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歩行不能だったが,多職種の高度な連携と患者特性に配慮したケアにより自宅生活可能となった高度肥満症の一例

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  • A case of severe obesity who had been unable to walk but became able to live at home thanks to a high level of coordination and patient-specific care by a multidisciplinary team
  • 多職種連携と患者特性に配慮したケアを行った高度肥満症の一例

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A 48-year-old man who weighed 216 kg was significantly overweight with a body mass index (BMI)of 75.6kg/m2, and was unable to walk due to disuse syndrome. Because of the psychological and social problems in the background, a psychological examination was performed and the staff took time to build a trusting relationship with the patient, taking into account his characteristics. With diet and rehabilitation, he was able to lose weight to 124kg and BMI 43.9kg/m2 over 600 days, and was able to walk with assistive devices and defecate by himself. The patient was discharged from our hospital after a series of multidisciplinary meetings with medical, nursing, welfare, and governmental agencies to create an environment for home recuperation. The reasons for the improvement to enable him to be discharged from the hospital were due to the multi-disciplinary meetings among the staff inside and outside the hospital, information sharing and advanced coordination, and smooth communication with the patient by taking into account his characteristics from a psychological standpoint.

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