How to start a Bariatric program?
Bariatric rehabilitation is a multipronged approach that addresses the ongoing functional impairment, medical comorbidities, hospital-related deconditioning and prevents future cardiovascular and musculoskeletal complications from progressing.
Who needs bariatric surgery?
Rehabilitation needs after bariatric surgery The relevance of obesity as a disabling condition is reviewed, along with the positive changes induced by surgical weight loss. Although obesity alleviation is a legitimate end-point it is not a sufficient one. The shortcomings of such result from the point of view of physical normalization are outl …
What to bring to hospital for bariatric surgery?
Brookhaven Rehabilitation and Health Care Center’s Comprehensive Bariatric Wellness Program Paving the Path for Lifestyle Change and Healing. OUR MISSION: The Bariatric Wellness Program supports the theory that morbid obesity is a chronic disease. Research shows that weight-loss programs that include lifestyle change counseling are the most effective at helping people lose …
How to exercise after bariatric surgery?
Bariatrics is a branch of medicine that aims to control obesity as well as treat patients with obesity and its sequelae 1 The purpose of this standard of care is to provide guidelines for the physical therapy management of the patient with obesity.
Specialized Care
Our specialized program includes exercise and fitness activities, physical and occupational therapy, patient education, social work and psychological counseling; nutritional menus and dietary counseling.
On the Way to Independence
Although this is not an active weight reduction program, our patients lose weight as they gradually embrace an active lifestyle.
What is bariatric wellness?
Our Mission: The Bariatric Wellness Program supports the theory that morbid obesity is a chronic disease. Research shows that weight-loss programs that include lifestyle change counseling are the most effective at helping people lose weight.
What is a daily exercise class?
Daily exercise classes led by the Physical Therapy Department. An individualized,therapeutic meal plan. Individualized and realistic weight loss goal-setting/weekly weight monitoring. Thrice weekly support groups/lectures with a psychologist, registered dietitian, and licensed social worker in a private setting.
What is wellness program?
The Wellness Program has developed a treatment model which is an interdisciplinary centered approach with a common goal of lifestyle change and functional independence . As part of the program, each resident will have a chance to actively participate in:
What is bariatrics in physical therapy?
Bariatrics is a branch of medicine that aims to control obesity as well as treat patients with obesity and its sequelae1. The purpose of this standard of care is to provide guidelines for the physical therapy management of the patient with obesity. This standard of care will address the specific musculoskeletal and mobility needs for the bariatric population as well as the need to screen for additional services. Implications for physical therapy, contraindications and interventions that are reviewed in other standards of care (e.g. Cardiac, Pulmonary or General Surgery) apply to this population as well.
What is Roux en Y gastric bypass?
Roux-en-Y Gastric Bypass (RYGB): In this procedure, the upper portion of stomach is stapled to create a small 15-25mL reservoir that attaches to the Roux limb of the jejunum. This procedure is restrictive, limiting food intake (early satiety) and causing malabsorption due to surgical bypass of part of the intestinal tract. The minimum amount of bypass includes the distal stomach, the entire duodenum and 40 cm of the proximal jejunum47. This procedure can be an open procedure with incision sites vertically down the patient’s midline from xyphoid to umbilicus, or laparoscopically with multiple small incisions48. Weight loss after this procedure is generally greater than 100 pounds and has an operative 30 day mortality of 0.5% and an operative morbidity of 5%47. Laparoscopic procedures have a higher rate of intraabdominal complications but a shorter hospital length of stay and lower rate of wound complications. Open procedures have a higher risk of ventral hernia formation. Both procedures can be totally reversed if necessary47.
What are the indications for inpatient physical therapy?
Indications for inpatient physical therapy intervention in the bariatric patient can include: new weakness, functional impairment and decreased endurance, which may be related to prolonged hospitalization, surgery or trauma.
Why are obese people resistant to medical care?
Barriers to Healthcare: Patients with obesity are often resistant to seek medical care for multiple reasons including: their lack of control over the medical situations, the lack of privacy, their impaired mobility, their limited transportation, embarrassment, and decreased physical capabilities. This is exacerbated by fears of the inaccessibility of the hospital environment, room configurations, and potential limited access to the bathroom24-27.
What is the fat in the central abdomen?
Central Abdominal Fat: Central abdominal fat consists of both subcutaneous and deep visceral fats. Increased amounts of deep visceral fat are thought to be associated with changes in blood glucose removal, insulin resistance, and increased sympathetic activity, though the exact mechanisms are not fully understood9-11,12. The changes in insulin resistance and blood glucose removal lead to increased risk of hypertension, dyslipidemia, heart disease, coronary disease, stroke, venous thrombosis, and dementia12. Please refer to the Standard of Care for the Physical Therapy Management of the Patient with Diabetes in the Acute Care Setting for further information on type II diabetes.
