Special Care - bariatric patients Flashcards

1
Q

What is a bariatric person?

A

an individual of any age who has health and social limitations due to physical size, health, mobility and environmental access.

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2
Q

is obesity a disability?

A

no

- however associated conditions may lead to disability.

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3
Q

What is the BMI of overweigtht people?

A

≥ 25kg/m2

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4
Q

What is the BMI of obese people?

A

≥ 30kg/m2

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5
Q

What are the limitations of BMI?

A

doesn’t assess fat distribution

doesn’t take into account factors such as age, sex, ethnicity or muscle mass

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6
Q

what factors cause obesity?

A
genetics - prader Willi = excess hunger 
lifestyle choices 
medications - steroids 
socioeconomic status 
physical limitations to exercise/movement
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7
Q

what are barriers to travel for bariatric patients?

A

do they need ambulance transport?

- this only transports to hospitals so can’t visit a GDP

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8
Q

what are barriers to accessibility for bariatric patients?

A

chairs cannot bear the weight

chairs are not wide enough

doors are not wide enough

no ramps or lifts - can’t walk the stairs

no space for wheelchair access

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9
Q

what are barriers for safety of bariatric patients? (3)

A

difficult airway management

unable to get them into the recovery position

harder to identify resuscitation landmarks

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10
Q

what are common co-morbidities with bariatric patients? (5)

A
GORD
Hypertension 
sleep apnoea 
dyspnoea
diabetes
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11
Q

what are barriers to treating bariatric patients?

A

extra weight around the face = loss of anatomical landmarks - large tongue and cheeks

unable to get them into a supine position
= hyperaemia when lying flat

long procedures can cause oedema, compartment syndrome

excessive fat causes problems with pharmacological absorption

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12
Q

What are dental implications for bariatric patients? (3)

A

Higher caries risk

Poorer wound healing

Tooth wear from the associated GORD

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13
Q

What types of sedation can be carried out on bariatric patients in the GDP setting?

A

inhalation = yes

IV = no
GA = no
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