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Related Concept Videos

Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
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Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Related Experiment Video

Updated: Dec 13, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
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Accommodating patients with obesity and mobility difficulties: Observations from physicians.

Nicole D Agaronnik1, Tara Lagu2, Christene DeJong3

  • 1Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, United States.

Disability and Health Journal
|July 30, 2020
PubMed
Summary

Physicians face challenges caring for patients with obesity and mobility disability, citing issues with equipment and weight stigma. Addressing these gaps requires better training and accessible medical diagnostic equipment.

Keywords:
DisabilityExam tablesObesityPhysical accessWeight scales

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Area of Science:

  • Medical care accessibility
  • Patient care quality

Background:

  • Increasing prevalence of obesity and mobility disability in US adults.
  • Need for physicians to adapt care for these patient populations.

Purpose of the Study:

  • To investigate US physicians' attitudes and practices regarding care for patients with obesity and mobility disability.
  • Identify challenges and themes in accommodating these patients.

Main Methods:

  • Qualitative conventional content analysis of three web-based focus group interviews.
  • Semi-structured interviews with practicing physicians across selected specialties.
  • Data saturation achieved through thematic analysis of transcribed interviews.

Main Results:

  • Physicians perceive obesity as a disability impacting care quality, safety, and efficiency.
  • Identified themes include difficulties with weight tracking, patient transfers, diagnostic testing barriers, and weight stigma.
  • Challenges in physical examination, diagnostic imaging, and prenatal care for obese patients were noted.
  • Lack of accessible medical equipment and prevalence of weight stigma impede equitable care.

Conclusions:

  • Significant gaps exist in providing equitable care for patients with obesity.
  • Additional physician training and accessible medical diagnostic equipment are crucial.
  • Addressing these issues is necessary to safely and effectively accommodate patients with obesity and mobility disability.