6. Enabling participation in activities of daily living for people with obesity Flashcards
which class of obesity is associated with increased odds of impairment in ADL ?
Class 2 & 3
It has been reported that people with obesity spend almost xxx the amount of time doing daily activities
triple
what has been found to be the best predictor of mobility disability?
Muscle strength, assessed using bilateral hand grip strength measures taken with a dynamometer
While
not ideal, an alternative to measuring lower extremity and grip
strength by dynamometer in primary care, is ?
ask a patient if
they have difficulty climbing one flight of stairs or walking 400
metres on a flat surface in 15 minutes without sitting to rest.
body shape or fat
distribution (central vs. lower body) has an impact on mobility. T/F
F
one study to date reports no association to lower extremity
function or disability
which class of obesity is at risk of falls?
2 or 3
how to assess fall risk?
The Falls Efficacy Scale - a psychometrically sound measure that determines
an individual’s concern about their risk of falling while performing
ADL
For patients with Class III obesity
who are in treatment for obesity and are losing weight, what should be included to enhance the improvement in trunk sway and balance maintenance?
balance training;
Specific
balance training incorporated into a three-week multi-disciplinary
body weight reduction program significantly improved balance
and reduced trunk sway more than body weight reduction alone
The most commonly reported body sites for skin problems
are?
under the breasts, limbs, groin, abdomen and thighs
The most commonly reported risk
factors for skin problems are:
- Hyperhidrosis (excessive sweating) and excess moisture in skin
folds, which can contribute to intertrigo and heat rash. - Limited range of motion and the weight of skin folds, which
can make it hard to clean all areas of the body and can contribute to the development of pressure injuries. - Malnutrition, which can impact skin healing.
- Reaching areas of the body can be difficult for people with
obesity.6
what are the Strategies for managing skin integrity in people with obesity?
- Keep skin clean and dry. This may require washing the skin and
changing clothes multiple times per day to decrease moisture.6 - Use a soft cloth (cotton) for absorbing excess moisture, including
in the skin folds, to help minimize skin irritation.6 - Dry skin with a fan or a blow dryer on the coolest setting.6
what should we ask when we make an appointment for patient?
what time of day is best for them to attend appointments?
work with patients to integrate activities related to
obesity treatment into their daily routine, allowing adequate time.
Encourage use of energy conservation strategies
what can help people to manage their daily activities through the
day and week?
Energy management and balancing activities, including the use
of assistive devices for self-care activities, pacing, planning, prioritizing, positioning for self-care, meal preparation and household
tasks
healthcare professionals consider what strategies when prescribing physical activity or therapeutic exercises as part
of a treatment plan for obesity?
energy conservation strategies
what are some assistive devices patients can use?
a long-handled reacher, dressing
sticks, shoe horns, sock aids, bath sponges and bath seats
