title: Preventing Long-term Poor Outcomes in the Bariatric Patient Postoperatively.
abstract: The obesity epidemic in America continues to rise. People are desperately trying to find ways to lose weight successfully and keep the weight off, and many people are turning to bariatric surgery as the only remaining option for morbid obesity. Bariatric surgery is considered to be a viable treatment option for morbid obesity. However, long-term data are revealing that many postsurgical bariatric patients are regaining the weight after 5 years. The purpose of lifelong follow-up appointments in the bariatric patient is to prevent weight regain and poor outcomes. A case study is used as an example for a poor outcome in a postsurgical bariatric patient. The author of this article provides definitions related to postsurgical bariatric patients, explains the value of early detection and prevention, provides an example of a poor outcome, and concludes with a discussion of evidence-based practice changes that prevent poor outcomes.
authors.affiliation: Melissa Cooley, DNP, FNP-C, CBN, is the bariatric program director, Rocky Mountain University of Health Professionals, Provo, Utah. Dr Cooley, is former Director of Bariatric Services for 6 years in San Antonio, Texas. Expertise in weight loss and weight management. A nationally certified bariatric nurse. 2016, received DNP from Rocky Mountain University of Health Professions, Provo, Utah. Certified Family Nurse Practitioner, 2016. Jazzercise Instructor since 2013. Speaker on healthy living since 2010. Member of The Obesity Society, American Society for Metabolic and Bariatric Surgery, Texas Nurse Practitioners, and the American Academy of Nurse Practitioners.
authors.forename: Melissa
authors.initials: M
authors.lastname: Cooley
mesh_terms: D000328:Adult; D050110:Bariatric Surgery; D001927:Brain Diseases / Q000175:diagnosis / Q000451:nursing; D003266:Continuity of Patient Care; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000175:diagnosis / Q000451:nursing; D008478:Mediastinal Emphysema / Q000175:diagnosis / Q000451:nursing; D010195:Pancreatitis / Q000175:diagnosis / Q000451:nursing; D010349:Patient Compliance; D010353:Patient Education as Topic; D011183:Postoperative Complications / Q000451:nursing* / Q000517:prevention & control*; D018805:Sepsis / Q000175:diagnosis / Q000451:nursing; D020521:Stroke / Q000175:diagnosis / Q000451:nursing