A critical literature review: the impact of reconstructive surgery following massive weight loss on patient quality of life

Aim:The objective of this article is to identify and analyze what is known about characteristics in and around the home that support well-being for those with cognitive impairment. This could provide direction for designers of homes in general, but specifically for designers trying to meet the needs of people with cognitive impairment.Background:It has been established that there is a relationship between psychological well-being and a person’s environment. Research also shows that particular design aspects can reduce the impact of cognitive impairment. However, there is limited design expertise in the Australian housing market to create supportive spaces which will help to reduce the impact of the disability for those with cognitive impairment.Method:A literature review was carried out to determine the extent and details of what is known about the relationship of home design and its impact on emotional, psychological, or social well-being for people with cognitive impairment.Conclusions:The study indicates that researchers in various disciplines understand that pragmatic design inputs such as thermal comfort and adequate lighting are important for people with cognitive impairment. In addition, some researchers have shown or surmise that there are other “intangible” designer-controlled elements that have beneficial impacts on people with cognitive impairment. Details of these intangible elements are sparse, and how much they might improve the quality of life for a person with cognitive impairment is not well understood. Further research is required to meet a growing need.

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Gastrointestinal symptoms of pelvic radiation disease (part 1): literature review

Gastrointestinal Nursing ◽

10.12968/gasn.2020.18.2.40 ◽

2020 ◽

Vol 18 (2) ◽

pp. 40-45 ◽

Cited By ~ 1

Author(s):

Helen Ludlow ◽

John Green

Keyword(s):

Quality Of Life ◽

Side Effects ◽

Literature Review ◽

Patient Experience ◽

Gastrointestinal Symptoms ◽

Pelvic Radiation ◽

Gi Symptoms ◽

Pelvic Cancer ◽

The Impact

Radiotherapy used to treat cancers in the pelvic region can have lasting side effects, and the persistence of these symptoms for 3 months or more is described as pelvic radiation disease (PRD). The growing number of pelvic cancer patients being diagnosed and successfully treated is increasing the incidence of PRD. This review examines the literature on the gastrointestinal symptoms of PRD. This includes how PRD is defined, how it is identified and how it relates specifically to the three pelvic cancers in which it most commonly manifests (prostate, gynaecological and colorectal). It pays particular attention to the impact of PRD on patient experience and quality of life. This review is the first part in a series on the GI symptoms of PRD.

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Quality of Life before and after Sleeve Gastrectomy in Lebanese Population

Journal of Obesity ◽

10.1155/2019/1952538 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Marwan Alkassis ◽

Fady Gh Haddad ◽

Joseph Gharios ◽

Roger Noun ◽

Ghassan Chakhtoura

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Weight Loss ◽

Sleeve Gastrectomy ◽

Sexual Pleasure ◽

Life Questionnaire ◽

Before And After ◽

The Mean ◽

The Impact

Introduction. Obesity is increasing worldwide and in Lebanon with a negative impact on the quality of life. The primary objective of this study is to measure the quality of life in obese subjects before and after bariatric surgery, depending on age, sex, and degree of weight loss. A secondary objective is to determine the impact of bariatric surgery on comorbidities associated with obesity. Materials and methods. Patients undergoing laparoscopic sleeve gastrectomy for BMI ≥ 30 kg/m2 between August 2016 and April 2017 were included. Participants completed the Moorehead-Ardelt Quality of Life Questionnaire II (MA II) prior to operation and one year after. Statistical analysis was carried out using SPSS statistics version 20.0. Results. 75 patients participated in the study. The majority were women (75%), and the mean age was 36.3 years. The mean weight loss was 36.57 kg (16–76). Initially, the total MA II score was −0.33 ± 0.93. Postoperatively, it increased to 1.68 ± 0.62 (p≤0.001). All MA II parameters improved after surgery (p≤0.001), but this improvement was independent of age and sex. Improvement in self-esteem, physical activity, work performance, and sexual pleasure was influenced by the degree of weight loss (p≤0.001). All comorbidities associated with obesity regressed significantly after sleeve gastrectomy (p<0.05) with the exception of gastroesophageal reflux and varicose veins of the lower limbs. Conclusion. Sleeve gastrectomy improves quality of life and allows reduction of comorbidities.

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What impact do specialist and advanced-level nurses have on people living with heart failure compared to physician-led care? A literature review

Journal of Research in Nursing ◽

10.1177/1744987120946791 ◽

2020 ◽

pp. 174498712094679

Author(s):

Dean A Anderson ◽

Victoria Clemett

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Length Of Stay ◽

Literature Review ◽

Hospital Admissions ◽

Self Care ◽

Self Assessment ◽

Advanced Level ◽

The Impact

Background The inclusion of specialist nurses in multi-disciplinary teams is the current gold standard for care of people with heart failure (HF) in the UK; however, they remain underutilised in practice. Though existing systematic reviews favourably compare advanced nursing roles to physician-led care, none has focused solely on HF. Aim To investigate the impact of specialist and advanced nurse-led care on the clinical outcomes, quality of life and satisfaction of people with HF compared to physician-led care. Methods Literature review and narrative synthesis. Results This review included 12 studies and categorised their measured outcomes into five domains: mortality; hospital admissions and length of stay; HF diagnosis and management; quality of life and patient satisfaction; and finally, self-assessment and self-care. Five studies appraised as medium or low risk of bias suggest the impact of specialist and advanced-level nurses on people with HF to be broadly equivalent to physicians regarding mortality, hospital admissions and length of stay, while superior in terms of self-assessment and self-care behaviours. Conclusions There were too few studies of sufficient methodological quality to draw definitive conclusions. However, no evidence was found to suggest that nurse-led services are any less effective or safe than physician-led services.

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