be surprised at how much laughter you encounter. More importantly, examine your own feelings about obesity and the obese patient. Determine to address the issue of weight with those you care for, and working together, we can help to improve the health of our communities and nation. She lives and works in the South Bay area of Southern California.
This article is from workingnurse. You might also like. Features Men In Nursing - Annual Roundtable Breaking down barriers, changing lives and moving the profession forward. This book approaches this subject area to assist nurses interested in passing the CBN exam. It can also be used as a general resource for those interested in a comprehensive but concise review of the rapidly growing field of Bariatric Surgery.
This would include medical students, residents, dietitians, and other allied health professionals. As with specialist nurses, the role of practice nurses in bariatric patient care is not well defined.
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However, practice nurses are well placed to provide follow-up using a focused biopsychosocial approach, as patients learn to negotiate the processes of living with a body changed by surgery. A framework for long-term care and follow-up underpinned by a biopsychosocial approach could be defined, with the practice nurse acting as the central source of patient support in primary care and establishing communication with the specialist bariatric nurse in secondary care. The need for effective multidisciplinary and interprofessional working transcends medical and surgical specialties, which share perspectives in terms of the holistic management of patients Blane et al, The increasing body of qualitative research on this field of clinical practice reveals challenges to successful collaboration between primary and secondary care Guthrie et al, Integrative approaches to care, compassion and the co-construction of knowledge which reveals the challenges patients face in their daily lives are at the heart of successful collaboration.
Long-standing evidence from the literature shows that nurses are the most trusted members of any healthcare team Cronenwett et al, Trust also lies at the heart of a successful MDT, which drives interdisciplinary practice and interprofessional relationships. When supporting patients living with altered bodies during the transition between secondary and primary care, effective leadership requires the ability to articulate the core values of patient co-construction of their lived experiences and to share information via effective communication.
Nurses, both specialist and generalist, are well placed to shape and deliver such leadership. As the number of bariatric surgical procedures increases, the need for clarity about the role of nurses across the care continuum becomes increasingly important. Trying to define nursing care for bariatric surgery patients would have implications for the education and training of nursing staff, and for the secondary and primary care infrastructures where they work.
We need to examine how nursing curricula might best be developed to accommodate this new field of specialist practice, both in pre- and post-registration training. The role of the specialist nurse in the bariatric MDT needs consensus and operational clarification, perhaps using elements of the US certification programme as models but adapting them to the context of the NHS.
Certification For Bariatric Nurse - Nursing Certification Courses
Formal communication pathways need to be established between specialist and practice nurses, so patients can transition from hospital to community settings seamlessly and best practice can be shared. To shed light on the complex, and often unmet, support needs of bariatric surgery patients Graham et al, , we need to involve patients in the co-construction of know-ledge about their lived experience.
We need to give them the opportunity to influence the development of care pathways and formal educational programmes Phoenix et al, ; Rowland and Kumagai, ; Kaplan et al, In our view, this would add much to the current system of annual monitoring of nutritional status, where there are no key mechanisms for understanding and supporting the holistic patient experience.
Scandinavian Journal of Primary Health Care ; 1, Brown P Alfred Schutz: the co-construction of meaning within professional-patient interaction. London: Palgrave Macmillan.