Women Health – Week 7 Discussion 1st REPLY

Women Health – Week 7 Discussion 1st REPLY

Reply to the following discussion by supporting the post.  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources. Be objective, clear, and concise. 

It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. 

JA Discussion: 

 

Week 7 Discussion

Implementation Plan Outline

PICOT question: Are obese adults in America (P), more successful at losing weight with a medical intervention such as taking phentermine (I), compared to no medical intervention such as diet and exercise alone (C), at achieving and maintaining a healthy weight (O), over 12 months (T).

1. Goal and strategies

Problem statement: Obesity has turned into an epidemic that affects about one third of Americans and about one quarter of people worldwide. Obesity is a common, serious, and costly disease. Comorbidities that arise as a result of obesity cause preventable and premature death. To avoid adverse outcomes in obese patients, healthcare providers must be willing to address this subject matter objectively. Healthcare providers should be able to give obese patients viable weight loss options. Also important, is setting a realistic long-term weight loss management to avoid regaining of the weight lost. Long term weight loss maintenance is difficult to achieve and obesity tends to increase once again (Nimptsch et al., 2018). 

Goal Statement: The main goal of this project is to find out which intervention works better for acute weight loss and long term weight loss maintenance in a primary care clinic setting. having this knowledge helps the patients in the study and future patients that seek weight loss treatment. Empowering nurse practitioners to utilize the most effective intervention for acute weight loss and long term weight loss maintenance is important in helping patients’ overall health and wellbeing.

Strategy Description: The strategy for this research is to identify patient eligibility based on their body mass index (BMI). Once the diagnosis of overweight, obese, or morbidly obese has been established, the nurse practitioner must determine the patient’s interest in weight loss and in this study. Patients who express interest in weight loss and participation in this study must be interested in both, a pharmacological and nonpharmacological approach, along with a controlled diet and exercise plan. Participant must be willing to engage in a 12 month research study and must be aware of their engagement in a multisession approach. The provider must be a qualified nurse practitioner with the capability to prescribe medications, implement the proposed interventions, collect research data, analyze the data, and report the findings.

2. Approach

Project members: Nurse practitioner and registered nurse

Barriers to Successful Implementation:

  1. Availability of nurse practitioner and registered nurse for the 12 month period
  2. Patient eligibility
  3. Comorbidities that inhibit participation or weight loss
  4. Patients with an acute change in health status
  5. Lack of interest in participation
  6. Patient preference for pharmacologic versus nonpharmacological treatment
  7. Adherence to therapy (complete all sessions)
  8. Discontinuations of weight loss medication, diet or exercise plan
  9. Unreliable transportation to research clinic
  10. Dropping out of the study at any point
  11. Self-reporting of inaccurate or false information 

Implementation steps:

  1. Prepare the nurse practitioner and registered nurse who will conduct the research
  2. Determine patient eligibility, rule out patients with comorbidities, and age less than 21 or more than 60
  3. Diagnostic confirmation of BMI, overweight (25.0 – 29.9), obese (30.0 – 39.9), and morbidly obese (40.0 and above)
  4. Gather 70 patients in total, 35 who want to be in the pharmacologic/diet/exercise group and 35 who want to be in the nonpharmacologic/diet/exercise group
  5. Collect signed informed consents
  6. Conduct the study over a 12 month period, while checking participants adherence to their perspective intervention  
  7. Collect, review, analyze, and report study data
  8. Implement best intervention for future patients

Communication strategy:

  • Who needs to know? The nurse practitioner and the registered nurse conducting the study
  • What information do they need? Diagnostic criteria, interventions being used, medication use, which participant is in which group, timeline, and expectations.
  • Estimated time and expenses: The entire timeframe for the participants will be 12 months with additional time for the nurse practitioner to analyze and report the data found. Budget is to be determined.

Resources needed for implementation: access to eligible participants, a qualified nurse practitioner and registered nurse, internet access, excel software, and a research clinic.

Performance measures: The data will be analyzed using ANOVA and excel. Analysis from the data obtained will be utilized to evaluate the most effective intervention for acute weight loss and long term weight loss maintenance, and implementation with future overweight and obese patients. 

References

Nimptsch, K., Konigorski, S. & Pischon, T. (2018, December 23). Diagnosis of obesity and use

of obesity biomarkers in science and clinical medicine. Metabolism, 92, 61-70. 10.1016/j.metabol.2018.12.006

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