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Pathopharmacological Foundations For Advanced Nursing Practice

954 words - 4 pages

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PATHOPHARMACOLOGICAL FOUNDATIONS FOR ADVANCED NURSING PRACTICE
OBESITY
WESTERN GOVERNORS UNIVERSITY
SANDRA ROGERS

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Obesity is an epidemic disease which is increasing in frequency in frequency. It is one of the most common disorders in medical practice and among the most frustrating and difficult to manage. Little progress has been made in prevention or treatment, yet major changes have occurred in our understanding of its causes and implications for health. It is associated with changes in many body systems. The definition of obesity is: a condition of excess body fat. Obesity is measured using Body Mass Index (BMI). BMI is calculated by dividing body mass in ...view middle of the document...

Several studies have documented that obese individuals are also subject to various forms of social discrimination. ( )
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Management and treatment of obesity is a long term and many times lifelong commitment. Pharmacotherapy and bariatric surgery along with life style change is used to treat obesity.
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The list of pharmacological treatments approved for weight loss is long. Orlistat, known as Xenical or Alli, can be bought over the counter, works by reducing fat absorption via inhibition of pancreatic lipase activity in the intestine. Appetite suppressants similar to amphetamines, acting on the central nervous system are also commonly used. Among these drugs are: Adipex (phentermine), Meidia (sibutramine hydrochloride), Dexedrine (dextroamphetamine saccharate), and Belvig (lorcaserin hcl). Drugs such as Zonisamide and Topamax (topiramate) which are medications prescribed for seizures and migraines were found to have a side effect of weight loss, loss of appetite, and leaving a bad taste in your mouth when carbonated beverages are consumed. Other drugs used are a combination of two drugs. Qsymia is a combination of phentermine and topiramate. Contrave is a combination of naltreyone, which treats alcohol and drug addiction and bupropion which treats depression and seasonal affective disorder and

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used to help smokers quit. In order for this drug to be prescribed the patient must have at least one weight related illness such as high blood pressure or type 2 diabetes. (iuhealth.org)
Although local doctors will prescribe phentermine to patients for weight loss the closest weight loss clinic is twenty miles away. This is cash only clinic that provides the medications and food supplements they prefer you use. They will provide you with insurance forms if your insurance covers their services but they do not fill them out and send them in for you. Many insurance companies may cover the doctor visits but do not cover the cost of the medications, making management of obesity more difficult.
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In 2012, the United States Preventive Service Task Force (USPSTF) issued the recommendation that all adults be screened...

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