A Case of Grade III Obesity in the Elderly Combined with Multisystem Disease Patient Underwent Sleeve Gastrectomy Nursing Throughout Hospitalization

Abstract

Background: Obesity is a complex, multifactorial disease that has a negative impact on health. In 2020, obesity affects about 42% of the global population, and the prevalence of overweight and obesity in Chinese adults is expected to reach 61% by 2030. Methods: Summarize the nursing experience of a case of elderly grade III obesity combined with multisystem disease treated with laparoscopic sleeve gastrectomy. Nursing points include acute heart failure care, coronary heart disease care, obesity other related comorbidities care, skin care, medication care, SG perioperative care, nutritional care, pipeline care, anticipatory psychological care and health education. Results: After the patient underwent individualized treatment and nursing, his vital signs were stable, the abdominal incision healed well, no adverse events occurred during hospitalization, and he was discharged smoothly 11d after surgery. Conclusion: This patient has a variety of metabolic diseases, during hospitalization, we should track the patient's examination and laboratory tests, and pay attention to their physical and psychological care. Older people due to the degradation of various physiological systems, their metabolic function and the poor ability to respond to various diseases, the weight loss effect may be not as good as that of young patients. It is necessary to explain the patients and a longer follow-up time to observe the weight loss effect.