Morbid Obesity
Morbid Obesity- What is it?
• The term morbid obesity refers to patients who are 50-100%, or 100 pounds, above their ideal body weight. Alternatively, a body mass index (BMI) value greater than 39 may be used to diagnose morbid obesity. • BMI = ( Weight in Pounds x 703) (Height in inches x Height in inches)
Source: National Institutes of Health
Facts about Morbid Obesity
• A chronic disease that afflicts approximately 9 million adult Americans. • That is over twice the size of the total population with Alzheimer’s disease. • If the entire morbidly obese population lived in one state, it would be the 12th state in population. • The health effects associated with morbid obesity are numerous and can be disabling.
Source: American Obesity Association
Morbid Obesity
Co-morbidity
Cardiovascular System
• • • • • • Chronic Venous Insufficiency Hypertension Hyperlipidemia Atherosclerosis Deep Vein Thrombosis Peripheral Vascular Disease
Digestive System
• Gastroesophageal Reflux Disease • Gallbladder Disease • Nonalcoholic Steatohepatitis
Endocrine System
• Diabetes (Type 2) • Pancreatitis
Musculoskeletal System
• • • • Osteoarthritis Rheumatoid Arthritis Sever¹s Disease Vertebral Disk Herniation
Nervous System
• Pseudotumor Cerebri • Carpal Tunnel Syndrome • Stroke
Reproductive System
• • • • • • Infertility Menstrual Abnormalities Pregnancy Abnormalities Impotence Polycystic Ovarian Disease Neural Tube Birth Defects
Respiratory System
• • • • Asthma Obesity Hypoventilation Syndrome Sleep Apnea Pulmonary Hypertension
Urinary System
• Urinary Stress Incontinence • Gout • Renal Disease
Integumentary System
• • • • Hirsutism Cellulitis Fungal Skin Infections Panniculitis
Immune System
• Cancers (Breast, Prostate and Colon) • Poor Healing of Wounds and Infection
Mass
Risk Management
Complications
Excessive/Unnecessary treatment
Pulmonary treatments
Specialty bed
Mobility
Toileting
Diabetic
Surgery
Dependent
Activities of daily living
• • • • Preparation Shopping Housekeeping Errands
Caring
Follow-up
• Support • Assistance • Accountability
Feel supported
• Sticks with new diet • Continues exercising • Looses weight
Frustration
References
• American Obesity Association http://www.obesity.org/subs/fastfacts/morbid obesity.shtml • Association for Morbid Obesity Support http://www.obesityhelp.com/morbidobesity/m -surgerytypes.phtml • National Institutes of Health http://www.nlm.nih.gov/medlineplus/ency/arti cle/003102.htm