NURS FPX 4900 assessment 4 patient family or population health problem solution.docx

NURS FPX 4900 assessment 4 patient family or population health problem solution.docx

1. Assessment 4: Patient, Family, or Population Health Problem Solution
Student Name
Capella University
Course Name
Prof Name
MAY 28, 2024
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2. Patient, Family, or Population Health Problem Solution
This capstone project delves into an in-depth analysis of a comprehensive,
interdisciplinary intervention strategy designed to address the urgent health issue of
clinical obesity in a young patient named John, a 10-year-old boy. The significance of
this healthcare concern lies in the severe health implications associated with childhood
obesity, profoundly affecting not only John's current health status but also his long-term
well-being. Obesity is a complex health issue with the potential to lead to serious
complications, including type 2 diabetes, cardiovascular diseases, and psychological
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3. disorders. Additionally, this issue reflects a concerning obesity epidemic in modern
society, necessitating prompt and robust intervention from healthcare professionals.
This envisioned intervention, guided by sound leadership, best practices in change
management, and rigorous adherence to nursing ethics, aims to provide a
comprehensive solution to manage John's obesity. The primary objective is to reduce
the health risks associated with John's condition and consequently enhance his overall
quality of life.
Leadership, Change Management, and Ethics in Developing an Obesity
Management Intervention
Leadership plays a critical role in addressing health challenges like John's clinical
obesity. From a leadership perspective, addressing such challenges involves
establishing a clear and unified goal for John's health improvement, determining specific
objectives, and mobilizing resources for implementing the intervention. Specifically, in
John's case, the focus will be on developing and executing a physical activity plan and
nutritional intervention program. Leaders bridge the multidisciplinary healthcare team
and the patient, ensuring effective coordination of the proposed intervention. They foster
an environment for team members to contribute insights, facilitating the creation of a
personalized, patient-centered intervention that aligns with the patient's specific health
goals and limitations (Hitch et al., 2020). Concurrently, change management is an
integral part of this process, ensuring a smooth transition for the patient. For John, this
involves implementing specific lifestyle changes. Change management strategies in
healthcare include clear articulation of detailed information related to the proposed
change, provision of necessary resources such as training for nursing staff in specific
intervention techniques, and a system for continuous monitoring and assessment of the
intervention's progress (Sung & Kim, 2021).
The development of this intervention was strongly informed by a moral obligation to
nursing ethics, including concepts such as equity, non-maleficence, autonomy, and
justice. Regarding autonomy, it is crucial to involve John and his family in decisions
about the intervention, ensuring they understand the intention and details of the
program and consent to the same. For this purpose, a detailed presentation about the
health issue is prepared to provide them with the necessary information to make
informed decisions. The principle of beneficence drives the selection of intervention
strategies that would benefit John's health, i.e., the physical activity program and
nutritional changes through dietary plans. Non-maleficence ensures that the intervention
does no harm; in this context, it mandates careful monitoring to ensure that dietary
changes positively impact John's health, and that physical activity is undertaken safely
(Varkey, 2021). The proposed intervention thus represents a comprehensive plan for
physical activity and nutritional guidance, including a thorough assessment of John's
health status and dietary habits. Following this assessment, a personalized care plan is
developed, detailing John's specific nutritional changes and physical activities. The
focus is on gradual change, providing continuous patient education and support. The
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4. effectiveness of the intervention is periodically evaluated, and adjustments are made as
needed.
Strategies for Effective Communication and Collaboration in Childhood Obesity
Care
Effective communication and collaboration strategies are crucial in supporting our
patient, 10-year-old John, dealing with clinical obesity. His support network consists of
his parents and elementary school teachers. Communication strategies for a ten-year-
old child like John include clear and concise descriptions using age-appropriate,
culturally sensitive, and understandable methods. Moreover, incorporating John and his
family's involvement in managing and treating the condition will result in better
adherence to proposed interventions, creating more awareness about the severity of the
issue and contributing to a supportive environment for behavioral changes essential in
managing John's condition. Best-practice strategies for effective communication and
collaboration derived from current literature include:
Active Participation: Involving John in the planning and execution of his care
plan promotes ownership, maintenance, and adherence to healthier behaviors
(Luig et al., 2019).
Family-based Interventions: Addressing obesity involves concerted efforts from
the family. Collaborative family sessions can help facilitate understanding and
commitment toward healthier meal choices, reduce sedentary time, and increase
physical activity (Varagiannis et al., 2021).
School Collaboration: Collaborating with school professionals (i.e., counselors,
teachers, and physical trainers) increases John's exposure to consistent health
messages (Luig et al., 2019). This encourages a positive environment that
promotes better health decisions.
Therefore, incorporating the viewpoints of John and his supportive network in the
treatment plan and employing evidence-based communication methods can
tremendously promote improved health outcomes for John.
Guided Intervention: Child Obesity and Policy-Driven Strategies
Several state board nursing practice guidelines and relevant organizational and
governmental policies have primarily informed the design of the proposed intervention
for John's clinical obesity. Specifically, the California Board of Registered Nursing (BRN)
outlines a standard on patient advocacy (Standard IV) that emphasizes the importance
of effective and clear communication, active collaboration, and in-depth education for
the patient. These aspects of the BRN standard informed the proposed intervention,
ensuring that John and his family would be engaged appropriately and that there would
be continuous collaboration among his caregivers (Nsiah et al., 2019). Alongside this
nursing practice standard, the Affordable Care Act (ACA) has significantly guided the
development of the proposed intervention. Notably, the ACA supports early intervention
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5. and prevention programs for childhood obesity. The ACA provisions for Preventive
Health Services emphasize the importance of regular health evaluations and dietary
counseling for children at risk of obesity, which has been integrated into the intervention
for John. For example, a study by Smith et al. (2020) showed that adopting and
implementing child health interventions based on the ACA's preventive perspective
resulted in clinically significant weight outcomes.
