Service deliveryBariatric Care Bundles

Dr Caz Hales

Important for any service

To achieve a high quality and safe service

1. Person-centred

2. Integrated health service

3. Efficient

4. Effective

World Health Organization (2016)

Bariatric patients are not all the same and have individual needs

Body measurements (anthropometrics)– Weight – Size – Shape – Body type

Mobility– Mobile patients – Compromised mobility– Immobile patients

Admission reason– Acutely unwell patients– Elective patients– Bariatric surgery patients

Patient experience project 2013-2015, Hales et al.,(unpublished)

Hales, C. (2015). Misfits: An ethnographic study of extremely fat patients in intensive care. Doctoral thesis. Victoria University of Wellington, Wellington, New Zealand.

Person-centred

Integrated health service

Bariatric patients require a specific service that enables the integration of care across other health services

Key priorities

• Commences at all points of service access

• Ease of moving across all servicesBariatric service

DepartmentsEDICUTheatresWardsOutpatients

SpecialtiesMedicineSurgeryNeurologyOncologyRehabilitation

Efficient

Bariatric patients require services to be initiated immediately on accessing health services

Key Priorities

• Timely activation & arrival

• Centralised service/ resources

Effective

• Cost effective

• Flexible

• Meet demands

• Staff capacity

• Integration of leading edge technology

• Partnership

Partnership model of service delivery

Bariatric care bundle approach to creating high quality bariatric services

Access & first 24 hours

Titan

Bariatric

Bed(500kg)

Titan

Bariatric

Bed(500kg)

2 x XL Slippery Sam sheets

Alova Comfort Foam

Static Mattress(300-450kg)

Disposable

Care pack (Includes bedpan,

patient gown, and

tape measure)

Disposable

Care pack (Includes bedpan,

patient gown, and

tape measure)

XXL Full Body Sling

(450kg)

Bariatric Alternating Air Mattress

(450kg)

Mobile Shower Commode chair

(400kg)

Bariatric Bundle Selection Guide(For the first 24 hours after admission)

Please contact Essential Helpcare on 0800331332 for 24/7 access to the above. Please specify if the patient is mobile or immobile for the correct bundle.

Earlier MobilisationShorter Length of Stay

Reduced Re-admission

Phone 0800 331 332support@essentialhelpcare.org

www.essentialhelpcare.org

Mobile PatientImmobile Patient

Partnership model of service delivery

Bariatric care bundle approach to creating high quality bariatric services

Ongoing support

Secondary (additional) Bariatric Equipment Options(After assessment and approved)

Please contact Essential Helpcare on 0800331332 for 24/7 access to the above Please contact Essential Helpcare as soon as equipment no longer needed, fee’s stop from collection request

Earlier MobilisationShorter Length of Stay

Reduced Re-admission

Phone 0800 331 332support@essentialhelpcare.org

www.essentialhelpcare.org

Bariatric

Crutches(300kg)

Mobile Shower

Commode Chair(400kg)

Stand Up

Hoist(200kg)

Hi Back

Orthopaedic

Chair(350kg)

MaxiCare

Walker(225kg cap)

Gate Training

Walker(240kg)

Bariatric

Lift and

Recline

Armchair(220kg)

(320kg option)

Floor bed Option (up to 350kg MAX,

for falls risk patients only)

HoverMatt

Transfer Device (450kg for immobile patients only)

Key messages

Adopting partnership model of service delivery• Custom designed services to meet DHB changing

needs1. Person-centred2. Integrated into other services3. Efficient4. Effective

• Continuous re-evaluation

Need to stop using weight as the arbitrary determinate of physical care practices/ bariatric policy - we will

revisit this topic in our Language Study later

We would like to sincerely thank all the people who participated in the studies