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6 Essential Bariatric Equipment: Making Your Facility More Accommodating to Bariatric Surgical Patients

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Abstract

Bariatric surgery patients require unique equipment and furniture to safely and comfortably accommodate them and their family members. Attention to all aspects of care for the obese patient is important, and bariatric programs should lead their institutions in developing equipment and furniture policies. Careful planning and institutional support can avoid injury or embarrassment for the obese patient anywhere in the clinic or hospital.

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References

  1. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity in the United States, 2009-2010. NCHS Data Brief. 2012;82:1–8.

    PubMed  Google Scholar 

  2. Kaminsky J, Gadaleta D. A study of discrimination within the medical community as viewed by obese patients. Obes Surg. 2002;12:14–8.

    Article  PubMed  Google Scholar 

  3. Lautz DB, Jiser ME, Kelly JJ, Shikora SA, Partridge SK, Romanelli JR, Cella RJ, Ryan JP. An update on best practice guidelines for specialized facilities and resources necessary for weight loss surgical programs. Obesity (Silver Spring). 2009;17:911–7.

    Article  Google Scholar 

  4. Whittemore AD, Kelly J, Shikora S, Cella RJ, Clark T, Selbovitz L, Flint L. Specialized staff and equipment for weight loss surgery patients: best practice guidelines. Obes Res. 2005;13:283–9.

    Article  PubMed  Google Scholar 

  5. Frezza EE, Wachtel MS. A successful model of setting up a bariatric practice. Obes Surg. 2008;18:877–81.

    Article  PubMed  Google Scholar 

  6. Gallagher S. The human element of advanced technology. Ostomy Wound Manage. 2003;49:24, 26, 28.

    Google Scholar 

  7. Nightingale F. Notes on nursing what it is, and what it is not. London: Harrison; 1860.

    Google Scholar 

  8. Foil MB, Collier MS, MacDonald Jr KG, Pories WJ. Availability and adequacy of diagnostic and therapeutic equipment for the morbidly obese patient in an acute care setting. Obes Surg. 1993;3:153–6.

    Article  PubMed  Google Scholar 

  9. Drake D, Dutton K, Engelke M, McAuliffe M, Rose MA. Challenges that nurses face in caring for morbidly obese patients in the acute care setting. Surg Obes Relat Dis. 2005;1:462–6.

    Article  PubMed  Google Scholar 

  10. Barr J, Cunneen J. Understanding the bariatric client and providing a safe hospital environment. Clin Nurse Spec. 2001;15:219–23.

    Article  CAS  PubMed  Google Scholar 

  11. Sarr MG, Felty CL, Hilmer DM, Urban DL, O’Connor G, Hall BA, Rooke TW, Jensen MD. Technical and practical considerations involved in operations on patients weighing more than 270 kg. Arch Surg. 1995;130:102–5.

    Article  CAS  PubMed  Google Scholar 

  12. Gallagher S, Arzouman J, Lacovara J, Blackett A, McDonald PK, Traver G, Bartholomeaux F. Criteria-based protocols and the obese patient: planning care for a high-risk population. Ostomy Wound Manage. 2004;50:32–34, 36, 38 passim.

    Google Scholar 

  13. Gallagher SM. Restructuring the therapeutic environment to promote care and safety for the obese patient. J Wound Ostomy Continence Nurs. 1999;26:292–7.

    CAS  PubMed  Google Scholar 

  14. Nguyen NT, Moore C, Stevens CM, Chalifoux S, Mavandadi S, Wilson SE. The practice of bariatric surgery at academic medical centers. J Gastrointest Surg. 2004;8:856–60; discussion 860–851.

    Article  PubMed  Google Scholar 

  15. Retsas A, Pinikahana J. Manual handling activities and injuries among nurses: an Australian hospital study. J Adv Nurs. 2000;31:875–83.

    Article  CAS  PubMed  Google Scholar 

  16. Gallagher S. Caring for the overweight patient in the acute care setting: addressing caregiver injury. J Healthc Saf Compl Infect. 2000;4:379–82.

    Google Scholar 

  17. Harrell JW, Miller B. Big challenge. Designing for the needs of bariatric patients. Health Facil Manage. 2004;17:34–8.

    PubMed  Google Scholar 

  18. Weiss J, Perham D, Forrest J. Build your own bariatric unit: southwest ambulance creates a better way to transport obese patients. JEMS. 2003;28:36–45.

