Only $35.99/year

Adult 1 CPA 6- Obesity

Terms in this set (82)

Following bariatric surgery, patients find it challenging to maintain a prescribed diet
-Patient now has reduced intake because of anatomic changes
-Attention to nutrition is important to prevent early and/or late complications

Patients have failed to follow diets in their past. Now the patient is forced to reduce oral intake because of the anatomic changes from the surgical procedure because of the concern for abdominal distention, cramping abdominal pain, and perhaps diarrhea.
Weight loss is considerable during the first 6 to 12 months. It is during this time that the patient must learn to adjust intake sufficiently to maintain a stable weight. Behavior modification becomes an unexpected secondary gain.
The diet generally prescribed should be high in protein and low in carbohydrates, fat, and roughage and consist of six small feedings daily.
Fluids should not be ingested with the meal, and in some cases, fluids should be restricted to less than 1000 mL per day.
Fluids and foods high in carbohydrate tend to promote diarrhea and symptoms of the dumping syndrome.
Calorically dense foods (foods high in fat) should be avoided to permit more nutritionally sound food to be consumed.
Late complications can be anticipated after bariatric surgery, including anemia, vitamin deficiencies, diarrhea, and psychologic problems.
Failure to lose weight or loss of too much weight may be caused by the surgical formation of too large a stomach pouch or of an outlet that is much too small, respectively.
Peptic ulcer formation, dumping syndrome, and small bowel obstruction may be seen late in the recovery and rehabilitative stage.