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Wear spf 50 daily
Stay out of the sun from 10 am to 4 pm. This is when the sun's UV rays are
strongest.
Wear a hat with a wide brim.
Wear clothing that protects your skin from the sun. ...
Don't use a tanning bed.
Look for shade. ...
Use sunscreen even in the shade
Autonomy
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, independence
CN IV and VI test
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Test with cardinal gaze
Conductive hearing loss
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Sounds cannot get through the outer and middle ear it might be harder to
hear soft sounds and louder sound maybe muffled medicine her surgery
can often fix this type of hearing loss
Weight loss nursing education
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Obesity occurs when energy expenditure is less than caloric intake
•Obesity is a complex phenomenon involving genetic, behavioral,
environmental, and biochemical processes.
•Obesity increases mortality and morbidity, such as diabetes, sleep apnea,
hypertension, and gallbladder disease
•Obesity causes a marked decrease in life expectancy
Diet and Exercise
•Surgical interventions
•Behavioral therapies
•Medications like phentermine or semaglutide (Wegovy or Ozempic)
, Extreme calorie diets are to be monitored by a provider, but the
recommendation is to decrease calories by 500 daily for a 1-2lb weight loss
.
i.e., 3500 calorie deficit per week will lead to a 1-pound loss.
***Involve QUALIFIED nutritionists, not fad diets from Influencers!
Nursing intervention for bariatric surgery
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Nursing Care of the Patient
Undergoing Bariatric Surgery
• Preoperative care; evaluation and counseling
• Postoperative care is similar to gastric
resection but the patient is at greater risk for
complications due to obesity
© Postoperative diet: six small feedings totaling
600-800 calories per day (see Chart 37-4)
© Patients require psychosocial interventions to
modify their eating behaviors.
© Follow-up care
© Education regarding long-term effects
Maintain post-op homeostasis
• Airway management
• Increased risk for thrombosis
• Compression hose
o Lovenox
• Early ambulation
• Do not adjust or insert NG tube even if protocol
to do so for N/V
• Anastomotic leaks (shoulder , back and
abdominal pain, tachycardia, jU.O.)
• Abdominal binder protects incision
• Monitor 4 blood sugar in diabetics
• Dumping may occur in bypass of small intestine