Obesity Management and Control Nathalia Queiroz School of Nursing and Health Sciences NURS-FPX 900

Obesity Management and Control Effects of Obesity on Quality of Care Obesity illness is a multifactorial, complex, and preventable condition affecting over a third of the global population, with evidence showing that by 2030 approximately 38% global population will be overweight and 20%being obese. While the overall rate of Obesity in most countries appears to have leveled, obesity rates, especially in children, are rising in most countries (Kaplan et al., 2018). Obesity is characterized by having too much weight over height. Still, this description conceals an etiologically complex phenotype predominantly related to high body fat, which is likely to express physiologically and physically. The disease raises the risk of lifelong illness morbidity, including diabetes type 2 diabetes, cardiovascular disease, depression, and malignancies. Thus, the psychosocial and economic costs of obesity in combination with other illnesses are staggering. Despite these significant concerns, most patients cannot receive the necessary treatment because of health facility barriers, patient barriers, and lack of funding. Patient barriers include the ability to use the healthcare service where patients cannot receive the necessary care when it is not available in their location or if clinicians refuse to treat them due to insurance patient acculturation to new systems. Patients may find it challenging to obtain quality care due to their unfamiliarity with the hospital facility. Financial difficulties are another hindrance because patients may postpone treatment when they cannot afford healthcare treatment. Patients without medical insurance may delay medication, treatment, and tests. Even the insured patient may require uninsured items that they might not afford. Also, the dominant beliefs about the causes of illness and treatment may be influenced by culture. When healthcare practitioners and patients are from different cultures, the perceptions of treatment and disease

skeletal ailment grows more severe in overweight patients affecting 66%of obese adults. Persons with a BMI higher than 40 are likely to suffer from arthritis-related impairment (Abdelaal et al., 2017). Physical pain and functional impairment make it difficult to engage in daily activities, resulting in weight gain and reduced activity. Obese patients are likely to suffer from intra- abdominal pressure. There is a build-up of fatty tissue in the abdominal cavity, putting pressure on the skin and internal organs. Barrtlett’s esophagitis that causes esophageal cancer develops as a result of this illness. Varicose veins, abdominal hernias, venous insufficiency, urinary incontinence, and lymphedema are possible complications associated with intra-abdominal pressure. Additionally, obese patients develop skin complications in a variety of ways. Some skin complications that may develop include candidiasis, incontinence dermatitis, prolonged wound healing, skin irritations, and pressure ulcers, especially when other co-morbidities like immobility and diabetes are present (Abdelaal et al.,2017). Most obese and overweight persons have negative body image, characterizing themselves as despicable and ugly. Patients may suffer risks arising from poor bariatric management. Obesity also presents significant clinical care issues in physical examinations, patient positioning, medicine administration, and obtaining adequate and safe diagnostic and therapeutic devices. Due to enlarged skin folds concealing affected areas, inability to find anatomical landmarks, thick body parts, and enlarged skin fold, the caregiver may not diagnose and assess the patient endangering their safety physically. Obesity also impacts basic procedures such as assessing blood pressure as cuffs may be challenging to find. Medication overdose may result due to metabolism changes and body fat.

Impact of Obesity on Healthcare Costs The cost patients require to manage varies depending on the demographics of the patient. For employed patients, health insurance is the primary payer. Additionally, obese patients use more healthcare resources resulting in significant additional healthcare expenses. Research reveals Obesity is associated with indirect costs, especially those connected with absenteeism, disability, and workers’ compensation. According to the study, the results predicted Obesity and related chronic conditions to cost over$480 direct healthcare expenditures and approximately $1 indirect work costs in the United States. Obesity’s indirect additional costs are related to self-esteem, mood, and productivity (Tremmel et al., 2017). Obese patients have poor esteem, loneliness, and anxiousness and, in most instances, are likely to engage in risky behaviors such as alcohol consumption and smoking. Research shows that Obesity has an indirect impact on a person’s earnings, particularly in white women. Additionally, it is estimated annual direct expenses for children obesity management to be $14 billion. Apart from these expenditures, childhood obesity requires direct future costs as overweight adolescents and children may have Obesity in adulthood. According to (Tremmel et al., 2017) high rate of adolescents may result in a future financial burden. There have been various government initiatives to help patients manage the illness. Among these initiatives include regulatory improvements like ACA care act coverage for management and Obesity screening. These alleviate concerns regarding time and reimbursement. Also, the advent of innovative reimbursement models and care delivery initiatives such as care organizations and medical homes may enable ancillary referrals such as multi-component weight reduction easier. Other interventions include increasing nutritionists and dietitians in health facilities, putting subsidies for weight loss medications, providing monetary incentives. To make Obesity

