Super Obese - page 6

in my unit we have had many super obese (500lbs+) pts. Most have been complete care. We only use lifts to get pts oob. it is very difficult to care for such pts because of the logistics and staffing... Read More

  1. by   stephanie.
    Quote from TheCommuter
    Another thought. . .has anyone noticed that a typical salad at a fast food joint always costs in the $5.00 to $6.00 range, whereas a double cheeseburger can be obtained off most value menus or dollar menus for $1.00? What is a lower income person to do?

    Many supermarkets in my area charge staggering prices for fresh veggies and fruits because most things are grown in other states. However, the rice, pasta, potatoes, ramen noodles, white bread, bulk cereal, and other starchy foodstuffs are dirt cheap. Again, what is a lower income person to do?

    I wish our government subsidized other fresh produce items to the same extent that they provide price supports for wheat, corn, and other fattening starches.
    For $15 I get over 25 pounds of fruits and veggies a week from a farmers market that delivers to my school. Last I saw, most obese persons aren't eating 1 double cheeseburger. They are eating several at one sitting.

    It comes down to personal choices and personal responsibility. Sadly some people cant see the forest through the trees.

    I personally have dealt with depression and have found myself indulging in food items. And usually once my pants get too tight I realize I need to gain some control.

    My mother is obese- she's inactive and depressed. I hurt for her because its effected her lifestyle and she has realized where's she's put herself. I think she feels hopeless. I'm sure most obese people do.
  2. by   jadelpn
    Quote from anotherone
    I have turned my fair share of all types of pts. If they are unable to help the more they weigh the more difficult it is. period. Obviously a 450lb mobile walkie talkie is easier to care for then a 150 contracted pt with a peg tube and foley and wound vac and trach.
    Are we seeing more super obese pts or not? has it leveled off or is it increasing? I have only been a nurse for an few years and it seems about the same adult pt wise. But as a kid I rarely saw obese children . 15years later I see a lot more. If it is increasing than hospitals better get with it ( another project to be nursing responsibility @@?).
    These are valid questions. People are overweight, children are overweight--but our culture has changed so much. "Back in the day" we all went outside running around 99% of the time. Families walked due to just one car. Now, depending on where one lives, kids are no longer safe to to walking anywhere--nor are outdoor entertainment the #1 thing to do. Entertainment was camping, hiking--lots of outdoor stuff. Now things have drastically changed, but some cling to the old way of eating--I love butter and whole milk and all the things I grew up on. (When I hit 45, everything I put in my mouth goes to my butt--story for another thread LOL).
    But if we are talking bed bound morbidly obese, I don't think there's an increase. Disordered eating is a process and the result of something other than too many cheeseburgers. Takes a multi-dynamic plan of care. And truly, if your unit is over run with the morbidly obese bed bound patients, then you should take the reins and make some adjustments to how one would care for them.
    Even when surgery becomes an option for some, the skin that they carry requires a great deal of care--can be well over 50 pounds of loose skin, so again, a specialized, multi-dynamic plan of care.
    A no lift hospital is a reality in a number of facilities. So unless anyone can get up on their own accord, whether it be someone who is 100 pounds or 600 pounds the best interest of your unit team is to do what you can to talk about the reality of equipment, lift teams, and multi discipline, reality based plans of care. Because a 600 pound patient is not going to go home soon--nor is a contracted 100 pound patient with all the bells and whistles--to be cared for by one family member--or a family member and one caregiver.
  3. by   Tait
    Perhaps, like confused patients who need additional help and are provided private sitters by family, those who need extra help with turning and cleaning due to weight should be approached about hiring private staff while in the hospital?
  4. by   Mulan
    New Jersey woman striving to weigh 1,000 pounds, become world's fattest lady -

    "NJ woman attempting to become world's fattest lady

    A New Jersey woman, who now tips the scales at 604 pounds, said it'd be a "fantasy" to gobble her way to fame and someday weigh 1,000 pounds.

    To help pick up the tab on her $750-a-week eating habit, Simpson puts herself on the Internet where people can pay to watch her eat."

    That's one thing I always wondered about, how these obese people can afford their grocery bill.
  5. by   stephanie.
    Why would anyone WANT to be an invalid and risk death or disease? Does she only find value in herself by being that large? Is there nothing else to live for? People won't pity her when she passes away from being obese- no one will say "wow, she lived such an honorable life."
  6. by   michellefr
    I seriously can not believe that someone would willingly shorten her life span considerably and put her glutinous habits on public display to beat a world record. Something is seriously wrong.
  7. by   tewdles
    Quote from michellefr
    I seriously can not believe that someone would willingly shorten her life span considerably and put her glutinous habits on public display to beat a world record. Something is seriously wrong.
    This could be another symptom of her mental illness...
  8. by   Clementia
    Sorry, but I can't resist.

    "Glutinous" means "sticky, goopy"--think gobs of white rice left over at the bottom of the Chinese take-out box.
    "Gluttonous" has to do with overindulgence in food.
    While this woman's diet may very well be glutinous, I think "gluttonous" is more likely the term you were aiming for.
  9. by   calivianya
    One of the nurses in my ICU got a very obese pt on an insulin drip the last night I worked. Fortunately for her, he could roll pretty well by himself. The beds we have are very large. It can literally be difficult to get to a small patient if they roll all the way to the other side of the bed. However, this guy didn't have room to roll all the way over. I don't know how much he actually weighed, but I'd say it was likely over the 500 pound mark. I could have curled up in the fetal position and it would have taken two of me to match the size of his midsection.

    The problem is that we have no hoyer lifts and only three rooms in our whole ICU have lifts in the ceiling. He wasn't in one of those rooms because they were all full. This is a BRAND NEW building. We literally just moved in this unit two months ago. I am still amazed that they didn't put a lift in every room. And even the rooms with lifts can only tolerate patients up to 550lbs. If we get a patient bigger than that, we have to call maintenance to get an extension or whatever for the lift - and there are only two of those available! I really hate the hospital I work for. They don't care about their nursing staff at all. There are a lot of reasons why I say that, but this whole only three rooms with lifts per floor and the lifts only being able to tolerate so much weight thing is a big one. There should be lifts in every room, period. There is no excuse if the facility is brand new.