Bariatric Simulation: All-New Way to Introduce Skin Safety to Those Caring for Persons with Obesity

Background: The rate of overweight and obesity in the U.S. is nearly 75%. Rates of skin injury among individuals with excess adiposity is increasing, regardless of practice setting. Literature suggests health-care trainers are seeking creative ways to engage the adult learner. Simulation training is one such way. A bariatric simulation suit, now commercially available, was located to visually train: pulmonary challenges, sensitivity, mobility, fall risk, and skin safety. This project explores an all-new way to introduce skin safety to nurses, physical therapists, and others who care for the bariatric patient.

Methodology: A multi-hospital system offered to participate in this project. Training was conducted at the system to those who volunteered (licensed clinical staff members) to test the suit. An orientation was conducted that included the five elements of visual training; limitations and precautions were included. Model selection was part of the initial orientation. Researchers provided a suit to the system for purposes of the six-month project.

Researchers met regularly with volunteers who shared their experiences either serving as the model for the project, or who used the suit for bariatric skin safety training. A 10-item quantitative survey was completed by volunteers, as well as the opportunity for volunteers to share their experience with simulation training. Written consent was obtained.

Findings: Results from the survey, as well as quotations from volunteers, were collected and will be reported graphically.

Implications to wound care professionals: Lessons learned will be integrated into a Bariatric Skin Safety Lesson Plan using simulation and presented herein.