cut costs in obesity management in the future (Kash et al.,2017). Another way is to use of health information system to increase disease surveillance and monitoring. Protocols and strategies for integrating government agencies and care providers are essential for supporting decisions and detecting health threats.

References Kaplan, L. M., Golden, A., Jinnett, K., Kolotkin, R. L., Kyle, T. K., Look, M., … & Dhurandhar, N. V. (2018). Perceptions of barriers to effective obesity care: results from the national ACTION study. Obesity, 26 (1), 61-69. Tremmel, M., Gerdtham, U. G., Nilsson, P. M., & Saha, S. (2017). Economic burden of obesity: a systematic literature review. International journal of environmental research and public health, 14 (4), 435. Abdelaal, M., le Roux, C. W., & Docherty, N. G. (2017). Morbidity and mortality associated with obesity. Annals of translational medicine, 5 (7). Biener, A., Cawley, J., & Meyerhoefer, C. (2018). The impact of obesity on medical care costs and labor market outcomes in the US. Clinical chemistry, 64 (1), 108-117. Kash, B. A., Baek, J., Davis, E., Champagne-Langabeer, T., & Langabeer II, J. R. (2017). Review of successful hospital readmission reduction strategies and the role of health information exchange. International journal of medical informatics, 104 , 97-104. Mozaffarian, D., Liu, J., Sy, S., Huang, Y., Rehm, C., Lee, Y., … & Micha, R. (2018). Cost- effectiveness of financial incentives and disincentives for improving food purchases and health through the US Supplemental Nutrition Assistance Program (SNAP): A microsimulation study. PLoS medicine, 15 (10), e1002661.DownloadAI Tools

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Obesity Management and Control

Effects of Obesity on Quality of Care

Obesity illness is a multifactorial, complex, and preventable condition affecting over a

third of the global population, with evidence showing that by 2030 approximately 38% global

population will be overweight and 20%being obese. While the overall rate of Obesity in most

countries appears to have leveled, obesity rates, especially in children, are rising in most

countries (Kaplan et al., 2018). Obesity is characterized by having too much weight over height.

Still, this description conceals an etiologically complex phenotype predominantly related to high

body fat, which is likely to express physiologically and physically. The disease raises the risk of

lifelong illness morbidity, including diabetes type 2 diabetes, cardiovascular disease, depression,

and malignancies. Thus, the psychosocial and economic costs of obesity in combination with

other illnesses are staggering. Despite these significant concerns, most patients cannot receive

the necessary treatment because of health facility barriers, patient barriers, and lack of funding.

Patient barriers include the ability to use the healthcare service where patients cannot

receive the necessary care when it is not available in their location or if clinicians refuse to treat

them due to insurance patient acculturation to new systems. Patients may find it challenging to

obtain quality care due to their unfamiliarity with the hospital facility. Financial difficulties are

another hindrance because patients may postpone treatment when they cannot afford healthcare

treatment. Patients without medical insurance may delay medication, treatment, and tests. Even

the insured patient may require uninsured items that they might not afford. Also, the dominant

beliefs about the causes of illness and treatment may be influenced by culture. When healthcare

practitioners and patients are from different cultures, the perceptions of treatment and disease Document continues below

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