BSN Nursing Capstone Example

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BSNNursingCapstoneProjectExample

PrimaryCareInterventionforObeseandOverweightAdolescentsandChildren

LisaJenner

ABCUniversity

Abstract

Theobviousincreaseinthenumberofobeseandoverweightadolescentsand

childrenhaveoftenbeenaccompaniedwithariseinadversehealtheffects.These

includediabetesandcardiovasculardisease.Withthisinmind,thereisanobvious

needforanevidence-basedinterventionwhichmaybeusefulamongprimarycare

providersinaddressingthisconcern.Thus,thepurposeofthisprojectistoprovide

educationtoadolescentsandchildren,includingtheirfamilies,regardinghealthy

nutrition,aswelastheneedforphysicalactivity.Thiswilultimatelyresulttoan

increaseinknowledgeabouthealthylifestylepaternswhilereducingbodymassindex

(BMI)significantly.Thisprojectalsoprovidesfurtherevidencethatremoteeducation,in

colaborationwithmotivationalinterviewingcanalsoresultinadvantageousoutcomes,

andmayalsoprovideacost-effectiveandconvenientapproachinreachingthis

youngerpopulation.

Introduction

Obesityamongtheyoungergeneration,especialyadolescentsandchildrenappears

tobeagrowingproblem relatedtohealthintheUnitedStates.Asamateroffact,the

CentersforDiseaseControl(CDC,2014)explainsthattheratesinvolvingchildhood

obesityhavealreadytripledduringthepastthreeyearsonly.Childrenwhoareatrisk

may dealwith a numberofnegative health impacts,including diabetes and

cardiovasculardiseases,aswelassomesocialimplicationsandpsychologicaldistress.

Withthis,primarycareprovidersarepositioneduniquelytodeterminetheindividuals

whoareatriskforthesediseases,assessingandscreeningthem forcomplication,

educatingandtreatingwheneverappropriate.Theaim ofthisresearchprojectisto

providetheneedededucationtoadolescentsandchildren,includingtheirfamilies,

regardinghealthynutrition,aswelastheneedtoengageinphysicalactivity,thus

improvingknowledgeinrelationtohealthypaternsinlifestylewhilereducingbody

massindex.


StatementoftheProblem

Despitetheobviousincreaseinawarenessregardingobesityandweightproblems

amongtheyoungergeneration,theprevalencecontinuestorise,thusmakingpediatric

obesityasamongthemostpopularchronicdiseasesinchildhood.In2010alone,over

athirdoftheadolescentsandchildrentestedwereeitherobeseoroverweight(Olsen

et.al,2012)

AssessmentofObesityinPrimaryCare

Riskfactorsthatareconnectedwithpediatricobesity,aswelasitsrelatedadverse

outcomesmayturnouttobesevere.Moreover,thelikelihoodofpotentialycarying

theseriskfactorsastheyenteradulthoodisalsohigh(Garner,2004).Adolescentswho

aresufferingfrom obesitygeneralyhavean80%probabilityofalsobecomingobesein

adulthood(Garner,2004).Therefore,measuringweightisessentialinscreeningand

assessingtherisksinvolvedinprimarycare.

WeightLossInterventions

Ithasbeenacceptedwidelythattheenvironmentsofadolescentsandchildreninthe

UnitedStatesencouragethem togetlostincalorie-dense,unhealthysugarandfoods

whilesupportinginactivitythroughcomputeruse,televisionviewing,aswelasvideo

gameusage.Alotofadolescentsandchildrenarenotmeetingtherequiredmoderate

tostrongactivitystandards.Withtheincorporationofhealthylifestyleeducationinthe

family,asignificantimprovementinweightlosshasbeenobserved.

Methods

Twelvepatientswereaskedtojointhisproject.Thepatientsthemselves,aswelas

theirfamilies,receivedcontactseveryweekforstraightsevenweeks.Outofthe

original12patientswhojoined,9havecompletedalofthesessions.Oneamongthem

waseliminatedfrom theresults,becausetheinitialBMIdidnotmeetthestandard.

However,shewasalsoincludedinalofthesessions.Anotheradolescentdropped

from thestudyafterthesecondsession,whileanotherdroppedafterthethirdsession.


ResultsandDiscussion

TheoveralobjectivesandgoalsofthisinterventionprojectweretoreduceBody

MassIndex(BMI)throughpatienteducationabouthealthyactivityandnutrition.The

smalsamplesizeweakentheresults,notalowingforanyform ofgeneralizability.On

topofthat,certainsubgroupdifferencesincludingethnicity,gender,ageandother

factors,cannotbeanalyzedbecauseofthenumberofparticipants.Overal,thisproject

showsthatremoteeducationalinterventionsessions,includingtheoneusedinthis

projectis effective when performed in the clinicalseting,and may also be

implementedinacost-effective,timely,andefficientmanner.

References

CentersforDiseaseControl.(2014).Obesityratesamongtheyoungerpopulationinthe

USA.October14,2014.Retrievedfrom htp:/www.cdc.org/gov.data/obesity.html

Garner,H.(2004).Stationaryactivitiesandobesity–theconnection.Archivesof

PediatricMedicine34(4),234-236.

Olsen,J.J.,Robin,A.W.,&Chester,H.A.(2012).Overweightadolescentsandchildren.

JournalofMedicine,432,436-456.

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