Fall 2017, Volume 8, Issue 5
Ms. R. is a 55-year-old woman who learned recently that she has type 2 diabetes mellitus and has been admitted to the hospital with hypoglycemia. The nursing student would like to know more about type 2 diabetes mellitus. She consults Nursing Reference Center Plus, keying in the word “diabetes.” She retrieves the Quick Lesson “Diabetes Mellitus, Type 2.”
The nurse reads about type 2 diabetes mellitus, including risk factors, signs and symptoms, potential complications, treatment goals and interventions. Based on the information in the Quick Lesson, the nursing student discusses with her supervisor the possibility of providing patient education regarding lifestyle modification, physical self-assessment and signs and symptoms of hypoglycemia and hyperglycemia, and requesting a referral to a registered dietitian.
Note: The above-referenced Quick Lesson is free and accessible to all readers of the EBSCO Health Nursing Newsletter.
Bariatric surgery encompasses many types of surgical procedures performed to promote weight loss that are generally categorized as restrictive, malabsorptive or a combination of restrictive and malabsorptive. Potential candidates for bariatric surgery are individuals with severe obesity, which is most commonly defined as body mass index (BMI) of 40 or greater, and persons with a BMI of 35 or greater who have a significant obesity-related medical condition such as severe sleep apnea.
Presurgically, patients are required to undergo psychiatric evaluation and counseling to understand the lifestyle changes and potential complications associated with the surgical procedure to be performed. Contraindications to bariatric surgery include medical conditions that greatly reduce life expectancy and are unlikely to improve following weight loss and conditions that preclude patient understanding of bariatric surgery and/or the ability to adhere to prescribed postsurgical behavior changes. Nursing goals following bariatric surgery include providing psychosocial support and education, reducing risk for complications and promoting optimal physiologic function. Nursing interventions include assessing patient’s anxiety level and coping ability, promoting early ambulation, monitoring ingestion of liquids and requesting referral to a dietitian and physical therapist.
Please login to Nursing Reference Center Plus to read the Quick Lesson “Bariatric Surgery.”
Recently the Evidence-Based Care Sheet "Menopause and Depression" was revised following review under the Systematic Literature Surveillance Program. New information of value to nursing practice regarding menopause and depression was found in a research study. Researchers conducted a study aimed at determining if menopausal women believed a reduction in their anxiety and depression symptoms was based on the type of pharmacotherapy. They found that 84% of women taking phytoestrogen reported no symptoms of depression and believed that the therapies were effective. They concluded that phytoestrogen therapy is the most effective pharmacology for depression with the lowest risk of adverse effects.
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