Challenges in Nursing Bariatric Patients PDF
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Added on 2021-03-08
Challenges in Nursing Bariatric Patients PDF
Added on 2021-03-08
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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 with escalating prevalence directly attributing to an increased burden on the health care sector. Bariatric patients in care increase the risk for error occurring by registered nurses and increases complications faced during the care process. Codes of conduct and ideals are importantto be followed by nurses within their care-giving responsibilities including Nursing and Midwifery Board of Australia (NMBA) professional standards and National Safety and Quality Health Service (NSQHS) standards as they assist health care professionals in delivering the right care to patients. The case study refers tobariatric patient, Mr Driscoll and the behaviour of a registered nurse during the care process. Within the case study, unprofessional behaviour from a secondary registered nurse is seen during care and will be discussed. This study highlights important points regarding challenges in nursing bariatric patients within a health care context, taking into consideration the Nursing and Midwifery Board of Australia and theAustralian Commission on Safety and Quality in Health Care.With obesity rates becoming overwhelmingly more prevalent in the Australian health care sector, higher rates of mortality and morbidity are being seen amongst bariatric patients. In the last 30 years, Australian Healthcare has reported a 31.3% increase in adult obesity prevalence as well as 35.6% of patients presenting in the overweight category. Obesity is the leading contributor to the burden arising from chronic disease such as Diabetes and cardiovascular disease placed significant financial strain on Australian Healthcare system in 2011-2012 estimated to be AU$8.6 billion (Hayes et al.,2020, pp. 178-185).Page | 2NSB334
Foroozesh et al. (2017, pp. 1-7) proposed that due to issues regarding inappropriate equipment, stresses relating to patient transferral and staffing shortages, there is a need for healthcare professionals like nurses to address priorities. The care of obese patients requires specialised equipment in health facilities plus recruitment of personnel who arewell trained. This requirement of increased professional development and skills in bariatric care assists in avoiding challenges unique to obesity (Arterburn & Courcoulas, 2014, p. 349). Hammond (2013, pp. 224-227) presents such challenges as: routine procedures, psychological issues caused by obesity and protocols within treatment and patient care. These unique challenges can cause safety concerns by affecting recovery times negatively, particularly during transportation of patients and the bariatric care process (Gable et al., 2014, pp. 199-204).The case study focuses on two issues faced by the patient including incorrect duty of care as a registered nurse and unprofessional behaviour with Mr Driscoll who is post cholecystectomy surgery, complaining about persistent heartburn, common sometimes after surgery, leaving him in supine position, which could be seen as negligent. The second registered nurse (RN), Rae was called to assist the nurse in care to support the patient to sit up but harshly communicated with the patient in a possibly discriminatory way. 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 to support the bariatric patient facing physical, emotional and psychological wellbeing complications. NMBA (2017) presents one standard of practice, engaging in therapeuticand professional relationships by improving effective communication by respecting patient dignity. Australian NSQHS (2020) proposed one particular standard that partnered with consumers to specially communicate with patients to improve care Page | 3NSB334
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