Andrea Schroeder is a Registered General Nurse and Obesity Consultant who has been working within the field of bariatric surgery for the past 15 years. Her current role as Bariatric Program Coordinator is to oversee the integration of the entire bariatric multidisciplinary teams for Surgical Obesity Service in Hamilton and Wellington, as well as providing intensive pre-operative education and support to patients clinically following gastric banding, gastric bypass and sleeve gastrectomy surgeries. She is responsible for providing bariatric surgical patients with ongoing knowledge, motivation, encouragement and advice and is the facilitator of the residential retreat programs for post-operative weight loss surgical patients. She has performed in excess of 6000 Lap-band adjustments, being the primary clinical band adjustor and educator in the two practices. In her previous roles, she has educated many NZ surgeons and nurses about all types of bariatric surgery, and has been responsible for teaching all current nurse adjustors in NZ the art of gastric band adjustment.
| Tackling Obesity & Bariatric Surgery
Pre-conference Workshop - Part 1 and 2 |
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| Thursday, 12 June 2014 | Start 2:00pm | Duration: 120mins | Room 4 |
| Start 4:30pm | Duration: 120mins | Room 4 | |
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Part 1 - Tackling Obesity - addressing the epidemic of obesity and removing the blame game
Medical risks - John Dixon * Common co-morbidities – HTN, T2DM, CVD, Cholesterol (metabolic syndrome) * Cancers – breast, colon, endometrial, etc * Knee pain reduction comparison study * Quality of Life – psychosocial impact * Inability to exercise The Need to Eat - David Schroeder * Triad – fear, control, pleasure centres * 5 types of overeaters – mechanisms * Insulin resistance * Mindless eating Relevant Physiology/ determinants of obesity - John Dixon * Pattern is set from early life – genetics, epigenetics * Losing weight is very difficult * Obesity is a chronic disease that requires chronic disease management * We need a range of tools to treat obesity – behavioural, lifestyle, drugs, surgery What has to change? - David Schroeder -to prevent further weight gain, induce weight loss, induce healthier lifestyles. * Calorie in vs calorie out balance * Portion control * Type of foods – low CHO (insulin resistance) * Restraint theory – George Blair West Seeking Help - David Schroeder * How do you know who needs help? Observing trends in family and individual * Helping people make the change * When to ask for help Part 2 - Bariatric Surgery Surgical Indications - Andrea Schroeder - why do we need surgery? * 2 groups – too much to lose, those who have given up hope of doing it on their own * to empower people to make the changes they need to be healthier * resolution/prevention of co-morbidities * criteria for surgery Risks and Benefits - David Schroeder * procedure related risks and complications, side effects * Benefits- QoL, reduced co-morbid disease states, reduced health costs to society, improved …(halo effect) * GP aftercare flyer available Available Options - David Schroeder * surgical options available – bypass and sleeve, BPD and bands * non-surgical approach (with dietitian and psych team) * retreats and aftercare program * public vs private Ideal Referral - John Dixon * indications – eligibility * NZ Bariatric prioritization tool * How to assess * no predictors of motivation and willingness to change Post-op management - David Schroeder * holistic approach – multidisciplinary team * chronic disease management * 2 years of paid follow-up * retreats – based on CBT approach to self care and self awareness/management |
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