This is a work in progress.Beginning with the ever changing world we live in and the people that we meet. Obesity has been a long standing problem in our society. We now recognize it as a great health concern with many co-morbidities that come with being obese. The nurses at the bedside who minister to the patient when illness ensues can tell you a whole different story when it comes to care. There must be many things done differently. Beds must be larger in order to accommodate the extra weight. There must be adequate staff in order to provide the very basic needs, such as turning, bathing and maintaining comfort.Albeit , we have come a long way, but we do have a very long way to go.Hopefully in my lifetime there we be substantial changes in dealing with obesity in the healthcare setting.