2.50
Hdl Handle:
http://hdl.handle.net/10755/164311
Category:
Abstract
Type:
Presentation
Title:
Bariatric Care Reference Sheet: Transforming Care of Obese Patients in ICU/PCU
Author(s):
Blythe, Lorie; White, Susan E.
Author Details:
Lorie Blythe, MSN, RN, Clarian IU Hospital and Methodist Hospital, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org; Susan E. White, MSN, RN, BC, CVN
Abstract:
Purpose: The purpose of this clinical project was to increase the MICU staff's understanding of the special needs of obese and morbidly obese patients and provide resources to address those needs. Significance: According to recent statistics, 24% of our state's population meets the criteria for obesity. That statistic was exceeded in our MICU patient population, with 25 -30% of patients being either obese (BMI > 30) or morbidly obese (BMI > 40). Design/Background/Rationale: This subgroup of patients has special care needs unique to their weight and size, making routine caregiving, transport to other departments for diagnostic tests, and simple tasks such as turning and mobilization challenging. We found the staff avoiding these patients, and we were concerned about adverse patient outcomes and a decrease in staff morale. Methods/Description: The CNS assembled a team that included MICU staff nurses, a critical care pharmacist, physical therapist, dietitian, wound care specialists, care coordinator, and clinical educator. A literature search was performed and the results shared with the team. Gaps between the literature and current clinical practice for these patients were identified. The team wrote guidelines for care of the bariatric patient, utilizing the expertise of each of the disciplines. Team members gathered information about weight and girth limits for diagnostic imaging equipment, and a CNS graduate student wrote an algorithm to assist in bariatric bed selection. All the guidelines and references were assembled into a 2-sided reference sheet that was printed and laminated for each bedside chart. Nurses in the MICU piloted the reference sheet and gave feedback to the team. Findings/Outcomes: Nurses utilizing the reference sheet have expressed a better understanding of the unique care needs of this patient group and how to meet them. The reference sheet has prevented unnecessary "road trips" to diagnostic departments. Appropriate bariatric bed selection has increased, as well as referrals to the bariatric CNS. The bariatric care reference sheet has been placed on the organization's nursing Web page for all nurses to use in patient care. Conclusions: The bedside reference sheet has had a positive effect on nursing staff knowledge and morale, as well as on patient care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
CNS Leadership: Soaring to New Heights
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Salt Lake City, Utah, USA
Description:
Conference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBariatric Care Reference Sheet: Transforming Care of Obese Patients in ICU/PCUen_GB
dc.contributor.authorBlythe, Lorieen_US
dc.contributor.authorWhite, Susan E.en_US
dc.author.detailsLorie Blythe, MSN, RN, Clarian IU Hospital and Methodist Hospital, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org; Susan E. White, MSN, RN, BC, CVNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164311-
dc.description.abstractPurpose: The purpose of this clinical project was to increase the MICU staff's understanding of the special needs of obese and morbidly obese patients and provide resources to address those needs. Significance: According to recent statistics, 24% of our state's population meets the criteria for obesity. That statistic was exceeded in our MICU patient population, with 25 -30% of patients being either obese (BMI > 30) or morbidly obese (BMI > 40). Design/Background/Rationale: This subgroup of patients has special care needs unique to their weight and size, making routine caregiving, transport to other departments for diagnostic tests, and simple tasks such as turning and mobilization challenging. We found the staff avoiding these patients, and we were concerned about adverse patient outcomes and a decrease in staff morale. Methods/Description: The CNS assembled a team that included MICU staff nurses, a critical care pharmacist, physical therapist, dietitian, wound care specialists, care coordinator, and clinical educator. A literature search was performed and the results shared with the team. Gaps between the literature and current clinical practice for these patients were identified. The team wrote guidelines for care of the bariatric patient, utilizing the expertise of each of the disciplines. Team members gathered information about weight and girth limits for diagnostic imaging equipment, and a CNS graduate student wrote an algorithm to assist in bariatric bed selection. All the guidelines and references were assembled into a 2-sided reference sheet that was printed and laminated for each bedside chart. Nurses in the MICU piloted the reference sheet and gave feedback to the team. Findings/Outcomes: Nurses utilizing the reference sheet have expressed a better understanding of the unique care needs of this patient group and how to meet them. The reference sheet has prevented unnecessary "road trips" to diagnostic departments. Appropriate bariatric bed selection has increased, as well as referrals to the bariatric CNS. The bariatric care reference sheet has been placed on the organization's nursing Web page for all nurses to use in patient care. Conclusions: The bedside reference sheet has had a positive effect on nursing staff knowledge and morale, as well as on patient care.en_GB
dc.date.available2011-10-27T11:46:01Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:46:01Z-
dc.conference.date2006en_US
dc.conference.nameCNS Leadership: Soaring to New Heightsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionConference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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