Has reached epidemic proportions in recentyears. More than one-third of U.S. adults (35.7%)are obese. Obese individuals historically have suffereddiscrimination due to their weight, and as aresult must be shown increased sensitivity.
Surgery which is performed to enable thepatient to lose significant weight andmaintain that weight loss. Surgery which is the only effective therapyfor morbid obesity and its complicationsaccording to the National Institutes ofHealth. A serious surgery which is very effectivewhen paired with lifestyle changes in dietand exercise.
Designated a Center ofExcellence by the AmericanSociety for Metabolic andBariatric SurgeryCommitted to a high level of bariatriccare, working to promote patient safety andadvocacy, participating in comprehensive datatracking and analysis regarding our patientoutcomes.
•Those who are morbidly obese (abody mass of greater than 40).•Those with a body mass of 35-40who have other serious medicalproblems such as diabetes, heartdisease, or arthritis.
For a patient to have bariatric surgery, thatperson must have failed other weight lossprograms. Bariatric surgery is NOT a “quick fix”; it is alast resort for morbidly obese patients.
Transferring the morbidly obese patient: Ifpatient is awake, have them help you.Educate patient on what you are about todo. If patient is asleep, you will need 5caregivers to move patient. Use equipmentsuch as the roller or the slider. When movingthe bed, have 3 caregivers available to movethe bed.
Weigh with careMany large patients are embarrassed andanxious about being weighed. It’s importantto maintain privacy, don’t announce thepatient’s weight, simply record the weightwithout judgment or comment. Unless thepatient asks to know his/her weight, don’tvolunteer that information.
Create a weight-friendly environment Make sure our rooms are weight-friendly. Make sure we have appropriately-sizedequipment to accommodate large patients. Make larger size gowns available. Make sure our furniture is sturdy.
Be mindful of languageMany patients feel embarrassment, shame, andanxiety surrounding their weight so it isimportant for providers to recognize andimplement language about weight thatpatients prefer and feel comfortable with.Preferred words: weight, excess weight, BMIUndesirable: fatness, heaviness, largesize, weight problem
Implement Sensitive PracticesRecognize that obese patients may haveexperienced negative interactions withproviders because of weight bias. As a result,patients may be more reluctant to voiceconcerns, ask questions, or participate inconversations with providers.We should strive to foster patient-centeredcommunications.
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