BARIATRICS: Flashcards

Question

Waist to hip vs bmi

Answer 1

High waist to hip & high BMI High BMI Low waist to hip & high BMI

Answer 2

high WHR (above 0.9 for men and 0.85 for women) suggests more abdominal (visceral) fat, which is associated with a higher risk of metabolic conditions like heart disease and diabetes high BMI (above 25 is considered overweight, above 30 is obese) measures overall body weight in relation to height, but it does not distinguish between muscle and fat or fat distribution Someone with both a high WHR and a high BMI likely has significant fat accumulation around the abdomen, posing a high risk for cardiovascular diseases, type 2 diabetes, and other metabolic issues.

Answer 3

high BMI indicates that the person is overweight or obese normal or low WHR suggests that fat is not primarily located in the abdominal region but may be more distributed in areas like the hips or thighs fat distribution (e.g., more around the hips and thighs) is considered less harmful metabolically

Answer 4

ow WHR suggests that body fat is stored in a healthier distribution, primarily around the hips and thighs rather than the abdomen high BMI still indicates an overall excess of body weight person has a higher BMI, the risk for metabolic diseases may be somewhat lower due to the healthier fat distribution

Answer 5

Social History: Home set up & Family Support PMH Strength ROM, Flexibility Sensation Skin integrity, folds, infection Balance Pain Mobility ➔ bed mobility, transfers, gait Movement Patterns Mental Health

Answer 6

Where do they live? Do they have help at home? Stairs Prior level of function/techniques of mobility Assistive devices➔ walkers, wheelchair, cane Activity habits➔ do they exercise/leave home? Co-morbidities

Answer 7

Are there acute or chronic impairments? ROM may be limited by excess tissue Is ROM functional for ADL’s? Can they reach areas necessary for ADL’s or skin inspection? Are there restrictions from surgeries?

Answer 8

Are they strong enough to move their body? Are they strong enough to move their limbs? Are their strength issues acute or chronic? May need to adjust hand placement for any MMTs Patient may not be able to lie flat Patient may try to use muscle substitution due to difficulty achieving test positions

Answer 9

Do they have dermatomal deficits? Do they have neuropathy due to co-morbid conditions of diabetes or peripheral vascular disease? May have poor blood supply or peripheral nerve injury as a result of impingement by fatty tissues

Answer 10

Do they have DM? Do they have ulcers? Can they examine their own skin? Can they reach all areas necessary for hygiene? Skin fold inspection Edema Attention to reducing shear and friction with bed mobility Is their skin being pinched by lifts, bedrails, or wheelchairs?

Answer 11

Test in sitting and standing Posture may be affected by excess tissues, affecting center of mass Pear abducted body types may have abducted femurs Pear adducted body type may have adducted femurs Apple pannus body types may have increased lumbar lordosis Apple ascites body types may have a flexed trunk

Answer 12

Will this affect treatment or examination? How does the excess weight affect long-term stress on weight-bearing joints? Pain score & location

Answer 13

What are their personal goals? Consider psych history Be aware of your biases

Answer 14

Are they motivated to participate?

Answer 15

When was the last time they mobilized? How did this mobility occur? Do they use physical assist, or assistive device at baseline? Independent or level of assist Egress Test by Michael Dionne, PT Hospital No Lift Policy: use mechanical lift

Answer 16

Patient clears hip 1-2 inches from bed and returns to seated position. If successful then, Two reps of sit to stand are then performed. If successful then, Patient stand and marches in place 3 rep If successful then, Patient steps forward and back with one leg then the other

Answer 17

EZlift -1,000lb limit ARJO- 350lb limit. Sling-420lbs Hoyer -600lbs Trans Aid-600lbs Sarah lifter-350lbs Ultralift-600lbs Weight Capacities: Check both the lift and the sling as they may be different

Answer 18

Bari Kare ® Bari Maxx beds ®

Answer 19

Hover Matt® HoverMatt® Single-Patient Use (SPU) Air Transfer System - YouTube Tilt table Chairs Wheelchairs Walkers Commodes Body-weight support slings for transfers, standing, walking Repositioning strap Turning/Limb Support Straps Body-weight support harnesses attached to ceiling lifts

Answer 20

Guarding techniques Hand holds Gait Belt Utilization of aides and/or assistants Methods for transferring Pre-gait/gait Stairs

Answer 21

PT and Patient goals Intervention & plan D/C planning➔ barriers Environmental barriers Available assistance at home Patient anxiety & fear Need for other rehab services ➔ OT, nutrition, medical psychology