Dermatologic
Skin care is a challenge for the morbidly obese patient because of a large amount of skin folds that trap perspiration. The risk is high for skin breakdown, irritation, and odor. Fungal infections may occur due to irritation and moisture under the skin folds. Morbidly obese patients are also prone to cellulitis (a bacterial infection of the dermis and subcutaneous tissue) due to decreased circulation and comorbidities such as diabetes and a compromised immune system.
To prevent skin breakdown, do the following:
If possible, place your patient in a bed designed specifically for obese patients. These beds are usually padded to prevent pressure ulcers and have a larger width.
With the help of additional staff members, turn him every 2 hours or according to your facility's policy.
Assess under skin folds, particularly under the neck, breasts, abdomen, groin, and perineal area, for fungal infection.
I wonder who will be doing these checks for her....her sons? Bacause another few stones and she won't be able to move or turn over, or walk. I'll bet her Health Insurance won't cover preventative care at home!
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