Nurs FPX 4900 Assessment 2 Assessing The Problem Quality Safety and Cost Considerations

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Assessment 2: Assessing the Problem: Quality, Safety, and Cost Considerations
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Capella University
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Course Name
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Prof Name
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MAR 06, 2024
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Assessing the Problem: Quality, Safety, and Cost Considerations

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In the assessment of this capstone project, we will direct an exhaustive examination of the
instance of John, a 10-year-old patient with clinical stoutness. The goal is to investigate the
extensive ramifications of corpulence on the nature of care, patient wellbeing, and the monetary
weight caused by both the patient and the medical services framework. The essential center is
to investigate heftiness according to different viewpoints, including quality, wellbeing, and
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financial contemplations. Furthermore, we will explore the effect of nursing practice guidelines
and authoritative or administrative approaches because of stoutness on care, security, and
monetary angles. Understanding how these guidelines and strategies shape the treatment gave
to patients like John and the difficulties they might introduce is urgent. At long last, we will
propose purposeful techniques to work on the nature of care, upgrade patient security, and
diminish costs for both the patient and the medical services association, fully intent on tending
to comparative cases all the more successfully. The objective is to convey exhaustive, proof
based care to altogether further develop the wellbeing results and personal satisfaction for our
patients.
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The Impact of Obesity on Care Quality, Patient Safety, and Costs
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John's clinical weight fundamentally influences the nature of care, patient security, and
expenses related with the medical services framework and his own costs. A more itemized
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examination uncovers the accompanying.
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Quality of Care
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John's clinical stoutness presents difficulties for medical services suppliers in conveying top
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notch care. Stoutness frequently goes with comorbidities like hypertension, diabetes, and
coronary illness, requiring a specific consideration approach and extensive administration
procedures (Safaei et al., 2021). This intricacy can prompt irregularities or defers in care. Also,
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stoutness is connected to psychosocial issues, including discouragement and uneasiness,
which can obstruct the adequacy of clinical consideration. Research likewise highlights
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hindrances to getting to really focus on fat patients, including shame, segregation, and
insufficiently prepared clinical offices (Talumaa et al., 2022). These elements can block standard
check-ups, early analysis, and preventive consideration fundamental for ideal wellbeing.
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Patient Safety
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Heftiness fundamentally compromises patient wellbeing. People like John face a higher gamble
of unfavorable occasions, for example, misdiagnosis because of actual assessment constraints,
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incorrect medication dosing, difficulties from medical procedures, and an expanded

powerlessness to falls (Appeadu and Bordoni, 2023). A model is the difficulties around right
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prescription dosing, where intricacies connected with muscle to fat ratio can bring about off base
measurements, possibly prompting going too far or underdosing.
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System and Individual Costs
The economic burden of clinical obesity is substantial for both healthcare systems and individual
patients. Direct medical costs linked to obesity include preventive, diagnostic, and treatment
services (Ling et al., 2022). Obesity-related illnesses contribute to increased hospital
admissions and extended hospital stays, straining healthcare resources. Individually, patients
like John bear the burden of high out-of-pocket expenses, including medication costs, additional
co-pays, and surcharges on premiums due to their increased risk status.
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Nursing Practice Standards and Policy Impact on Quality of Care, Safety, and
Costs: A Literature Synthesis
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The Board of Registered Nursing (BRN) in California has established comprehensive standards
that significantly influence the quality of care, patient safety, and associated costs in healthcare.
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BRN emphasizes the active involvement of registered nurses in preventing and managing
diseases collaboratively with other healthcare teams. For instance, in the context of obesity,
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BRN recommends that nurses maintain ongoing education in nutrition and weight management.
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It also highlights the need for competent detection of obesity-related complications such as
diabetes or cardiac issues (Backstrom, 2019). These standards aim to enhance the quality of
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care for obese patients while ensuring safety by preventing or managing potential
complications. Financial costs can also be controlled, avoiding expensive procedures resulting
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from unmanaged complications.
The Affordable Care Act (ACA) has significantly reduced the financial burdens associated with
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obesity-related diseases by prioritizing preventive care and chronic disease management. It

mandates insurance coverage for preventive services, alleviating patients' financial burden. The
ACA also promotes healthy living to prevent the development of severe conditions linked to
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obesity, directly impacting cost reduction by averting expensive treatments and hospitalizations
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later (Rdesinski et al., 2023). Research supports the effectiveness of these policies; Mylona et
al. (2020) documented a decline in obesity-related healthcare costs after ACA implementation,
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highlighting the benefits of focusing on preventative care and management.

