Celebration Institute.
XXL Rehab.
Workplace Health Saf. 2020 Jul;68(7):313-319. doi: 10.1177/2165079920911549. Epub 2020 May 4.
Planning and executing healthcare for the patient or resident living with obesity can be a challenging task that has implications to the occupational health professional.
Leading global experts in the areas of occupational health, ergonomics, bariatrics, technology, and patient care were identified and invited to participate in a round table discussion. Questions posed to experts were based on literature that addressed patient handling and mobility, architectural design recommendations, clinical care of the person with obesity, and ergonomic guidelines.
Experts agreed that special considerations must be in place to care for the person who is obese. These special considerations should address not only clinical care of the patient, but ways to protect workers from occupational injury associated with clinical care. Experts suggested that, in some situations, a bariatric training suit may be helpful in better understanding space and design challenges, as well as a better understanding of the physical limitations associated with a larger body habitus (although simulated). Further, experts agreed that insensitivities often stem from failure to have proper space, technology and design accommodations in place. Conclusions/Application to Practice: The occupational health professional is a key resource to teams charged with planning and executing healthcare for the patient or resident living with obesity. Interprofessional understanding and communication can lead to a more comprehensive approach to space, design and technology that not only addresses the patient, but the worker providing direct care.
为患有肥胖症的患者或居民规划和执行医疗保健可能是一项具有挑战性的任务,这对职业健康专业人员有一定影响。
确定并邀请了在职业健康、人体工程学、减重、技术和患者护理领域的全球领先专家参加圆桌讨论。向专家提出的问题基于解决患者搬运和移动、建筑设计建议、肥胖患者临床护理和人体工程学指南的文献。
专家一致认为,必须为肥胖患者提供特殊考虑。这些特殊考虑不仅应包括对患者的临床护理,还应包括保护工作人员免受与临床护理相关的职业伤害的方法。专家建议,在某些情况下,使用减重培训服可能有助于更好地理解空间和设计挑战,以及更好地理解与更大体型相关的身体限制(尽管是模拟的)。此外,专家一致认为,不敏感通常源于未能在适当的空间、技术和设计方面做出适当的调整。
结论/对实践的应用:职业健康专业人员是负责为患有肥胖症的患者或居民规划和执行医疗保健的团队的关键资源。跨专业的理解和沟通可以促进更全面的空间、设计和技术方法,不仅可以解决患者的问题,还可以解决提供直接护理的工作人员的问题。