Difficulty in weaning a severely obese patient from a wheelchair: Experience using a tilt-recline wheelchair tilt-in-space and recline functions with a 135 kg load capacity

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  • 栗田 慎也
    東京都保健医療公社 荏原病院 リハビリテーション科（現：東京都立病院機構 東京都立荏原病院 リハビリテーション科） 東京都立病院機構 東京都立大久保病院 リハビリテーション科（現所属）
  • 藤田 里美
    東京都保健医療公社 荏原病院 リハビリテーション科（現：東京都立病院機構 東京都立荏原病院 リハビリテーション科）
  • 小磯 寛
    東京都保健医療公社 荏原病院 リハビリテーション科（現：東京都立病院機構 東京都立荏原病院 リハビリテーション科）
  • 宮崎 亜希子
    東京都保健医療公社 荏原病院 リハビリテーション科（現：東京都立病院機構 東京都立荏原病院 リハビリテーション科）
  • 中山 玄康
    東京都保健医療公社 荏原病院 リハビリテーション科（現：東京都立病院機構 東京都立荏原病院 リハビリテーション科）

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Other Title
  • 車椅子離床に難渋した重度肥満症例 ─耐荷重135 kgのティルト・リクライニング型車椅子の使用経験─

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Abstract

<p>Wheelchairs are widely used in hospitals, but most wheelchairs have a maximum weight capacity of 100 kg and cannot be used for patients weighing more than that.</p><p>In this case, we were in charge of a severely obese patient who had significant muscle weakness in both lower limbs and was able to perform basic activities with full assistance. However, there were no wheelchairs available in the hospital, so the patient was able to borrow Wheelchair tilt-in-space and recline functions with a weight capacity of 135 kg and a seat width of 45 cm from a nearby welfare equipment consultant. The patient was transferred using a sliding board from the viewpoint of safe bed release and prevention of back pain for the staff. The patient's wheelchair-wheelchair use was initiated, the patient's ability to hold a sitting position was improved, and examinations and treatments that were not available at the bedside could be performed.</p><p>Furthermore, through this case, the attending physician and nurses learned that there were no wheelchairs available for severely obese patients in the hospital, which led to the purchase of a wheelchair. Sharing and discussion among multiple departments within and outside the hospital led to the borrowing of a wheelchair suitable for the case and the purchase of hospital equipment.</p>

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