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This policy shift has influenced nursing practice by providing a foundation for a more
comprehensive, cost-effective patient care strategy. In the case of a patient like John, this could
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involve regular health monitoring, mental health support, patient education on self-management,
and preventive measures to improve care quality and safety and reduce costs. The standards
and policies guide nursing practice by shaping patient relationships, enforcing competency
standards, and regulating clinical decision-making. The Nurse's Practice Act dictates the scope
of practice, while federal laws like the ACA influence the delivery of preventive care,
reimbursement rates, and respect for patient rights, all significantly impacting the quality of care,
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patient safety, and costs for both the system and the individual. These combined influences
provide a direction for nurses to offer patients efficient, preventive, and sustainable healthcare.
Effective Strategies for Enhancing Care Quality, Patient Safety, and Cost Efficiency
Strategies to improve the quality of care, enhance patient safety, and reduce costs for John's
clinical obesity could include:
Personalized Care
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The concept of personalized care plays a critical role in improving patient care, safety, and
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cost-effectiveness in the healthcare system. Addressing patient issues, such as obesity in
John's case, requires a multifaceted approach involving individualized weight loss goals, dietary
changes, a structured and safe physical activity plan, and psychological support. The American
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Heart Association emphasizes that personalized care plans consider each individual's unique
health circumstances and requirements. For a non-communicable disease like obesity, this
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approach could include recommendations for a dietary shift towards lower saturated fats and
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higher fruits and vegetables. Regular and progressive physical activity recommended by a
physical therapist could be a crucial component of the care plan. This approach can target
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weight loss without raising the risk of bodily injury. Recognizing that obesity often coexists with
mental health issues like depression and anxiety, involving a psychologist or a counselor in the
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care plan can be advantageous (Lavallee et al., 2021). For personalized care, studies reveal
improved patient engagement and adherence to lifestyle changes, as it considers individual
preferences and capabilities. In obesity management, a customized approach could include
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tailored diet plans, exercise regimens, and behavioral therapies, which can all lead to significant
and sustainable weight loss (Wadden et al., 2020). This comprehensive approach embodies
facets that enhance patient safety, ensure the quality of care, and empower the patient toward
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better health outcomes.

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Telehealth Services
Telehealth services are becoming increasingly important in managing obesity, facilitating

crucial elements such as remote patient monitoring, nutrition counseling, mental
support, and physical activity strategies. In the case of John, an individual struggling
with obesity, telehealth can deliver varied advantages. Frequent virtual meetings allow
healthcare experts to remotely track patients' weight and critical health indicators,
adjusting treatment plans when needed. This can lead to superior health management,
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decreasing the chance of complications associated with obesity, such as diabetes and
heart disease. In addition to monitoring medical conditions, telehealth can offer John
nutritional counseling services. Accredited dieticians can remotely evaluate his eating
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habits, design personalized food plans, and provide nutritional education. This guidance
can be instrumental in helping John pick healthier food options.
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References
Appeadu, M., & Bordoni, B. (2023). Falls and fall prevention. PubMed; StatPearls
Publishing. [Link to the source]
Backstrom, L. (2019). Weighty problems: Embodied inequality at a children’s weight

loss camp. Rutgers University Press. [Link to the source]
Houser, S., Joseph, R., Puro, N., & Burke, D. (2019). Use of technology in the
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management of obesity: A literature review. Perspectives in health information
management, 16(Fall). [Link to the source]
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Lavallee, K. L., Zhang, X. C., Schneider, S., & Margraf, J. (2021). Obesity and mental
health: A longitudinal, cross-cultural examination in Germany and China. Frontiers in
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Psychology, 12(712567.). [Link to the source]
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Ling, J., Chen, S., Zahry, N. R., & Kao, T. A. (2022). Economic burden of childhood
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overweight and obesity: A systematic review and meta‐analysis. Obesity Reviews,
24(2). [Link to the source] rv
Mylona, E. K., Benitez, G., Shehadeh, F., Fleury, E., Mylonakis, S. C., Kalligeros, M., &
Mylonakis, E. (2020). The association of obesity with health insurance coverage and
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demographic characteristics: A statewide cross-sectional study. Medicine, 99(27),
e21016. [Link to the source]
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Rdesinski, R., Chamine, I., Valenzuela, S., Marino, M., Schmidt, T., Larson, A., Huguet,
N., & Angier, H. (2023). Impact of the Affordable Care Act Medicaid expansion on
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weight loss among community health center patients with obesity. The Annals of Family
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Medicine, 21(Supplement 1). [Link to the source]

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Safaei, M., Sundararajan, E. A., Driss, M., Boulila, W., & Shapi’i, A. (2021). A systematic
literature review on obesity: Understanding the causes & consequences of obesity and
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reviewing various machine learning approaches used to predict obesity. Computers in

Biology and Medicine, 136(104754). [Link to the source]
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Talumaa, B., Brown, A., Batterham, R. L., & Kalea, A. Z. (2022). Effective strategies in
ending weight stigma in healthcare. Obesity Reviews, 23(10). [Link to the source]
Ufholz, K., & Bhargava, D. (2021). A review of telemedicine interventions for weight
loss. Current Cardiovascular Risk Reports, 15(9). [Link to the source]
Call Us Now (612) 234-7670
Wadden, T. A., Tronieri, J. S., & Butryn, M. L. (2020). Lifestyle modification approaches
for the treatment of obesity in adults. American Psychologist, 75(2), 235–251. [Link to
the source]
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Assessing the Problem: Quality, Safety, and Cost Considerations

incorrect medication dosing, difficulties from medical procedures, and an expanded

obesity-related diseases by prioritizing preventive care and chronic disease management. It

highlighting the benefits of focusing on preventative care and management.

better health outcomes.

Telehealth services are becoming increasingly important in managing obesity, facilitating

Backstrom, L. (2019). Weighty problems: Embodied inequality at a children’s weight

Medicine, 21(Supplement 1). [Link to the source]

reviewing various machine learning approaches used to predict obesity. Computers in

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