Critical care nursing quarterly
-
This article describes the special needs of the critically ill morbidly obese, with a focus on the care of the postoperative obesity surgery patient. The technique of surgery is described elsewhere in this journal. ⋯ Pharmacokinetic factors to be considered are reviewed. A case study is presented to coalesce concepts presented.
-
Intrinsic and extrinsic factors affect wound healing. High risk factors for the obese patients include infection, seromas, anastomatic leaks, and incision dehiscence. Tissue perfusion is an issue of great concern and is a key factor in most assessments. ⋯ From routine evaluations to specialized assessments with attention to bariatric equipment needs, a thorough understanding of wound healing and potential problems of obese patients, and knowledge of interventions is needed. Nonjudgmental attitudes are imperative in planning care for the obese patients. Following a review of physiological needs and nursing interventions, a case study details one woman's surgical complications.