Bariatric Times - December 2008 - (Page Cover1)

Access our archived articles at www.bariatrictimes.com A Peer-Reviewed Publication Clinical Developments and Metabolic Insights in Total Bariatric Patient Care Volume 5, Number 12 December 2008 DIABETES PERSPECTIVE Inside PATIENT MANAGEMENT PERSPECTIVE Pressure Ulcers, CMS Changes, and Patients of Size: What Are the Issues? Page 1 Pressure Ulcers, CMS Changes, and Patients of Size: What Are the Issues? Type 2 Diabetes Mellitus: An Operable Disease? by Ricardo Cohen, MD by Susan Gallagher Camden, RN, MSN, DIABETES PERSPECTIVE MA, WOCN, CBN, PhD Type 2 Diabetes Mellitus: An Operable INTRODUCTION Disease? Page 1 An estimated 1.3 to 3 million patients in the US have pressure ulcers; incidence is higher among certain patient INTERVIEW populations, especially when hospitalized. Immobility and An Interview with the ASMBS’s comorbidities further increase risk.1 Evidence-based pracGeorgeann Mallory Page 1 tice pertaining to pressure ulcers exists and has been recognized for at least several decades; however, how does this evidence apply to pressure ulcer assessment, prevenBODY CONTOURING PERSPECTIVE Lower Body Lift Page 20 tion, formation, and intervention in the larger, heavier patient with a greater degree of adiposity, unusual body configuration, obesity-related comorbidities, or multiple MEETING PERSPECTIVE skin folds? Expert opinion and case studies suggest that 5th Annual Bariatric Summit Page 24 the principles are the same; however, prospective clinical research does not exist to support specific recommendations for care. This is further complicated by recent Centers for Medicare and Medicaid Services (CMS) EDITORIAL MESSAGE 3 changes. Once thought to be a problem exclusive to nurses and reflective of nursing care, pressure ulcers are likely EDITORIAL BOARD 6 to receive increasing attention in the future, primarily because of CMS changes. The aim of this article is to JOURNAL WATCH 30 briefly introduce clinical challenges that emerge with the recent CMS changes, describe the basics of pressure ulcer ADVERTISER INDEX 32 assessment, prevention, and intervention, and ask the question: “How do these issues impact the specific needs NEWS & TRENDS 33 of the obese patients in acute care?” Continued on Page 8 INTERVIEW INTRODUCTION Type 2 diabetes mellitus (T2DM) is a major cause of death in the world given its relation to kidney failure, blindness, amputations, heart attack, and other conditions such as erectile dysfunction, diarrhea, and gastroparesis.1 Medical therapy for this disease has advanced considerably but still leaves a majority of patients susceptible to its severe effects. While new drug therapies continue to improve medical therapy for this disease, a majority never reach the defined targets for success. RATIONALE FOR THE SURGICAL TREATMENT OF T2DM Results following bariatric surgery. Clinical resolution of T2DM, usually defined as independence from all antidiabetic medications, was reported to occur in 48 percent of patients after adjustable gastric banding (AGB), 84 percent after Roux-en-Y Continued on Page 14 An Interview with ASMBS’s Georgeann Mallory, RD DON’T MISS! For how many years have you been the executive director of ASMBS? It will be 13 years as of January 1, 2009. How did you evolve to this position? I started my career in bariatric surgery as a dietitian working for a bariatric surgeon in private practice. I became involved in the American Society for Bariatric Surgery (ASBS) shortly after joining the practice and in 1990 was the first appointed chair of the Allied Health Committee. In 1995, the Society was seeking a new Executive Director and offered me the opportunity based largely on the work I had done with the Allied Health Committee. I was thrilled! January 1, 1996 was my first official day as Executive Director. I continued my full time work as a dietitian (at the time the ASBS only had about 250 members). As the ASBS began to grow, I could no longer manage it as a part time job, much less a second job and eventually had to make a choice. To this day, I miss working with patients but I love the work I do with the American Society for Metabolic and Bariatric Surgery (ASMBS), the professional and caring people I get to work with, and that I still can help make a Continued on Page 26 difference. • BODY CONTOURING: LOWER BODY LIFT PAGE 20 • THANK YOU ADVERTISERS! PAGE 25 http://www.bariatrictimes.com

Table of Contents Feed for the Digital Edition of Bariatric Times - December 2008

Bariatric Times - December 2008 Table of Contents Patient Management Perspective Diabetes Perspective Interview: ASMBS’s Georgeann Mallory Editorial Message Editorial Board Body Contouring Perspective Meeting Perspective Journal Watch Advertiser Index News & Trends

Bariatric Times - December 2008

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