Additionally, the World Health Organization's (WHO) Global School Health Initiative has
advocated for school collaboration in addressing health issues, which guided our
collaboration strategy with John's school. Another study by Yuksel et al. (2020)
confirmed positive behavioral changes and weight control in students when school-
based intervention strategies recommended by WHO were adopted. Consequently, the
outlined nursing standards and health policies have significantly guided the
conceptualization of the intervention. By adopting these best practices, which have
been tested and demonstrated as effective in dealing with children's obesity, we hope to
effect positive change in John's situation.
Improving Care Quality, Patient Safety, and System Costs through a
Multidimensional Intervention for Childhood Obesity
The proposed intervention to address John's obesity involves a two-pronged approach:
increasing physical activity and improving nutritional habits. Individually and collectively,
these measures will contribute to improved quality of care, enhanced patient safety, and
reduced costs. Alongside the studies already mentioned, more recent research has
highlighted the positive effects of regular physical activity and dietary changes on
pediatric health outcomes. For instance, Cordellat et al. (2020) confirmed that regular
physical activity significantly improves cardiometabolic health and optimizes fat-free
mass and bone health while reducing depressive symptoms.
Conclusion
In summary, this capstone project developed a comprehensive approach to tackle the
pressing health issue of clinical obesity in children, specifically targeting young John.
The intervention incorporated professional collaboration, parental involvement, and
technology usage for a customized, comprehensive health plan. The technology, like
mobile health apps, supported John in visualizing progress and fostering healthier
habits. Integrating various healthcare professionals ensured the delivery of a holistic
health regimen. Involving John's family created a nurturing environment essential for the
successful implementation of this regimen. Using community resources offered a further
supporting layer and opportunities for John to participate in physical activities and
nutritional guidance. Acknowledging John's unique needs and aspirations was central to
the approach, emphasizing a humanized, tailored, and integrated approach to tackling
health problems. More than the physical aspects of obesity, this approach aimed to
create an inclusive intervention focusing on John's emotional wellness and personal
journey toward better health.
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6. References
Cordellat, A., Padilla, B., Grattarola, P., García-Lucerga, C., Crehuá-Gaudiza, E.,
Núñez, F., Martínez-Costa, C., & Blasco-Lafarga, C. (2020). Multicomponent exercise
training and nutritional counseling improve physical function, biochemical and
anthropometric profiles in obese children: A pilot study. Nutrients, 12(9), 2723.
https://doi.org/10.3390/nu12092723
Heffron, S. P., Parham, J. S., Pendse, J., & Alemán, J. O. (2020). Treatment of obesity
in mitigating metabolic risk. Circulation Research, 126(11), 1646–1665.
https://doi.org/10.1161/circresaha.119.315897
Hitch, D., Pazsa, F., & Qvist, A. (2020). Clinical leadership and management
perceptions of inpatients with obesity: An interpretative phenomenological analysis.
International Journal of Environmental Research and Public Health, 17(21).
https://doi.org/10.3390/ijerph17218123
Houser, S., Joseph, R., Puro, N., & Burke, D. (2019). Use of technology in the
management of obesity: A literature review. Perspectives in Health Information
Management, 16(Fall). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931046/
Luig, T., Elwyn, G., Anderson, R., & Campbell-Scherer, D. L. (2019). Facing obesity:
Adapting the collaborative deliberation model to address a complex long-term problem.
Patient Education and Counseling, 102(2), 291–300.
https://doi.org/10.1016/j.pec.2018.09.021
Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered nurses’ description of
patient advocacy in the clinical setting. Nursing Open, 6(3), 1124–1132.
https://doi.org/10.1002/nop2.307
Osmundsen, T. C., Dahl, U., & Kulseng, B. (2019). Enhancing knowledge and
coordination in obesity treatment: A case study of an innovative educational program.
BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4119-9
Smith, J. D., Fu, E., & Kobayashi, M. A. (2020). Prevention and management of
childhood obesity and its psychological and health comorbidities. Annual Review of
Clinical Psychology, 16(1), 351–378. https://doi.org/10.1146/annurev-clinpsy-100219-
060201
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7. Sung, W., & Kim, C. (2021). A study on the effect of change management on
organizational innovation: Focusing on the mediating effect of members’ innovative
behavior. Sustainability, 13(4), 2079. https://doi.org/10.3390/su13042079
Varagiannis, P., Magriplis, E., Risvas, G., Vamvouka, K., Nisianaki, A., Papageorgiou,
A., Pervanidou, P., Chrousos, G. P., & Zampelas, A. (2021). Effects of three family-
based interventions in overweight and obese children: The “4 your family” randomized
controlled trial. Nutrients, 13(2), 341. https://doi.org/10.3390/nu13020341
Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical
Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119
Yuksel, H. S., Şahin, F. N., Maksimovic, N., Drid, P., & Bianco, A. (2020). School-based
intervention programs for preventing obesity and promoting physical activity and fitness:
A systematic review. International Journal of Environmental Research and Public
Health, 17(1), 347. https://doi.org/10.3390/ijerph17010347
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