Mr. McKinley asks you about the possibility of bariatric surgery ...

[jeatrice]

Mr. McKinley asks you about the possibility of bariatric surgery for a young cousin who is 10 years old. What are the criteria for bariatric surgery in children and adolescents?
 
  What will be an ideal response?

Question 2

A. Based on Mrs. Joaquin's energy needs, calculate her carbohydrate, protein, and fat needs,
 
  Using the Renal Exchange list, plan a 1-day diet that meets her energy needs and complies with her diet orders (see question 6)
 
   B. Using Mrs. Joaquin's typical intake and the prescribed diet, write a sample menu. Justify your changes; why did you make the change to comply with her nutrition prescription.

[dyrone]

Answer to Question 1

In children/adolescents, the following are criteria to be considered as a candidate for bariatric surgery:
 Failure to meet weight loss goals for greater than six months (goals are usually set up with primary care physician).
 Severely obese with a BMI >40, or > 35 with presence of co-morbities that could be improved with weight loss, and have attained a skeletal maturity for the most part (age 13 for girls and 15 for boys).
 Shows willingness to adhere to nutritional guidelines post-op.
 Undergone psychological evaluation that shows he/she can handle the emotional effects of surgery.
 Must possess decision-making capabilities.

Answer to Question 2

Diet PTA Sample Menu
Breakfast: Cold cereal ( c unsweetened)
Bread (2 slices) or fried potatoes (1 med potato) 1 c orange juice (2 fruit) or 2 slices of bread (1 starch + 1 fat)
1 fried egg (occasionally) 1 large egg or 2 large egg whites (1 meat)
Lunch: Bologna sandwich (2 slices white bread, 2 slices bologna, mustard) Substitute bologna with a low-Na meat, perhaps chicken or turkey; no mustard, low-Na, low-fat mayo would be okay (2 meat, 2 starch, one fat)
Potato chips (1 oz) Fresh apple (1 fruit)
1 can Coke 1 cup iced tea
Dinner: Chopped meat (3 oz beef) 2 oz of chopped meat (2 meat)
Fried potatoes (1  medium) 2 slices of bread (1 starch + 1 fat) or two 6 tortillas
HS Snack: Crackers (6 saltines) and peanut butter (2 tbsp) 1  c popped popcorn (1 starch)

 Obviously there is no one answer for this question.
 They will (and should) vary from person to person.
 The important part of this question is the nutrient analysis to ensure components of the nutrition prescription are met.

[jeatrice]

Thanks for the timely response, appreciate it

[dantucker]

Great answer, keep it coming