The bariatric program at Aspirus Wausau Hospital incorporates many different forms of support to ensure patients have all the resources they need to achieve and maintain weight loss and overall health.
Role of Physical Therapy In Our Bariatric Program
Exercise is essential to achieve and maintain your weight loss and should begin before surgery. Prior to surgery, the focus is to improve overall mobility, flexibility, muscle strength, endurance, and establish the exercise routine you will be following after surgery.
Physical therapy goals include:
Designing an exercise program for you
Education about the benefits of exercise
Motivation to continually increase your daily activity level
Maintaining your new physical fitness
During the hospital stay, the nursing staff works with you to increase your activity level.
After surgery your physical therapy appointments are scheduled for one, three, six and twelve months. Your physical therapist helps you continually revise your exercise program as you become more fit.
Role of Clinical Nutrition In Our Bariatric Program
A registered dietitian meets with you before and after surgery, providing nutrition counseling according to your individual needs. Prior to surgery, an assessment of your current intake is completed, along with education regarding the initial stages of the diet after surgery.
Two to three weeks prior to surgery
You will follow a high protein, low calorie, full liquid diet. The purpose of this diet is weight loss, which results from the decrease in both abdominal fat and the size of the fatty liver. By doing this, surgery can be completed more easily and the potential for surgical complications is decreased.
During your hospitalization
While you're in the hospital, you will see a registered dietitian who will remind you of the products you should have available when you get home. Following surgery, you begin a diet of clear liquids, with the diet being advanced to full liquids after a few days. Your diet will then be advanced to soft foods in small amounts, and finally, to a general diet.
Appointments are scheduled for two to three weeks, and at three, six and 12 months following surgery. These meetings are to insure you are consuming an adequate amount of protein and fluids, and help solve any food-related issues you might have.
Role of Psychology In Our Bariatric Program
As part of your surgery program, you will meet with a psychologist whose role is evaluation, education, intervention and support. Your first contact will be prior to surgery for a screening to assure you have a full understanding of the impacts of this type of surgery and realistic expectations regarding weight loss. The psychological evaluation will also assess your commitment to making the necessary lifestyle changes. You may be asked to follow up with additional counseling prior to undergoing the surgery. The purpose is to improve the likelihood of successful surgery outcomes.