Nursing standard (Royal College of Nursing (Great Britain) : 1987)
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Nutritional deficiencies are common in patients who are obese and therefore individuals considering bariatric surgery may require dietary supplementation with multivitamins and minerals before surgery. Nutritional deficiencies following bariatric surgery are often proportional to the degree of malabsorption created by the surgical procedure or the extent of weight loss. ⋯ Although general guidelines exist, individual monitoring and tailoring are frequently required. This article provides an update of guidelines regarding the most common nutritional concerns and myths surrounding bariatric surgery.
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Pain is common in patients with cancer and may be caused by the disease itself or treatments. Part 1 of this article identified the causes and types of cancer pain to inform assessment and management of pain, which will be discussed in this article. Barriers to pain management and the non-medical prescribing role of the advanced practice nurse in treating patients with cancer pain will be explored.