Patients Of Size Nti

Getting Your Arms Around Caring for Patient of Size Glenn Carlson MSN, CCRN Critical Care Clinical Nurse Specialist Bronson Methodist Hospital Kalamazoo, Michigan

Conflicts ,[object Object],[object Object]

Program Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Economic Costs- CDC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What are these costs related to? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other co morbid conditions ,[object Object],[object Object],[object Object]

Wellness Profiles of a midwest hospital

Wellness Profiles of a Midwest Hospital

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Customers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Statistics On Patients Of Size In The ICU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

John Hopkins- Hogue et al Intensive Care Medicine 2009 ,[object Object],[object Object],[object Object],[object Object]

University of Virginia- Surgical Infections ,[object Object]

Impact of Obesity in the Critically Ill Trauma Patient: A Prospective Study Bochicchio GV, Joshi M, Bochicchio K, Nehman S, Tracy JK, Scalea TM J Am Coll Surg . 2006;203:533-538 ,[object Object],[object Object],[object Object]

Trauma and patient of size ,[object Object]

What they did: ,[object Object]

What they found: ,[object Object]

Others have not found this ,[object Object]

Morris et al Chest 2007 ,[object Object]

Chest 2007 cont ,[object Object],[object Object],[object Object]

Effect of obesity on intensive care morbidity and mortality: A meta-analysis *. Critical Care Medicine. 36(1):151-158, January 2008. Akinnusi, Morohunfolu E. MD; Pineda, Lilibeth A. MD; El Solh, Ali A. MD, MPH ,[object Object],[object Object],[object Object],[object Object]

Measurements and Main Results: ,[object Object],[object Object],[object Object]

Obesity 2008 Olivares and Villamor ,[object Object],[object Object],[object Object]

Why ,[object Object],[object Object],[object Object]

“ Barry” – A Case Study ,[object Object],[object Object],[object Object],[object Object],[object Object]

“ Barry” – A Case Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treating Barry Presents Many challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key Concerns Staff Have Regarding Caring for Patients of Size ,[object Object],[object Object],[object Object],[object Object]

Special Treatment Needs: Blood Pressure ,[object Object],[object Object],[object Object]

Special Treatment Needs: Calculating Dosages & Administering Medication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Special Treatment Needs: DVT prevention ,[object Object],[object Object],[object Object]

Special Treatment Needs: Use Of Central Lines ,[object Object],[object Object],[object Object],[object Object],[object Object]

Special Treatment Needs: Determining Cardiac Dynamics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Special Treatment Needs: Diagnostic Tools For Spinal Cord Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Uppot, R.N. Radiology , August 2006; vol 240: pp 435-439

Preventing Respiratory Decompensation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Maintaining Skin Integrity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenges To Patient & Caregiver Safety ,[object Object],[object Object],[object Object],[object Object]

Frequency & Cost of Back Injuries ,[object Object],[object Object],[object Object],[object Object],[object Object],1. United States Department of Labor, Bureau of Statistics 2. Patient Care Ergonomics Resource Guide: Safe Patient Handling and Movement, Pt. Safety Center of Inquiry, VHA and DOD, 2001 3. Frymoyer JW, Cats-Baril WL. An overview of the incidence and costs of low back pain. Orthop Clin North Am 1991;22:263–71.

Using Technology Can Help Address Patient & Care Giver Safety ,[object Object],[object Object],[object Object],[object Object]

Using Technology To Assist In patient care ,[object Object],[object Object],[object Object],850 lb capacity

Kinetic Therapy System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BariMaxx  II Power Drive System With MaxxAir ETS  MRS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1000 lb capacity

Valuable Assistance In Lateral Transfers ,[object Object],[object Object],[object Object],[object Object],1,000 lb capacity

Treatment of Patients Of Size Requires A Multidisciplinary Effort ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

(Allon, 1975; Staffieri, 1967, 1972). ,[object Object]

Crocker, J., Cornwell, B., & Major, B. (1993). The stigma of overweight: Affective consequences of attributional ambiguity. JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY. 64(1), 60-70. ,[object Object]

Insensitivity Toward Patients Of Size Is Common ,[object Object],[object Object],[object Object],[object Object]

Obesity is often described as the last 'acceptable' form of discrimination based on physical appearances. American Obesity Association

Crandall, C., & Biernat, M. (1990). The ideology of anti-fat attitudes. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY. 20(3), 227- 243. ,[object Object]

Genetics: Twin studies Fraternal Identical

Health Care Professionals ,[object Object],[object Object],[object Object],[object Object],TA Wadden, Obesity Research 2003

Are the Obese Bias against the Obese? ,[object Object],[object Object],[object Object],[object Object],SS Wang International Journal of Obesity 2004

The problems we Overlook ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Preferred Terms in Obesity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TA Wadden, Obesity Research 2003

Literature ,[object Object],[object Object],[object Object],[object Object],[object Object]

Labels ,[object Object],[object Object],[object Object]

Responses ,[object Object],[object Object]

Culture of Sensitivity ,[object Object],[object Object],[object Object],[object Object]

Create Culture of Sensitivity ,[object Object],[object Object],[object Object],[object Object],[object Object]

Questions/Discussion Thank you! Glenn Carlson

Patients Of Size Nti

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