Challenges that nurses face in caring for morbidly obese patients in the acute care setting

Drake, Daniel J.; Dutton, Kathy; Engelke, Martha Keehner; McAuliffe, Maura; Rose, Mary Ann

doi:10.1016/j.soard.2005.06.003

Cited by 35 publications

(50 citation statements)

References 5 publications

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“…Body mass index is the most frequently used measure for obesity, which estimates a person’s weight in relative to height (National Heart Lung and Blood Institute, 1998). Patients’ physical size and weight greater than 300 pounds also pose direct challenges to caregivers (Drake et al, 2005). Therefore, to address both body mass index and individual weight and maintain consistency with the original survey language (Miles et al, 2012; with recognition that since our study was completed, the preferred term for “morbid obesity” is now “severe obesity” [Ward et al, 2016]), discharge planners in our study were instructed to respond to 14 survey items by imagining that “ you have a morbidly obese patient in the hospital.…”

Section: Methodsmentioning

confidence: 99%

“…Patients who are obese place greater demands on the health care workforce. For example, nurses have reported significant challenges in providing care for these patients (Drake, Dutton, Engelke, McAuliffe, & Rose, 2005). This includes extra time needed to assist with activities of daily living (such as bathing and walking; Markoff & Amsterdam, 2008) and increased physical burden to lift and move patients who are obese (Edlich, et al, 2005; Felix, 2008; Felix et al, 2009; Rose et al, 2007).…”

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confidence: 99%

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Barriers in Transitioning Patients With Severe Obesity From Hospitals to Nursing Homes

Bradway

Felix

Whitfield³

et al. 2016

West J Nurs Res

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This cross-sectional, descriptive study explored perspectives of discharge planners regarding transitions of hospitalized patients who are severely obese seeking discharge to a nursing home. Attention has been focused on care transitions regarding high hospital readmission rates, yet specific needs of patients who are severely obese have been largely overlooked. Ninety-seven (response rate 39.8%) discharge planners returned surveys addressing frequency of, and issues encountered when arranging placements. Community and hospital characteristics were also collected. One-third of the respondents from Pennsylvania and Arkansas reported inability to transfer patients; barriers included reimbursement, staffing, and equipment. Respondents perceiving nursing homes to have equipment concerns were nearly seven times more likely to report patient size as a barrier (p = 0.001). Given increasing obesity rates, healthcare delivery systems must be prepared to provide necessary resources and all levels of care, including transitions for hospitalized patients who are severely obese needing nursing home care post-discharge.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Barriers in Transitioning Patients With Severe Obesity From Hospitals to Nursing Homes

Bradway

Felix

Whitfield³

et al. 2016

West J Nurs Res

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“…51 Nurses must be aware of potential hazards to patients and themselves by becoming familiar with the weight and size restrictions of commonly used equipment such as beds, bedside commodes, toilets, showers, doorways, hallways, elevators, and emergency transport equipment. 52 Nursing staff should receive routine in-service training on equipment commonly used to support morbidly obese patients (eg, bariatric beds and lifts) in order to prevent injuries of patients and nursing staff.…”

Section: D: Durable Medical Equipmentmentioning

confidence: 99%

The ABCDs of Managing Morbidly Obese Patients in Intensive Care Units

Berrios

2016

Critical Care Nurse

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More than one-third of the US adult population and 17% of the youth are now obese, and obesity is associated with more than $147 billion a year in health care costs. Critical care nurses should understand the physiological differences and practice guidelines for patients with a body mass index greater than 30. The ABCD approach encompasses key clinical concepts in the management of critically ill obese and morbidly obese patients, including management of airways and breathing, minimizing nurses' back and other injuries, increasing awareness of bias, circulation problems, risks of decubitus ulcers and other skin breakdown, differences in drug calculations and metabolism, limitations in diagnostic equipment and imaging, diet and nutritional recommendations, and concerns with durable medical equipment. (Critical Care Nurse. 2016;36[5]:17-26) This article has been designated for CE contact hour(s). The evaluation tests your knowledge of the following objectives: 1. Using the ABCD approach, list the key clinical concepts highlighted in this article for managing morbidly obese patients in intensive care units 2. Identify key physiologic differences in airway, breathing, and circulation in morbidly obese patients 3. Identify important considerations in diagnostic and general medical equipment in the management of morbidly obese patients To complete evaluation for CE contact hour(s) for test #C1653, visit www.ccnonline.org and click the "CE Articles" button. No CE test fee for AACN members.

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“…They also expressed concerns about safety, both for themselves and their patients; these concerns are heightened when there is inadequate staffing on the unit. 1 Building on the results of that study, we conducted an observational study to determine the actual staffing requirements for the care of the morbidly obese in the acute care setting. Nurses were observed providing care to a group of morbidly obese patients.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Nurse Staffing Requirements for The Care of Morbidly Obese And Non-Obese Patients in The Acute Care Setting

Rose

Baker

Drake

et al. 2007

Bariatric Nursing and Surgical Patient Care

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Challenges that nurses face in caring for morbidly obese patients in the acute care setting

Cited by 35 publications

References 5 publications

Barriers in Transitioning Patients With Severe Obesity From Hospitals to Nursing Homes

Barriers in Transitioning Patients With Severe Obesity From Hospitals to Nursing Homes

The ABCDs of Managing Morbidly Obese Patients in Intensive Care Units

A Comparison of Nurse Staffing Requirements for The Care of Morbidly Obese And Non-Obese Patients in The Acute Care Setting

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