    PubMed  Google Scholar 

  19. Gourash W. Lecture entitled bariatric equipment: making your facility more accommodating for the morbidly obese. Minimally Invasive Surgery for Morbid Obesity and GERD related topics, School of Medicine and the Minimally Invasive Surgery Center of the University of Pittsburgh Medical Center; 2001

    Google Scholar 

  20. Hilmer DM. Technical considerations of bariatric surgery in the super obese. Surg Technol. 1994;26:8–12. quiz 13.

    CAS  PubMed  Google Scholar 

  21. AORN. Bariatric surgery guideline. AORN. 2004;79:1026–52.

    Article  Google Scholar 

  22. Recommendations for facilities performing bariatric surgery. Bull Am Coll Surg. 2000;85:20–3.

    Google Scholar 

  23. Martin LF, Burney M, Faitor-Stampley V, Wheeler T, Raum WJ. Preparing a hospital for bariatric patients. New York: McGraw-Hill; 2003.

    Google Scholar 

  24. Martinez-Owens T. Special needs of the bariatric surgical office. New York: McGraw-Hill; 2003.

    Google Scholar 

  25. Veiga EV, Arcuri EA, Cloutier L, Santos JL. Blood pressure measurement: arm circumference and cuff size availability. Rev Lat Am Enfermagem. 2009;17:455–61.

    Article  PubMed  Google Scholar 

  26. Hager H, Mandadi G, Pulley D, Eagon JC, Mascha E, Nutter B, Kurz A. A comparison of noninvasive blood pressure measurement on the wrist with invasive arterial blood pressure monitoring in patients undergoing bariatric surgery. Obes Surg. 2009;19:717–24.

    Article  PubMed  Google Scholar 

  27. Helmut H, Mandadi G, Eagon C, Pulley D, Kurz A. Intraoperative blood pressure measurement on the wrist is more accurate than on the upper arm in morbidly obese patients. Abstract presented at the American Society of Anesthesia 2004 annual meeting; 2004.

    Google Scholar 

  28. Modica MJ, Kanal KM, Gunn ML. The obese emergency patient: imaging challenges and solutions. Radiographics. 2011;31:811–23.

    Article  PubMed  Google Scholar 

  29. Carucci LR. Imaging obese patients: problems and solutions. Abdom Imaging. 2013;38(4):630–46.

    Article  PubMed  Google Scholar 

  30. Blachar A, Federle MP, Pealer KM, Ikramuddin S, Schauer PR. Gastrointestinal complications of laparoscopic Roux-en-Y gastric bypass surgery: clinical and imaging findings. Radiology. 2002;223:625–32.

    Article  PubMed  Google Scholar 

  31. Uppot P. How obesity hinders image quality and diagnosis in radiology. Bariatrics Today. 2005;1:31–3.

    Google Scholar 

  32. Uppot RN. Impact of obesity on radiology. Radiol Clin North Am. 2007;45:231–46.

    Article  PubMed  Google Scholar 

  33. Rush A, Muir M. Maintaining skin integrity bariatric patients. Br J Community Nurs. 2012;17(154):156–9.

    Google Scholar 

  34. de Menezes Ettinger JE, dos Santos Filho PV, Azaro E, Melo CA, Fahel E, Batista PB. Prevention of rhabdomyolysis in bariatric surgery. Obes Surg. 2005;15:874–9.

    Article  PubMed  Google Scholar 

  35. Brown S. Bed surfaces and pressure sore prevention: an abridged report. Orthop Nurs. 2001;20:30–40.

    Google Scholar 

  36. Fruto LV, Malancy K, Forbis J, Cochran J. Development of decision guidelines for specialty bed/mattress selection for obese patients. Ostomy Wound Manag. 1997;43:66.

    Google Scholar 

  37. Burns SM, Egloff MB, Ryan B, Carpenter R, Burns JE. Effect of body position on spontaneous respiratory rate and tidal volume in patients with obesity, abdominal distension and ascites. Am J Crit Care. 1994;3:102–6.

    CAS  PubMed  Google Scholar 

  38. Andrade SD. Planning and design guidelines for bariatric healthcare. Acad J. 2006.

    Google Scholar 

  39. Evanoff B, Wolf L, Aton E, Canos J, Collins J. Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace. Am J Ind Med. 2003;44:451–7.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Stacy A. Brethauer M.D. .

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Romero-Talamas, H., Brethauer, S.A. (2015). 6 Essential Bariatric Equipment: Making Your Facility More Accommodating to Bariatric Surgical Patients. In: Brethauer, S., Schauer, P., Schirmer, B. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1637-5_6

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  • DOI: https://doi.org/10.1007/978-1-4939-1637-5_6

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  • Online ISBN: 978-1-4939-1637-5

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