Delivering nursing care to obese patients produces unique challenges under normal conditions. When circumstances become uncharacteristic, such as an emergency evacuation state, the tasks take on a raised sense of urgency and the difficulties may become hard to manage.
Assessing the possible problems related with emergency evacuation of a bariatric patient and calculated planning to curtail those problems should be accomplished as soon as possible after admission. The important areas to assess include mobility status, the lift team and gear.
Morbidly obese patients encounter a great reduction in mobility due to numerous factors, including structural uncertainty in the lower extremities and widespread weakness in the upper extremities due to underlying pathologies. How the bariatric patient travels and what support is needed must be recognised before the evacuation becomes compulsory.
Large patients are often reliant on their own labours to assist with movement and possess a devastating fear of falling. This intensifies the pressure for the patient in any circumstance, and it obviously gets much worse when a crisis arises.
Whenever imaginable, allow bariatric patients to self-mobilize. They have an understanding of their unique ins and outs and movement dynamics needed. Most bariatric patients employ a forward pull as a replacement for an upward pull action. The forward pull lets them to use their own muscles and assists in gaining the momentum required to bring themselves into an upright situation. An upward pull places the dominant focus of weight on the carer, which may result in injury. It can also alarm patients, again due to their fear of falling.
Modest involvements can also assist this patient with autonomous movement. Avoid strapping IVs to hands so patients are able to grip rails or a support appliance to assist in their movement. Ensure that the patient’s hands are dry, and fasten grip tape to areas that may be safely employed as an assistive device.
In the life-threatening care department, patients may be powerless to assist themselves when moving. Evacuation then intensifies and necessitates the help of several carers.
The Care Team
A few institutions around the UK have dedicated staff dispatched to be used exclusively as carers for bariatric patients in order to decrease the number of work-related back injuries and improve the work environment for nursing staff. These squads are important during an evacuation process but cannot be in every potentially unsafe building in the UK though.
If you wish to create a team of your own similar to this, then should always be alerted when a morbidly obese patient is being cared for so they can act quickly and in suitable numbers in the event of a crisis. This team should not only assist with bariatric transfers, but also problematic transfers. They have the capacity to diminish back injuries, as well as patient concern and uneasiness.