Facility Readiness Assessment to Care for the Obese Pregnant Patient

Saturday, 29 October 2011

Karen M. Marshall, MSN, RN, CNS
Simulation Center, Banner Health, Mesa, AZ
Elizabeth V. Gilbert, MS, FNP-BC, CNS, RNC-OB
IN

Learning Objective 1: The learner will be able to identify the process used to evaluate the gaps in care for obese pregnant patients at one facility.

Learning Objective 2: The learner will be able to state strategies developed to improve patient care related to the obese pregnant population based on a needs assessment.

BACKGROUND: Obesity is the fastest growing medical problem in the United States (U.S.). Recent statistics indicate that thirty five percent of adult women in the U.S. are obese (Stramiello, 2009). Studies identify that obese women have increased risks during pregnancy (Morin & Reilly, 2007; Walters & Taylor, 2009). Failure to plan in advance for the special needs of this patient population can put the patient and the caregiver at risk for injury. PURPOSE: The purpose of this presentation is to share how one facility worked as a team to assess patient, staff, and supply needs when caring for the obese pregnant patient. An assessment tool, “FACILITY READINESS ASSESSMENT TO CARE FOR THE OBESE PREGNANT PATIENT”, was developed to collect data from all staff members at our facility. PROJECT ACTIVITIES: Three areas of need were identified through analysis of the data collected: Communication, staff education, and patient education. Three multidisciplinary teams were created to address each of the identified areas. The team goals included: 1.) Obtaining preadmission information from physician office for patients with a BMI of 40 or greater; 2.) Providing education for staff related to the unique care needs of the obese pregnant patient; and 3.) Developing a support group for obese obstetric patients. ONGOING EVALUATION: A pilot study to review the process where the physician office completes and forwards a preadmission data sheet for patients with a BMI of 40 or greater is currently in process. Staff education entitled ‘Tipping the Scales – Weight Issues in Women’s Health’ was developed and instruction provided. Information included metabolic syndrome and Type 2 Diabetes Mellitus. Demonstration and return demonstration on the use of mechanical lifts was also included. Currently under review is the need to identity potential resources for facilitation of a support group for the obese pregnant population.