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Obesity is…
a multifaceted disorder that is a result of genetic, behavioral, environmental, and physiological factors
3 steps of sensitivity training to address bias
identify personal attitudes and bias
get the facts and take action
optimal language
overweight BMI = ____
25 - 29.9
obesity BMI = ___
>30
Morbid obesity BMI = ____
>40
More than __ in 3 adults were considered to be overweight or have obesity
2 in 3
Which of these is not a medical complication in obesity?
A. Diabetes
B. Less effective antiretrovirals
C. Dementia
D. Insomnia
Insomnia
What deficits may contribute to limiting physical participation?
Cognition
manual dexterity and motor speed
ability to synchronize movements
coordination
How does obesity affect sit to stand transfers?
decreased trunk flexion with increased early backward movement
less hip flexion
higher knee joint loads
increased hip abduction
need more time to generate force
peak force is reduced
What lift can aid with moving someone over 800 lbs?
Smart stand
In persons with obesity, COM is ____ displaced in relation to the ankle joint, causing them to compensate with posterior trunk lean
anteriorly
A leg of a 350 lb patient can weight as much as ___lbs
62 lbs
How should you mobilize an apple-shaped individual?
log roll for supine to sit
How should you mobilize a pear shaped individual?
Supine to long sitting
How should you mobilize someone with an abdominal panniculus?
Supine to sit: flat spin to perpendicular then full sit with a friction reducing sheet or air device
3 phase sequence for a sit to stand with abdominal panniculus:
Hips 30-40 of hip abduction, 60 of ER and 60 knee flexion
translates pelvis fwd over BOS loading onto forefoot
knee extension and LE adduction to gait upright then trunk extension
__ shape tends to go supine to long sit to short sitting
pear
___shape has difficulty lying flat
apple
those with a gluteal shelf have a decreased tolerance to lay ___
supine
What is the purpose of Dionne’s egress test?
screening tool for mobility; originally for extremely obese, now used frequently with many cases
Dionne’s egress test segments
Sit to stand: 3 reps of sts, first 1-2 inch lift off the bed to test ability of LE to bear wt. 2nd and 3rd reps to full stand, remain standing after 3rd
Step in place 3 times, use AD if needed
Step forward and return:; step away from bed once with each foot
BE SAFER =
B - bariatric assessment / body type
E - equipment
S - space assessment
A- Assisstive personnel
F - formulate plan
E- execute plan
R- respect
Criteria to use standing lift aid :
able to sit with minimal to no suport EOB
Be able bend their hips, knees, and ankles
cognitively able to follow direction
be able to bear weight on LEs
weigh less than limit on device
Note
Flashcard