Bariatric Times

OCT 2016

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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10 Clinical Nursing Education Bariatric Times • October 2016 COMPLIMENTARY CONTINUING EDUCATION COURSE INSTRUCTIONS: NOTE: Hard copy responses will not be accepted. Take the test at http://tinyurl.com/BTCEOctober2016 Participants must read the designated article and take, submit, and pass the post-test by October 1, 2017. Participants must answer at least 70% of the post-test questions correctly to pass and receive credit for the activity. Upon successful completion of the post-test, participants will receive a certificate of completion. Course Overview: Afferent limb and marginal ulcers are described in bariatric educational courses and literature as possible late complications following bariatric surgery. Recognition of these complications can be a challenge because patient presentation may vary from subtle to overt symptoms. This educational program will describe the etiology, signs and symptoms, nursing assessment, and medical and surgical interventions to address both afferent limb and marginal ulcer diagnoses. Course Description: This educational program is designed to educate, through independent study, nursing clinicians who care for the post- operative bariatric surgical patient on assessment and nursing interventions for the post-operative patient with an afferent limb and marginal ulcer following bariatric surgery. This article will also include diagnosis and treatment of each. Course Objectives: Upon completion of this program, the participant should be able to: 1.) List the common and uncommon presenting symptoms associated with a patient who has an afferent limb following bariatric surgery. 2.) List the common and uncommon presenting symptoms associated with a patient who has a marginal ulcer following bariatric surgery. 3.) Explain the common causes and risk factors associated with afferent limb and marginal ulcers following bariatric surgery. 4.) Identify the essential nursing assessment skills when assessing a patient for afferent limb and marginal ulcer. 5.) Discuss the appropriate surgical, medical, and nursing interventions for a patient with post-operative afferent limb and marginal ulcer. Completion Time: This educational activity is accredited for a total of 1.0 contact hour. Target Audience: This accredited program is intended for nurses who treat patients undergoing surgical treatment for obesity. Provider: This educational program is provided by Matrix Medical Communications. Provider approved by the California Board of Registered Nursing, Provider Number 14887, for 1.0 contact hour. Provider Contact Information: Angela M. Saba, Matrix Medical Communications, 1595 Paoli Pike, Suite 201, West Chester, PA 19380; E-mail: asaba@matrixmedcom.com About the Instructors: Leonardo Claros, MD, FACS, FASMBS, and Thomas E. Sonnanstine IV, MD, FACS, are board certified bariatric surgeons. Dr. Claros is Chief, Bariatric Section, Director, Weight Management Center, Clinical Assistant Professor of Surgery, St. Luke's University and Health Network in Allentown, Pennsylvania. Dr. Sonnanstine is Medical Director, OhioHealth Surgical Weight Management, Riverside Methodist Hospital, in Columbus, Ohio. Disclosures: Drs. Claros and Sonnanstine report no conflicts of interest relevant to the content of this article. Complete this activity ONLINE Take the post-test at http://tinyurl.com/BTCEOctober2016 Scan the QR code for a direct link to the post-test activity Late Surgical Complications of Roux-en-Y Gastric Bypass: Afferent Limb and Marginal Ulcer CLINICAL NURSING EDUCATION 1 CONTACT HOUR Support for this educational activity is provided by t Support for this educational activity is provided by f Support for this educational activity is provided by thi Support for this educational activity is provided by d Support for this educational activity is provided by ti Support for this educational activity is provided by l Support for this educational activity is provided by ti Support for this educational activity is provided by it Support for this educational activity is provided by i Support for this educational activity is provided by ided Support for this educational activity is provided by by

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