A qualitative study to explore the attitude of clinical staff to the challenges of caring for obese patients

Aim: To examine, from the perspective of staff, if obese patients have any additional care needs, and what the impact of these care requirements are on care provision. We have selected obese patients with venous leg ulceration as an example patient population to explore these questions. Background: Anecdotal evidence indicates obesity can increase care requirements and have implications for obesity for care provision. However, little research exists nationally or internationally that provides evidence from a health care perspective. Obesity is a contributory causative factor of lower limb ulceration. In addition to affecting the development of venous leg ulceration (VLU), obesity may also impact on the care an obese patient may require and receive. Design: Qualitative study using semi-structured in interviews and framework analysis. Methods: Interviews were conducted with 18 HCPs, and one focus group with 12 HCP who cared for patients with venous ulceration. Data were analysed to identify recurring themes relating to the impact of obesity on care provision. Results: This study found that the increasing numbers of obese patients with leg ulcers are currently presenting challenges to care delivery in many different ways. There was an impact of obesity on patient experience in terms of dignity, safety and quality. Data indicated that neither hospital nor community care services were adequately set up to meet the needs of obese patients in general. Conclusion: Healthcare providers need to recognise that increasing numbers of overweight and obese patients are presenting challenges to care delivery. The study also indicated the need for senior strategic leadership in planning for meeting the needs of obese patients.