Challenges in Nursing Bariatric Patients

Added on - 08 Mar 2021

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Page |1NSB334Scenario-1Student name-Student number-Word Count- 1457
Obesity is one of the leading complications in Australia and health care services withescalating prevalence directly attributing to an increased burden on the health caresector.Bariatric patients in care increase the risk for error occurring by registerednurses and increases complications faced during the care process. Codes of conduct andideals are importantto be followed by nurses within their care-giving responsibilitiesincluding Nursing and Midwifery Board of Australia (NMBA) professional standardsand National Safety and Quality Health Service (NSQHS) standards as they assisthealth care professionals in delivering the right care to patients. The case study referstobariatric patient, Mr Driscoll and the behaviour of a registered nurse during the careprocess. Within the case study, unprofessional behaviour from a secondary registerednurse is seen during care and will be discussed. This study highlights important pointsregarding challenges in nursing bariatric patients within a health care context, takinginto consideration the Nursing and Midwifery Board of Australia and theAustralianCommission on Safety and Quality in Health Care.With obesity rates becoming overwhelmingly more prevalent in the Australian healthcare sector, higher rates of mortality and morbidity are being seen amongst bariatricpatients. In the last 30 years, Australian Healthcare has reported a 31.3% increase inadult obesity prevalence as well as 35.6% of patients presenting in the overweightcategory. Obesity is the leading contributor to the burden arising from chronic diseasesuch as Diabetes and cardiovascular disease placed significant financial strain onAustralian Healthcare system in 2011-2012 estimated to be AU$8.6 billion (Hayes etal.,2020, pp. 178-185).Page |2NSB334
Foroozesh et al. (2017, pp. 1-7) proposed that due to issues regarding inappropriateequipment, stresses relating to patient transferral and staffing shortages, there is a needfor healthcare professionals like nurses to address priorities. The care of obese patientsrequires specialised equipment in health facilities plus recruitment of personnel who arewell trained. This requirement of increased professional development and skills inbariatric care assists in avoiding challenges unique to obesity (Arterburn & Courcoulas,2014, p. 349). Hammond (2013, pp. 224-227) presents such challenges as: routineprocedures, psychological issues caused by obesity and protocols within treatment andpatient care. These unique challenges can cause safety concerns by affecting recoverytimes negatively, particularly during transportation of patients and the bariatric careprocess (Gable et al., 2014, pp. 199-204).The case study focuses on two issues faced by the patient including incorrect duty ofcare as a registered nurse and unprofessional behaviour withMr Driscollwho is postcholecystectomy surgery, complaining about persistent heartburn, common sometimesafter surgery, leaving him in supine position, which could be seen as negligent. Thesecond registered nurse (RN),Raewas called to assist the nurse in care to support thepatient to sit up but harshly communicated with the patient in a possibly discriminatoryway. Lack of therapeutic communication with the patient can adversely affect trust,client/patient rapport, emotional and mental health.The article by Pervez & Ramonaledi(2017) suggests the nurse is expected to use therapeutic communication approaches tosupport the bariatric patient facing physical, emotional and psychological wellbeingcomplications. NMBA (2017) presents one standard of practice, engaging intherapeuticand professional relationships by improving effective communication by respectingpatient dignity. Australian NSQHS (2020) proposed one particular standard thatpartnered with consumers to specially communicate with patients to improve carePage |3NSB334
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