Handling of the Bariatric Patient in Critical Care: A Case Study of Lessons Learned

Muir, Margaret; Heese, G; McLean, Daria; Bodnar, Sheila; Rock, Betty Lou

doi:10.1016/j.ccell.2007.02.010

Cited by 20 publications

(28 citation statements)

References 8 publications

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“…Morbidly obese patients are increasingly overrepresented in the use of health‐care services 1,4,8,13 . Further, there is a high mortality rate among these patients because of the patients' delay in accessing treatment 8,9 .…”

Section: Introductionmentioning

confidence: 99%

“…1 However, investigation of the risks to which carers in Australia are exposed is limited and it is considered that injury reduction efforts are based on tradition and personal experience rather than scientific evidence. [2][3][4] Morbid obesity has been variously defined, and although it is considered by some to be the point at which a person's body mass index (BMI) exceeds 30, [5][6][7] other authors report it to be the point at which a person's BMI exceeds 40. [8][9][10] Alternatively, some researchers have referred to weight alone to indicate whether or not patients can be defined as morbidly obese and have suggested that the level of morbid obesity has been reached when patients surpass their ideal weight by > 45 kg.…”

Section: Introductionmentioning

confidence: 99%

“…12 Morbidly obese patients are increasingly overrepresented in the use of health-care services. 1,4,8,13 Further, there is a high mortality rate among these patients because of the patients' delay in accessing treatment. 8,9 Based on the best available evidence, obesity is expected to result in an extra 700 000 cardiovascular disorder-related admissions in the next 20 years.…”

Section: Introductionmentioning

confidence: 99%

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Manual handling risks associated with the care, treatment and transportation of bariatric patients and clients in Australia

Cowley

Leggett

2010

Int J of Nursing Practice

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To gain an understanding of the factors that affect the risks and the adoption of risk control measures during the care of bariatric patients, focus groups were conducted in rural and metropolitan locations in Australia. It was found that the manual handling injury risk to carers is influenced by the design of the environments within which patient movement is undertaken; the limited range of handling equipment available for use with bariatric patients; and the efficacy of organizational procedures and training. Adoption of risk controls is hampered by the absence of a standard definition of the term 'bariatric' and limitations in the use of weight and body mass index in definitions. There are gaps in information flow during the bariatric patient journey through the health-care system and a lack of knowledge about how to safely manage the unique needs of bariatric patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Manual handling risks associated with the care, treatment and transportation of bariatric patients and clients in Australia

Cowley

Leggett

2010

Int J of Nursing Practice

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“…Several studies [1][2][3][4][6][7][8][9][10] provide evidence for relating obesity to several comorbidities. As these diseases interfere with the health and quality of life of these patients, there's a need for advising on self-care, in order to control and prevent complications related to these pathologies, such as: reducing salt in the diet; weight control; practice scheduled physical exercises; diet change; medication regime; and emotional control.…”

Section: Discussionmentioning

confidence: 99%

“…As members of the multidisciplinary team, nurses are challenged when caring for bariatric patients, because the tasks require increased time and additional skills for handling them [9] . A nurse should be able to evaluate the patient and work along with the surgical team for developing a care plan which aims to promote safety and result in positive outcomes for the obese patient [10] .…”

Section: Introductionmentioning

confidence: 99%

Nursing diagnoses in patients with morbid obesity

Félix

Soares²,

Nóbrega³

et al. 2013

JNEP

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Background: The identification of nursing diagnoses in patients with morbid obesity contributes to the planning of interventions, through a systematized and scientifically grounded care. This study aimed to identify nursing diagnoses in morbidly obese patients treated in outpatient care using the International Classification for Nursing Practice (ICNP®), version 2.0.Methods: This is a cross-sectional and descriptive study, with a quantitative approach, carried out through the application of an instrument based on Orem's Self-Care Theory. The sample consisted of 31 patients treated at the gastroenterology outpatient unit of a university hospital in the city of Joao Pessoa, Paraiba, Brazil. Results:One identified 12 nursing diagnoses, standing out: impaired adaptation (90.3%); impaired socialization (67.7%); adherence to the physical exercise regime (58.4%); impaired sleep pattern (58.4%); functional dyspnea (58.1%); and adherence to the medication regime (51.6%). Conclusions:Knowing the nursing diagnoses of people with morbid obesity undergoing outpatient care allows nurses to plan the individual care provided to this clientele, and contribute to the development and maintenance of self-care abilities. One hopes this study can contribute to the development of scientific practices in the process of caring for patients with morbid obesity, in order to encourage and improve the production of further researches addressing nursing care in this growing practice field.

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Addressing the Need for Research on Bariatric Patient Handling

Galinsky

Hudock

Streit³

2010

Rehabilitation Nursing

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During the past 3 decades numerous studies have documented the high prevalence of patient handling-related musculoskeletal injuries among healthcare workers and evaluated ergonomic interventions using mechanized equipment for lifting and moving patients. A great deal of research-based evidence now demonstrates the effectiveness of ergonomic interventions to reduce injury risk among healthcare workers who handle patients of average weights and sizes. In contrast, there is a lack of evidence-based research that evaluates ergonomic interventions for handling bariatric patients, whose extreme weights and sizes necessitate specialized handling equipment. The obesity epidemic, along with special medical and therapeutic concerns regarding bariatric patients, exacerbates healthcare workers' patient handling demands. The National Institute for Occupational Safety and Health is conducting a new study to evaluate bariatric patient handling hazards and interventions and identify evidence-based best practices for handling this population.

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Handling of the Bariatric Patient in Critical Care: A Case Study of Lessons Learned

Cited by 20 publications

References 8 publications

Manual handling risks associated with the care, treatment and transportation of bariatric patients and clients in Australia

Manual handling risks associated with the care, treatment and transportation of bariatric patients and clients in Australia

Nursing diagnoses in patients with morbid obesity

Addressing the Need for Research on Bariatric Patient Handling

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