final capstone project

Lola Olubiyi

NRS 490

Heather Ziemianski

December 2016

In obese adults aged above 40 years, what is the effect of health education in their quality of lives as compared to those not receiving health educations ?

PICOT STATEMENT

POPULATION: Obese adults aged above 40 years

INTERVENTION: The effect of health education in their quality of life

COMPARISON: Those not receiving health education

OUTCOME: Lifestyle changes

TIME: Outcome will be measured for 4weeks

In obese adults aged above 40 years, what is the impact of health education provision on their quality of lives as compared to those not receiving health educations ?

Obesity is an instance in which adult individuals have a body mass index (BMI) that is greater than 30 kg/ M2. This is a measure that is calculated by dividing the weight of an individual by the square of their height that is usually in meters. Obesity affects all age populations but it those at high risk is the geriatric populations aged above 40 years due to a sedentary lifestyle, natural reduction of lean muscle mass and increase in fat deposition in parts of the body as well as imbalanced nutrition. In females, weight gain and obesity may ensue due to menopause besides other contributing factors (Bendich & Deckelbaum, 2015).

Obesity is associated with various effects on people in different age groups but especially among the elderly. These effects pose some risks to their health and consequently having a significant detrimental effect on their quality of lives as compared to those that are not obese. It is known to be a risk factor for coronary heart disease, heart failure, heart attack and stroke. It contributes significantly to the development of these heart pathologies which reduce the heart’s efficiency, a factor that may result in death. It also leads to the development of hypertension and other pathologies associated with it such as renal failure. Additionally, obesity has been known to be the sole and main contributor to insulin resistance that disrupts the normal body mechanism of controlling blood glucose levels. This, therefore, leads to type 2 diabetes mellitus in both children and adults. The impact of such diabetes in the community is reduced productivity, early death, and overdependence on other people by the affected individuals for sustenance and treatment. On the other hand, obesity has been considered a risk factor for cancer, osteoarthritis, respiratory, reproductive and urinary problems (Fillit et al. 2016). As a matter of fact, there are approximately up to three million elderly individuals that are provided with emergency treatment of injuries and fractures that are as a result of falls. Obesity has a big role to play in both falls and fractures. Obesity is itself a risk factor for falls, and it contributes much towards the level of injuries that can be sustained. Also, greater BMI is one of the causes of bone resorption and osteoporosis which subsequently leads to easy fracture of the bones due to a slight impact.

These factors that contribute this state of poor quality of life due to disability can, however, be controlled so as not to cause obesity. Nursing interventions such as health education provision to the affected and the “at risk” populations can be done. According to Luquis and Perez (2014), the education is aimed at changing lifestyle with regard to diet and exercises. As stipulated by Bendich and Deckelbaum, (2015), more than 67% of those subjected to health education exhibit practices of taking balanced diet according to daily recommended dietary allowance besides being physically active as compared to their counterparts who receive no health education in which only 12% of them exhibit the same practices. Governmental and non-governmental agencies that deal with nutrition can utilize conflict sociological theory whose perspective focuses on the social and political inequality to ensure that obesity does not develop as a result of social inequalities such as inaccessibility to healthy foods (Fillit et al. 2016). Evidently, social disparities can bar individuals from participating in healthy exercises due to a shortage of facilities, funds and sufficient time.

References

Bendich, A., & Deckelbaum, R. J. (2015). Preventive Nutrition: The comprehensive guide for health professionals. Totowa, N.J: Humana Press.

Fillit, H. M., Rockwood, K., & Young, J. B. (2016). Brocklehurst's Textbook of Geriatric Medicine and Gerontology. Elsevier Health Sciences UK.

Luquis, R. R., & Perez, M. A. (2014). Cultural competence in health education and health promotion. San Francisco, Calif: Jossey-Bass.

Lola, good job. Please see my comments and track changes within your paper.

�The day should be included and not just the month and year

�What is the time period?

�This should start on the next page.

�The timeframe should also be included in your PICOT question.

�Numbers less than 10 should be spelled out

�This should start on a new page