- Unique challenges faced by
hospital staff in treating critically ill obese patients in an ICU
- Study provides guidance on optimum
care for such patients
- Critically ill obese patients in
the ICU may require additional care by nurses and frequent monitoring.
is fast rising to be a matter of major health concern across the world. According to Youth Risk Behaviour Surveillance System in the U.S (2015) it was found that
- 13.9% high school students were
- 35% of people in three states in
the U.S were found to be obese (West Virginia, Mississippi and Arkansas)
- 34.9% of adults were obese
The figures are alarming across the world
with the number of obese patients increasing. There are many complications that
are associated with being obese, however, a new study by Dr. Lori A. Dambaugh
and colleagues from St. John Fisher College in Rochester looks at the possible
complications during hospitalization in an ICU. The study titled Progressive Care of Obese Patients
published in the Journal of High Acuity, Progressive and Critical Care
Dr. Dambaugh says "With up to a quarter of
critically ill patients classified as obese, nurses must be aware of how
obesity may change how their patients respond to their illness,".
‘Obese people face more complications during hospitalization in an ICU, prompting greater action against obesity.’
Obesity can increase the risk of
Recommendations for Critically Ill Obese Patients Based on the Study
The patient might require additional assessment
Nurses might need to monitor obese patients more often.
Need for Intervention: Intervention strategies may have to be utilized more often in
critically ill patients classified as obese.
study also recommends that critically ill obese patients who are shifted
out of the ICU should be observed in a progressive care unit before shifting
to a general unit or discharged home.
Margaret M. Ecklund, who is the co-author of
the study says "Progressive care is the unifying term for the increased
level of care and nursing vigilance needed by patients who are not in the ICU
but have complex healthcare needs. Progressive care units may be an excellent
setting for obese patients who require increased monitoring and may have
unstable clinical conditions."
Obese patients are at increased risk of
complications due to the health implication of the condition. Additional
monitoring, as recommended by this study, will enable a better quality of care.
- Obesity Rates & Trends - (http://stateofobesity.org/rates/)
- Obesity - Introduction - (https://medlineplus.gov/obesity.html)