Avoid foods High in fat high in simple sugars processed foods Fad diets quick

Avoid foods high in fat high in simple sugars

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Avoid foods High in fat, high in simple sugars, processed foods Fad diets - quick results, typically rebound o Psychosocial/ behavioral Motivation Associated with both short-term and long-term weight loss success Changing nutritional environment Setting realistic goals Preventing discouragement Behavioral modification Self-monitoring Stimulus control of unhealthy behaviors Rewards o Should not be food related! Support groups have been proven to help sustainability of weight loss o Exercise 30-60 min daily assess daily routine assess preferences plan activities the patient will enjoy and stick with but also has access to o Medications Appetite suppressants Prescription vs OTC Not a long term solution Interprofessional Care Obesity Diagnostic Assessment • History and physical examination • Family history • BMI, waist circumference, waist-to-hip ratio • Assessment of health risks and co-morbidities Management • Management of co-morbidities • Lifestyle interventions • Participation in weight loss program • Behavior modification • Nutritional therapy • Exercise • Behavior modification • Support groups • Drug therapy ( Table 40-9 ) • Surgical therapy ( Table 40-10 ) Nutritional Therapy 1200-Calorie–Restricted Weight-Reduction Diet * General Principles 1. Eat regularly. Do not skip meals. 2. Measure foods to determine the correct portion size. 3. Avoid concentrated sweets, such as sugar, candy, honey, pies, cakes, cookies, and regular sodas.
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4. Reduce fat intake by baking, broiling, or steaming foods. 5. Maintain a regular exercise program for successful weight loss. Bariatric surgeries Restrictive o Reduced size o Reduced amount of food allowed to enter stomach Malabsorptive o Small intestine reduced to prevent more absorption Combination o Both o Smaller portion of stomach connected to small intestine further down Cosmetic surgeries o Not for weight loss, just for removal of fatty tissue in a specific area o Lipectomy Removing skin flaps after weight loss o Liposection Nursing care o Pre-op Total Health assessment Psychosocial assessment Planning for weights, scale Plan in place prior to coming or specialized units Education for what to expect o Pot-op Prevention of complications Monitoring for re-sedation Turning and ambulation Increased risk of respiratory complications Turn, cough, deep breathe, incentive spirometer Increased risk for DVT Assess skin for complications o Specific to bariatric surgery Significant pain Monitor wounds Ensure no re-opening NG tube management Patent and in right position If vomiting occurs, notify physician immediately Complications with tube may be indicative of internal incision, so inform physician immediately Focus on liquid intake and dietary prescription Progresses from water to high protein liquid diet to high protein foods Avoid foods and fluids high in carbs Don’t ingest fluids with meals To prevent dumping syndrome Psychological changes
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