title: Nursing care of the super bariatric patient: challenges and lessons learned.
abstract: OBJECTIVE
  The purpose of this article is to describe the care of a "super bariatric" patient.
  
  
  METHODS
  We used a case study approach to describe the complex interdisciplinary care challenges posed in the care of a super bariatric patient at a Veterans Administration Hospital in the Midwest.
  
  
  RESULTS
  Nurses and other healthcare providers discovered ways to provide high-quality patient-centered care under challenging conditions and also ensure the safety and well-being of nursing staff and other providers.
  
  
  CONCLUSIONS
  An interdisciplinary, patient-centered approach with advance planning and coordination is necessary to ensure the delivery of safe, high-quality nursing care to veterans with complex health problems who are "super bariatric."
authors.affiliation: Wm. S. Middleton Memorial Veterans Administration Hospital, Madison, WI, USA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Broome
authors.forename: Eric M
authors.initials: EM
authors.lastname: Ayala
authors.forename: Karie A
authors.initials: KA
authors.lastname: Georgeson
authors.forename: Susan M
authors.initials: SM
authors.lastname: Heidrich
authors.forename: Kimberley
authors.initials: K
authors.lastname: Karnes
authors.forename: Jared B
authors.initials: JB
authors.lastname: Wells
mesh_terms: D000328:Adult; D049088:Bariatrics / Q000295:instrumentation / Q000379:methods*; D004509:Education, Nursing, Continuing; D006282:Health Personnel; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D009740:Nursing Staff; D009767:Obesity, Morbid / Q000451:nursing* / Q000534:rehabilitation*; D010348:Patient Care Team / Q000458:organization & administration*; D061214:Patient Safety; D018802:Patient-Centered Care / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care; D019145:Rehabilitation Nursing / Q000458:organization & administration*; D014728:Veterans; D014922:Wisconsin
keywords: Bariatric patient; psychosocial care; safe patient handling; veterans