But making nice is all very well and good, but the fact remains–when you put your call light on and I answer it–I cannot, even with the help of all the predominantly female staff, pull you up in bed when you weigh 40+ pounds.
Lifting and transferring equipment is expensive and represents a capital investment for hospitals–most do not have it. They depend on staff.
I depend on Security to literally provide the extra muscle to lift the MO up. Since pts need to be pulled up alot-- about every hour–this is a huge waste of man power.
The big guy who weighs 350 and is 6’5"–he is EASIER to move and transfer than the petite, rotund person. The big guy has muscle mass, but he can be placed in certain positions which aid us in turning him etc. The masses of obese flesh that present themselves in the other example–they don’t lend themselves at all. There is no way to use leverage, etc. And our backs and hips are at risk everytime.
When my entire forearm can be swallowed up by an abdominal apron while attempting to clean a MO pt’s groin–we ahve entered into a strange place, my friends.
And that doesn’t even begin to address the psychological needs of these pts–the control issues they have, the self esteem issues, too. The constant fights with the kitchen and the RDs and docs re: “appropriate diet” etc. The complex denial mechanisms that come into play in the morbidly obese: I had one female pt tell me repeatedly that “ever since the doc put her on steroids, she couldn’t lose this water weight.” She tipped the scales at 480 pounds on a 5’5" frame.
MO people are almost impossible to keep clean–and I mean normal hygiene clean. This can and does lead to skin infections–difficult to treat in the MO and also skin tears and breakdown–aka bedsores. They suffer from breathing difficulites and varying degrees of heart failure. Their joints are stressed and do not function well, so they tend to be stiff and not able to turn/move/raise their arms etc. Every aspect of their care stresses an already overloaded health care system. I feel for those EMS-I do.
Taking care of MO pts is hell, believe me. NO HCP looks forward to it.
That does not mean that they should be abused or treated like scum. that is not only rude, it is unprofessional. So, while I care for the MO in a professional manner, my opinions are with Crafter .
Noone put a gun to these people’s heads and said, you must overeat. Yes, genetics plays a part, as does metabolism. Not everyone is a Kate Moss (thank god), nor should everyone strive to have her body build. But we are not talking about that.
But there is a large window of opportunity for anyone to impact positively on ther weight. Noone deserves to be MO–it must be hell. But I have little sympathy for those who bemoan their weight when there are entire industries dedicated to assisting you in this, if only you would 1. listen and 2. act and act consistently over time.