Morbid Obesity

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Morbid Obesity
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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
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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 Alzheimers 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
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Morbid Obesity
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Co-morbidity
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Cardiovascular System

• Chronic Venous Insufficiency
• Hypertension
• Hyperlipidemia
• Atherosclerosis
• Deep Vein Thrombosis
• Peripheral Vascular Disease

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Digestive System

• Gastroesophageal Reflux Disease
• Gallbladder Disease
• Nonalcoholic Steatohepatitis

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Endocrine System

• Diabetes (Type 2)
• Pancreatitis

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Musculoskeletal System

• Osteoarthritis
• Rheumatoid Arthritis
• Sever¹s Disease
• Vertebral Disk Herniation

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Nervous System

• Pseudotumor Cerebri
• Carpal Tunnel Syndrome
• Stroke

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Reproductive System

• Infertility
• Menstrual Abnormalities
• Pregnancy Abnormalities
• Impotence
• Polycystic Ovarian Disease
• Neural Tube Birth Defects

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Respiratory System

• Asthma
• Obesity Hypoventilation Syndrome
• Sleep Apnea
• Pulmonary Hypertension

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Urinary System

• Urinary Stress Incontinence
• Gout
• Renal Disease

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Integumentary System

• Hirsutism
• Cellulitis
• Fungal Skin Infections
• Panniculitis

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Immune System

• Cancers (Breast, Prostate and Colon)
• Poor Healing of Wounds and Infection

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Mass
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Risk Management
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Complications
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Excessive/Unnecessary treatment
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Pulmonary treatments
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Specialty bed
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Mobility
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Toileting
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Diabetic
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Surgery
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Dependent
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Activities of daily living

• Preparation
• Shopping
• Housekeeping
• Errands

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Caring
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Follow-up

• Support
• Assistance
• Accountability

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Feel supported

• Sticks with new diet
• Continues exercising
• Looses weight

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Frustration
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References

• American Obesity Association
• http//www.obesity.org/subs/fastfacts/morbidobesit
  y.shtml
• Association for Morbid Obesity Support
• http//www.obesityhelp.com/morbidobesity/m-surgery
  types.phtml
• National Institutes of Health
• http//www.nlm.nih.gov/medlineplus/ency/article/00
  3102.htm