title: [The care of obese persons from the perspective of executives of inpatient care facilities. Results of qualitative expert interviews].
abstract: BACKGROUND
  Although nursing home residents are increasingly suffering from obesity, little research has been done on the appropriate care for them. The present study examines how executives of long-term care facilities perceive obese residents, which meaning does obesity have for them, and whether they associate the care of the obese with additional expenditures.
  
  
  METHODS
  In all, 15 guideline-based interviews were conducted with executive managers of nursing homes in Berlin, Saxony and Bavaria. The analysis of the interviews was based on the method of Meuser and Nagel.
  
  
  RESULTS
  The results demonstrate that obese nursing home residents are hardly noticed by executives. This results from the fact that they attribute only minor significance to obesity as a nutritional and health problem. The care of obese residents is associated with additional instrumental and personnel-related expenditures. However, facilities do not have sufficient resources to provide them. Obesity is a serious, but unrecognized problem in long-term care.
  
  
  CONCLUSIONS
  To improve the awareness of obesity, intense professional discussions are required. The provision of additional instrumental and human resources becomes necessary to ensure appropriate care of obese nursing home residents.
authors: Institut für Medizinische Soziologie, Charité - Universitätsmedizin Berlin, Luisenstr. 13, 10117, Berlin, Deutschland, gerda.apelt@charite.de.
authors: G
authors: G
authors: Apelt
authors: A
authors: A
authors: Kuhlmey
authors: V
authors: V
authors: Garms-Homolová
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D005851:Geriatric Nursing; D005858:Germany; D017048:Health Care Costs; D006707:Homes for the Aged / Q000191:economics*; D006801:Humans; D007407:Interviews as Topic; D008134:Long-Term Care / Q000191:economics*; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000706:statistics & numerical data*; D009765:Obesity / Q000191:economics* / Q000451:nursing*