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28 - Nursing management

from Section 8 - Post-operative care

Published online by Cambridge University Press:  17 August 2009

S.M. Burns
Affiliation:
Professor of Nursing and APN 2, MICU, McLeod Hall School of Nursing, Charlottesville, VA, USA
D. Charlebois
Affiliation:
Pulmonary Transplant Coordinator and APN 1, University of Virginia Health System, Charlottesville, VA, USA
M. Deivert
Affiliation:
Trauma Care Coordinator, University of Virginia Health System, Charlottesville, VA, USA
J. Krenitsky
Affiliation:
Clinical Nutritionist, University of Virginia Health System, Charlottesville, VA, USA
D. Wilmoth
Affiliation:
Performance Improvement Program, University of Virginia Health System, Charlottesville, VA, USA
Adrian O. Alvarez
Affiliation:
IMETCO, Buenos Aires
Jay B. Brodsky
Affiliation:
Stanford University School of Medicine, California
Martin A. Alpert
Affiliation:
University of Missouri School of Medicine, Columbia
George S. M. Cowan
Affiliation:
Obesity Wellness Center, University of Tennessee
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Summary

Introduction

Caring for the morbidly obese patient is a challenge for healthcare providers regardless of the setting. For bariatric patients who require an intensive care unit (ICU) stay, the care provided by the multidisciplinary team, especially nursing, can be quite difficult. At each stage of the patient's recovery, different aspects of care provision require adaptation and creativity since the unique requirements of the morbidly obese patient are not easily delineated by any one-care guideline. Indeed, despite the prevalence of obesity in our critically ill patients, a dearth of information exists on how to best care for them. Regardless, a systematic approach to assuring that care is optimal may achieve good outcomes in this very vulnerable patient population and is the focus of this chapter. The chapter describes some of the most common and trying aspects of nursing care such as skin and wound care, positioning and mobilization, selected aspects of ventilator management, arterial and venous access, nutrition, prevention of complications and psychological issues. It is the authors' hope that the information provided will be useful to the readers of this book on peri-operative management in the morbidly obese individual.

Skin and wound care

Maintaining the skin integrity of the morbidly obese patient requires the implementation of a proactive approach to avoid skin breakdown. Such an approach may prevent complications and the resultant prolonged duration of hospitalization associated with the complications of obesity.

Type
Chapter
Information
Morbid Obesity
Peri-Operative Management
, pp. 371 - 380
Publisher: Cambridge University Press
Print publication year: 2004

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  • Nursing management
    • By S.M. Burns, Professor of Nursing and APN 2, MICU, McLeod Hall School of Nursing, Charlottesville, VA, USA, D. Charlebois, Pulmonary Transplant Coordinator and APN 1, University of Virginia Health System, Charlottesville, VA, USA, M. Deivert, Trauma Care Coordinator, University of Virginia Health System, Charlottesville, VA, USA, J. Krenitsky, Clinical Nutritionist, University of Virginia Health System, Charlottesville, VA, USA, D. Wilmoth, Performance Improvement Program, University of Virginia Health System, Charlottesville, VA, USA
  • Edited by Adrian O. Alvarez
  • Edited in association with Jay B. Brodsky, Stanford University School of Medicine, California, Martin A. Alpert, George S. M. Cowan
  • Book: Morbid Obesity
  • Online publication: 17 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544477.031
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  • Nursing management
    • By S.M. Burns, Professor of Nursing and APN 2, MICU, McLeod Hall School of Nursing, Charlottesville, VA, USA, D. Charlebois, Pulmonary Transplant Coordinator and APN 1, University of Virginia Health System, Charlottesville, VA, USA, M. Deivert, Trauma Care Coordinator, University of Virginia Health System, Charlottesville, VA, USA, J. Krenitsky, Clinical Nutritionist, University of Virginia Health System, Charlottesville, VA, USA, D. Wilmoth, Performance Improvement Program, University of Virginia Health System, Charlottesville, VA, USA
  • Edited by Adrian O. Alvarez
  • Edited in association with Jay B. Brodsky, Stanford University School of Medicine, California, Martin A. Alpert, George S. M. Cowan
  • Book: Morbid Obesity
  • Online publication: 17 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544477.031
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Nursing management
    • By S.M. Burns, Professor of Nursing and APN 2, MICU, McLeod Hall School of Nursing, Charlottesville, VA, USA, D. Charlebois, Pulmonary Transplant Coordinator and APN 1, University of Virginia Health System, Charlottesville, VA, USA, M. Deivert, Trauma Care Coordinator, University of Virginia Health System, Charlottesville, VA, USA, J. Krenitsky, Clinical Nutritionist, University of Virginia Health System, Charlottesville, VA, USA, D. Wilmoth, Performance Improvement Program, University of Virginia Health System, Charlottesville, VA, USA
  • Edited by Adrian O. Alvarez
  • Edited in association with Jay B. Brodsky, Stanford University School of Medicine, California, Martin A. Alpert, George S. M. Cowan
  • Book: Morbid Obesity
  • Online publication: 17 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544477.031
Available formats
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