Transactions in a support group meeting: a case study

Following bariatric surgery, the inclusion of a support group as part of the treatment plan makes after-care easier and more efficient for the patients, as well as for the physicians. The following is presented for the education of the medical community. It represents one exemplary session which incorporates the elements necessary for effective after-care: 1. Encouragement for compliance and praise for success. 2. Education about life-after-surgery, including nutrition, exercise and dieting techniques. 3. Identification of problems. 4. Identification and development of new kinds of self-nurturing. 5. Participation in a forum where others really "understand" the challenges and difficulties associated with "change," even when the change is for the better. 6. Creation of a "safe harbor" where patients can bring spouses, parents and significant others so that they may also understand, encourage continuing success, and recognize their own personal issues related to the major changes that they are also experiencing with their loved one. 7. Opportunity for curious potential patients in the community to come and learn from the "experts" in an atmosphere of true caring and concern.