measures to facilitate weight reduction. For most patients, modifications in diet and exercise is recommended but, as even people who have attempted casual weight loss know, deploying such techniques in an effective and consistent fashion is far easier said than done.
PICO Question
The PICO question for the purpose of this study is, from the perspective of a family nurse practitioner, when treating patients with type 2 diabetes and obesity, can bariatric surgery be more effective than standard medical therapy at increasing the probability of remission of diabetes? The patient population in question is obese females with type 2 diabetes,… Continue Reading...
diet and exercise regularly (Rowe & Khan, 1997).
Key social determinants of health that contribute to the overall health status of this population include the extent to which the population is underserved, isolated, and neglected; the extent to which the population has a stable and strong support system; the extent to which the population has friends, family or loved ones who visit and provide social contact for the population, and the extent to which the population is able… Continue Reading...
lifestyle, and overall commitment to health. To effectively manage obesity, the patient needs to demonstrate readiness and willingness to change and a commitment to long-term changes to diet and exercise habits. Compliance with recommended health behaviors will effectively manage symptoms and prevent complications.
Access to Care and Treatment Options
Access to care may prevent a large number of at-risk and obese patients from seeking medical attention and receiving education. Barriers to care may include the fear of stigma, causing some obese patients to avoid seeing their doctors until a health problem has progressed. On the other hand, a patient who deftly manages their symptoms will have improved health outcomes including longer life expectancy and reduced risk for… Continue Reading...
of two years in a study of 470 overweight or obese participants. All participants were given a diet and exercise plan; members in the control group simply monitored their diets themselves while members of the experimental group were given fitness trackers which allowed them to track the data visually on their computers (Hill, 2016). All participants exhibited improvements in health and experienced weight loss, but there was not a statistically significant difference between the control and experimental group, despite the use of relatively user-friendly dashboards. Thus both studies suggest that fitness trackers, regardless of the mode or style of dashboard, are not useful in supporting weight loss… Continue Reading...
be willing to change diet and exercise habits, that dependence on medications and suffering complications are virtually inevitable.
Secondly, the model has a very specific definition of nursing which is useful for promoting patient empowerment. “Nursing is collaboration with individuals, families, and communities to create the most favorable conditions for the expression of optimal health and high-level well-being” (Pender, 2013, p.2). Diabetes is particularly rife in communities which have high populations of historically discriminated-against minorities. It is also much more prevalent in communities with low socio-economic status. There is less likely to be disposable… Continue Reading...
