1 / 10

Immobility and the Bariatric Population

Immobility and the Bariatric Population. Presented By: Skila Jennings, PT, MEd in Exercise Physiology Jennifer McCollum, MPT, Back School Coordinator. Immobility can lead to…. Skin breakdown DVT Pneumonia/Breathing dysfunction Atrophy of musculature Emotional components. Skin Issues.

anjolie-black
Télécharger la présentation

Immobility and the Bariatric Population

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Immobility and the Bariatric Population Presented By: Skila Jennings, PT, MEd in Exercise Physiology Jennifer McCollum, MPT, Back School Coordinator

  2. Immobility can lead to….. • Skin breakdown • DVT • Pneumonia/Breathing dysfunction • Atrophy of musculature • Emotional components

  3. Skin Issues • Increased risk of cellulitis • Increased risk of skin breakdown due to increased pressure • Skin breakdown due to shear forces • Moisture in folds

  4. Breathing • Lungs do not increase in size with obese patients. • The diaphragm is fully able to descend due to the increase adipose tissue, thus decreasing their vital capacity and tidal volume. • Hyperventilization leads to increased risk for DVT

  5. Atrophy • Decreased muscle strength • Decreased muscle endurance • Decreased efficiency of already compromised cardiovascular system

  6. Emotional factors • Depression • A feeling of failure • Anxiety or guilt over needing so much help • Embarrassment

  7. Other metabolic concerns • Temperature control, excess sweating • Misuse of protein • Affect on resting metabolic rate • Diabetes control • Contractures at foot/ankle

  8. Proper Equipment • Manual Handling equipment • Bariatric FWW • Gait belt • Maxi slide • Lift equipment including appropriate slings • Appropriate size • Bariatric bed • Yes it takes more staff, but we got to get these folks moving!

  9. Transfers • Use proper equipment • Use mechanical advantage of bed • Block knees

  10. References • Davis, Crawford (2002) Persistant leg ulcers in an obese patient with venous insufficiency and elephantitis. Journal of wound ostomy and continence. 29:55-60 • Groszek. D (1982) Promoting wound healing in the obese patient. Advances in skin and wound care. 5;1132-8 • Guillet C, Masgrau A, Doirie Y (2011) Is protein metabolism changed with obesity? Curr. Opinion Clinical Nutrition Metabolic Care. • Maklebust, Seiggreen (1992) Pressure ulcers: Guidelines for prevention and nursing management. 2nd Edition. Springhouse corporation. Manual Handling Operations Regulations (1992) • Milton Stokes (2004) The impact of obesity on Healthcare delivery. • Trimble T (2003) Outsize patients – a big nursing challenge! Emergency Nursing World

More Related