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Disabling Obesity pp 77–106Cite as

Critical Aspects in Nursing

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Abstract

The severely obese patient with disabling conditions is a “complex” patient, whose nursing imposes higher loads for healthcare providers than assisting normal-weight patients. Four main critical aspects related to bariatric nursing arise: (a) the need for adequate figures of healthcare providers, (b) the concern for both the patient’s and the provider’s safety, (c) the lack of bariatric equipment, (d) the patient-professional relationship, both at personal and professional level. Being consistently present in the Unit and responsible for the patient’s physical and psychological needs, the nurse represents the reference professional. The different levels of nursing interventions in bariatric patients and their critical aspects are described in the chapter. Caring for those patients implies higher biomechanical risks for the healthcare provider. Patients handling algorithms, the specific class of equipment with expanded capacity and the specific environmental considerations for hospitals admitting bariatric patients are discussed. The healthcare operators should be consistently educated and updated about biomechanics of movements and postures, and the use of technological aids. Being organizatively and culturally unprepared for admitting those patients aggravates the level of risk of injuries both for the healthcare provider and the patient.

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Author information

Authors and Affiliations

  1. Nursing Office, Istituto Auxologico Italiano IRCCS, Piancavallo, Verbania, Italy

    Daniela Imperiali

  2. Rehabilitation Unit, Istituto Auxologico Italiano IRCCS, Piancavallo, Verbania, Italy

    Roberta Cirillo & Amelia Brunani

  3. Ergonomics Unit, Fondazione Maugeri IRCCS, Pavia, Italy

    Edda Maria Capodaglio

  4. Rehabilitation Unit and Research Lab in Biomechanics and Rehabilitation, Istituto Auxologico Italiano IRCCS, Piancavallo, Verbania, Italy

    Paolo Capodaglio

Authors
  1. Daniela Imperiali
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  2. Roberta Cirillo
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  3. Amelia Brunani
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  4. Edda Maria Capodaglio
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  5. Paolo Capodaglio
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Corresponding author

Correspondence to Daniela Imperiali .

Editor information

Editors and Affiliations

  1. Istituto Auxologico Italiano IRCCS, Via Cadorna 90, Piancavallo (VB), 28824, Italy

    Paolo Capodaglio

  2. , Department of Gastroenterology, Sao Paulo University Medical School, Avenida Eneias C. Aguiar 255, Sao Paulo, 05403-900, Brazil

    Joel Faintuch

  3. Ospedale San Giuseppe, Via Cadorna 90, Piancavallo (Oggebbio – VCO), 28824, Italy

    Antonio Liuzzi

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Imperiali, D., Cirillo, R., Brunani, A., Capodaglio, E.M., Capodaglio, P. (2013). Critical Aspects in Nursing. In: Capodaglio, P., Faintuch, J., Liuzzi, A. (eds) Disabling Obesity. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35972-9_5

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