Summary of Clinical Issue (200-250 words):
Obesity amongst children and teenagers has become a major health concern. Even though posh lifestyles are considered the leading contributors to obesity, the condition’s levels are increasing in low-income populations due to poor eating habits and inactivity. The United States of America is heavily affected by children and adolescents with obesity. Due to the alarming rate of the condition, most victims are stirred to lose some weight. Unlike in the past, when nursing roles were not professional, nurses have to execute more roles and complement other medical practitioners. Some of the duties that nurses ought to address are assessing patients’ needs, define the adverse effects of obesity, and provide perioperative intervention. Since patients’ needs and therapies are different, nurses must assess the right remedy and implement benign interventions to help in weight loss.
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Arguably, obesity is one of the leading causes of death in the United States. Most of these deaths comprise of children and teenagers. Obesity amongst children and adolescents is a major cause of alarm because they might grow to become obese adults. The high rate of obesity is a burden the healthcare facilities because other lifestyle diseases might surface. The higher the rate of obesity, the high probability of recording more deaths. That said, obesity amongst children and adolescents a nursing problem that needs quick and effective interventions.
Picot Question
Will children and adolescents benefit from obesity treatments such as surgery, weight loss medications, physical activity, and dietary changes compared to overlooking the therapies and assuming that the stoutness and the lifestyle diseases will end their own as they grow to adulthood?
| Criteria | Article 1 | Article 2 | Article 3 |
| APA-Formatted Article Citation with Permalink | Jumbe, S., & Meyrick, J. (2018). Contrasting views of the post-bariatric surgery experience between patients and their practitioners: A qualitative study. Obesity surgery, 28(8), 2447-2456. https://doi.org/10.1007/s11695-018-3185-0 | Dhaliwal, J., Perez, A. J., Holt, N. L., Gokiert, R., Chanoine, J. P., Morrison, K. M., … & Ball, G. D. (2017). Why do parents discontinue health services for managing paediatric obesity? A multi-centre, qualitative study. Obesity research & clinical practice, 11(3), 335-343. https://doi.org/10.1016/j.orcp.2016.10.285 | Parks, E. P., Finnerty, D. D., Panganiban, J., Frasso, R., Bishop-Gilyard, C., Tewksbury, C. M., & Sarwer, D. B. (2020). Perspectives of adolescents with severe obesity on social Media in Preparation for weight-loss surgery: a qualitative study. BMC pediatrics, 20(1), 1-7. https://doi.org/10.1186/s12887-020-1992-7 |
| How Does the Article Relate to the PICOT Question? | The article relates to the picot question because it reviews patients experience with bariatric surgery which is one of obesity therapies | It note factors that influence parents to disregard or cease from seeking therapies made for obese children | It takes account of adolescents’ feelings in social media before the initiation of a weight loss surgery. |
| Quantitative, Qualitative (How do you know?) | Qualitative methods were used “interviews were used” | Qualitative semi structured interviews were used | Qualitative thematic analyses used |
| Purpose Statement | To note patients and practitioners perspectives on the application of -bariatric Surgery | To contrast the results between continued engagement and discontinuation of obesity therapy | To take account of children feelings and perceptions about social media and there experience with severe obesity. |
| Research Question | How effective is a loss surgery and the aftercare support? | Why do parents discontinue health services for managing paediatric obesity | Are adolescents free experiencing their experience with obesity online? |
| Outcome | physical restriction induced by the procedure provides an external control to weight and eating that patients previously lacked | Family factors influence continuation and discontinuation of clinical care. | Social media provides motivation, accountability and emotional support for children with obesity. |
| Setting (Where did the study take place?) | Random hospital settings | Canada | Social media comments. |
| Sample | 10 participants | undefined | Undefined |
| Method | thematically analysed | Thematically analysed | single arm feasibility pilot study |
| Key Findings of the Study | Obesity surgery was reliant on patients contacting the service for help. Patients reported that weight loss as a key marker of successful surgery | Children motivation and family support influence continuation of clinical care | Social media provided emotional support, motivation Healthy eating strategies, and nutrition knowledge which was lacking in weight-loss surgery |
| Recommendations of the Researcher | postoperative psychological assessment is important for obesity therapy | To have enough data from children. gather data from different demographics | psychosocial support is need in weight loss surgery |
| Criteria | Article 4 | Article 5 | Article 6 |
| APA-Formatted Article Citation with Permalink | Hainsworth, K. R., Simpson, P. M., Ali, O., Varadarajan, J., Rusy, L., & Weisman, S. J. (2020). Quantitative Sensory Testing in Adolescents with Co-occurring Chronic Pain and Obesity: A Pilot Study. Children, 7(6), 55. https://doi.org/10.3390/children7060055 | Dogan, K., Kraaij, L., Aarts, E. O., Koehestanie, P., Hammink, E., van Laarhoven, C. J., … & Berends, F. J. (2015). Fast-track bariatric surgery improves perioperative care and logistics compared to conventional care. Obesity surgery, 25(1), 28-35. https://doi.org/10.1007/s11695-014-1355-2 | Gicevic, S., Aftosmes‐Tobio, A., Manganello, J. A., Ganter, C., Simon, C. L., Newlan, S., & Davison, K. K. (2016). Parenting and childhood obesity research: a quantitative content analysis of published research 2009–2015. Obesity Reviews, 17(8), 724-734. https://doi.org/10.1111/obr.12416 |
| How Does the Article Relate to the PICOT Question? | It examines how pain would influence obesity patients from seeking therapy | Monitor the impacts of bariatric surgery and convectional care in addressing obesity in children | How parenting influence obesity therapy. |
| Quantitative, Qualitative (How do you know?) | Quantitative A across sectional study is used | Quantitative prospective data collection was used | Quantitative Content analysis and a priori defined protocol used |
| Purpose Statement | Why Factors such as gender, ethnicity, and age affect pain processing in children and adolescents with chronic pain | To objectify the effect of surgery and convectional care on obese patients | Determine whether parental health behaviour affects children with obesity. |
| Research Question | What are the relative differences in pain thresholds and central sensitization that are attributable to obesity? | What impulses patients to choose between bariatric surgery and convectional care. | What gaps exist in parenting that influence childhood obesity and its treatment. |
| Outcome | QST data showed chronic pain is associated with obesity. | Bariatric care is better than convectional care. | Parents concern and determination helps children with obesity. |
| Setting (Where did the study take place?) | A multidisciplinary pain clinic at a pediatric hospital in the Midwest region of the United States | Netherlands | The united states |
| Sample | 45 | 75 consecutive morbid obese patients | Five databases and 667 studies |
| Method | Statistical Analysis used | FTS programme used | multiple databases and priori defined protocol analysis used |
| Key Findings of the Study | obesity affects sensory functioning and central sensitization of patients | Surgical procedure are more effective | Parents influenced choice of food, physical activity and sedentary behaviour of their children |
| Recommendations of the Researcher | homogeneous sample would help in future research | To look for a long -term recovery methods that better than surgery and convectional care. | Parents from vulnerable population should be included |