Medical Intervention or Life Style Change

Medical Intervention or Life Style Change

MedicalIntervention or Life Style Change


ChamberlainCollege of Nursing

NR451RN Capstone Course

Termand Year

Preventionor Early Treatment Intervention for Obesity in Children

Obesityin little children has being a trend raising concern among manyAmerican families. As a health concern, the question would be measurethe health practitioners take in order to help obese children. Shouldthe children be introduced to intervention medication or engage themin a suitable lifestyle that would lead to reduced weight and risk ofobesity in general.Anurse through the evidence research can easily find the potentialsolution for the problem stated above.

ChangeModel Overview

TheJohn Hopkins Nursing Evidence-Based Practice Process is guidelineprocess that is used to provide directions in the synthesis andtranslation of the evidence into appropriate practice. It is acomprehensive model that covers the three major cornerstone of thenursing practitioners namely education, practice and research. Themodel recognizes the significance of both the research andnon-research evidence in decision making for clinical basisprocedures. It also incorporates both the internal and externalfactors before a practice is changed. Nurses are encouraged to us themodel to effect change on a practice because its basis of making adecision determines a broad scope of factors (Hesketh, Waters, Green,Salmon &amp Williams, 2005).


Step1: Recruit Inter-professional Team

Manyprofessionals would play a major role to determine the most effectivemethod to use as prevention of obesity among the little children. Theleadership of the project will be my responsibility. In the team, Iwould require the service of a doctor, a nutritionist, two nurses anda pharmacist, Physical education professionals. Lastly, we will needan analyst for the sake of recording and organization of datacollected for the purpose of the project.

Step2: Develop and Refine the EBP Question

Earlierintervention for children at risk of overweight and obesity isimportant because it will address the root of the problem. Medicationis a post effect measure that aim at rectifying the damage. Anincrease in obesity for children below the age of 5 is at the rise.It is intended to change the ideology of parents, kids and teacherand use the appropriate method to check on obesity and enable kidsparticipate in basic physical activities both in school and in otherlife activities (Swinburn, Gill &amp Kumanyika, 2005).

Step3: Define the Scope of the EBP

Accordingto Hesketh et al. (2005), the obesity rates are predicted to raiseeven the more to approximately 47 percent for men and about 36percent of women by the year 2025. It would then be important toselect a permanent solution as opposed to the post medicationsolution (Klein, Allison, Heymsfield, Kelley, Leibel, Nonas &ampKahn, 2007).

Steps4 and 5: Determine Responsibility of Team Members

Thedoctor would be used to give advice on health matters and procedureand would be helped by the two nurses. A nutritionist would be usedto advice on the proper diet, a physical activity profession forexercise and I would be the overall coordinator.


Steps6 and 7: Conduct Internal/ External Search for Evidence and Appraisalof Evidence

Decisionsconcerning the prevention of obesity are very complex and difficultto handle hence the need to have a complex strategy. There is theneed to have a population-based approach to be successful inpreventing obesity. The need to work around the evidence gaps and thevarious limitations of using the evidence hierarchies applying to themedical treatment for the purposes of assessing the population-basedpreventive interventions have been seriously faced by developersobesity prevention. There is the need to gather environmental,cultural, behavioral, and economic evidence, which are the maincontributors to the risk of obesity (Kropsk et al., 2008).

Steps8 and 9: Summarize the Evidence

Allthe sources can provide some form of productive education that theycan teach each other not only in their families but in the school andtheir communities as well. The findings from sources use was that ifwe provide education and make resources available to all who needthem we would see a decrease in the number of obese kids and thosewith associated diseases (Kropski, Keckley &amp Jensen, 2008)..

Step10: Develop Recommendations for Change Based on Evidence

Irecommend that change of lifestyle should be used as a primary methodand intervention for children obesity and overweight.


Steps11, 12, and 13, 14: Action Plan

Iwould first select children with obesity issues. Secondly, I wouldenroll them in a lifestyle change program for three months. Theywould have to follow a physical exercise and diet for that period andtheir progress would be assessed every two weeks during the program.

Steps16 and 16: Evaluating Outcomes and Reporting Outcomes

Thedesired outcome of the project is to increase depended on lifestylechange to regulate body weight and obesity. The outcome would beevaluated through reviewing the numbers seeking medical interventionas opposed to lifestyle change. The result would be communicated tostakeholders through periodic publications.

Steps17: Identify Next Steps

Beinga nationwide problem, I would collaborate with healthcareorganization and proposing this change. I would continually writearticles on leading health publication encouraging adoption of thesemeasures.

Step18: Disseminate Findings

Thefinding of my research project would be communicated internallythrough memorandum and externally trough journal publications.


Thereis an increase in cases of children obesity and overweight. However,use of medical intervention as the primary preventive measure hasbeen rampant among many healthcare professionals. The study aimed atchanging the 9ideology and proposes changing lifestyle that leads toloss of body weight and maintain good health.


Evidence Appraisal Worksheet

APA Reference for Article

Give the APA-formatted reference for the article.

Type of Source

*Research: Peer-reviewed article

*Non-research systematic review, clinical practice guidelines, organizational experience, or expert opinion/case study/literature review

Strength of Research

Discuss the strength of the sources.

Report if evidence is High, Good, or Low/Major Flaw. Use the tools on page 238-244 of your text and discuss the reasons why you have assigned a particular level of quality.

Brief Description of Research

Address the questions.

*How does the information in the article apply to the project problem or proposed intervention?

*Summarize in your own words.

* Include results of the study and how these results are applicable to your project.

* What is the recommendation of the source for clinical practice?


Hesketh, K., Waters, E., Green, J., Salmon, L., &amp Williams, J. (2005). Healthy eating, activity and obesity prevention

Research Peer Review Article

Rated as good it showed outcomes as to so us how we view health in a different light than the Australians. It just shed a lot of insight on how unhealthy we are.

A qualitative study of parent and child perceptions in

Australia. Health promotion international, 20(1), 19-26. In this they show ways to improve your daily health and overall function.


Klein, S., Allison, D. B., Heymsfield, S. B., Kelley, D. E., Leibel, R. L., Nonas, C., &amp Kahn, R. (2007). Waist circumference and cardiometabolic risk.

Research Peer Review Article

Strength for the cite viewed as good as well. I think they provided the reader with some awesome tips in regards to living a more heathier lifestyle that was not too expensive to maintain.

This showed a consensus statement from shaping America’s health and showed ways to manage weight and ways to prevent obesity.


Swinburn, B., Gill, T., &amp Kumanyika, S. (2005). Obesity prevention: a proposed framework for translating evidence into action. Obesity reviews, 6(1), 23-33.

Research Peer Review Article

Strength for this cite view good. It was easy for the reader to navigate and was put in simple terms the reader could understand and gave good references if you needed further information.

This site goes more into detail as to getting the evidence needed for the obesity problem we face and actually trying to fix them and do something with the information provided.


Kropski, J. A., Keckley, P. H., &amp Jensen, G. L. (2008). School‐based obesity prevention programs: an evidence‐based review. Obesity, 16(5), 1009-1018.

Case Study/Literature review

This cite was review as good because it was supported by actual people of the community performing and participating in case studies regarding obesity allowing strangers in their giving them access to their cabinets, cub bards, pantries and refrigerator. To see what they ate on a day to day basis.

Yes I think it help my project because during the study families were unaware of the bad and unhealthy food items they had in their homes that could be easily replaced with something of nutritional value and would not break the banks