Open AccessA Novel Approach to the Safe and Effective Mobilization of a Super-Obese Patient: A Case Report
Author(s) -
Jessica Anaf,
Amy Wigmore,
Kathy Stiller
Publication year - 2017
Publication title -
the internet journal of allied health sciences and practice
Language(s) - English
Resource type - Journals
ISSN - 1540-580X
DOI - 10.46743/1540-580x/2017.1623
Subject(s) - medicine , referral , psychological intervention , supine position , psychosocial , health care , physical therapy , rehabilitation , medical emergency , nursing , surgery , psychiatry , economics , economic growth
Purpose: The incidence of obesity is rising worldwide, as is the presentation of these patients to the acute hospital setting. As a result of their complex nature, including medical co-morbidities, psychosocial issues, and healthcare resource limitations, management of these patients requires a coordinated and intensive multi-disciplinary approach. Although there are considerable data reporting the surgical management of obese patients, there is very limited literature regarding non-surgical interventions, including approaches to safe and effective mobilization. Methods: A case report is presented of a 55-year-old super-obese male transferred to a major tertiary referral healthcare centre for management of his overall medical condition and rehabilitation. As a result of the patient’s inability to tolerate the supine position because of central obesity, a novel approach to mobilization was undertaken whereby a bariatric tilt-table was used to facilitate standing and walking from the semi-prone position. This mobilization program was led by a physiotherapist with support and input from the multi-disciplinary team. Conclusion: It was safely and effectively implemented and enabled the patient to be discharged to his desired rural location.