This job was done; overall it was a great job. However, the instructor wanted me to provide some information I missed. I just need to add some info, nothing is wrong with the piece.Competence:Recommen

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This job was done; overall it was a great job. However, the instructor wanted me to provide some information I missed. I just need to add some info, nothing is wrong with the piece.

Competence:

Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.

This is the instructor feedback:


Criterion: Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.



Non-Performance

Does not recommend ways to expand the scope of interventions to target a critical health issue.


Faculty Comments:

Your paper does not recommend ways to expand the scope of interventions to target a critical health issue. To earn a distinguished grade, you need to recommend evidence-based ways to expand the scope of interventions to target a critical health issue in terms of cost, efficiency and access, and effectiveness. You also need to classify the interventions as conventional or unconventional interventions.

For this part, refer back to current interventions, and then determine what else needs to be done in Hawaii to expand on these current practices in order to address obesity. Please reach out to the course tutor is you have any questions.

This job was done; overall it was a great job. However, the instructor wanted me to provide some information I missed. I just need to add some info, nothing is wrong with the piece.Competence:Recommen
Running head: CHILD OBESITY IN HAWAII 0 Child obesity in Hawaii My name Institution Global Perspectives of Community and Public Service Child Obesity in Hawaii March, 2019 Child obesity in Hawaii The perspective of people’s lives in the determination of better or poor health is not appropriate. Individuals are not capable of directly controlling the numerous determinants that are associated with health. This paper shall mainly focus on the determinants of health of the people of Hawaii. The paper shall also discuss evidence-based intervention in the promotion of healthcare and prevention of disease in order to respond to community health issues. Child obesity is a critical health issue that seems to get worse in the future. Child obesity has become a chronic condition which has been increasing at a high rate in Hawaii and specifically among children whose parents are low income earners. There are several factors which make low income people at the danger of becoming obese; environmental factors have greatly contributed on children obesity in Hawaii. The reason behind the increase is that the children are not capable of accessing affordable and health foods. Also, most people in Hawaii depend on junk foods because it is the one which is readily available. They usually suffer from food desert and the only convenience stress which are available only sells processed products which are sugary and fatty ( FRAC, n.d). Consumption of such type of foods is associated with low level of nutrients and high levels of calories; if they are consumed frequently, they are most likely to lead to gain of weight on children. Also, parents who work for long hours and not within the home area have no time for preparing healthy foods and be able to sit down and eat together as a family. A routine of having a meal together as family creates a positive thoughts and ideas to children about the food they are consuming. Nowadays children environment is full of media thus affecting their perception about the food they consume. Most of media houses are doing advertising and marketing of products which promote obesity. The adverts encourage consumption of unhealthy foods and discourage children from participating in exercise so that they may burn those calorie (Harris, Bargh, & Brownell, 2009). Psychological factors also plays a major role of increasing obesity in children through the influence of dietary choices and the amount food one should eat before they can be satisfied. A child depends on the meal offered by the parents, while the meal served by the parent is influenced by stress. Low income parents are affected by emotional and financial pressures of food security, lack of access to health care, poor housing, neighborhood violence and lack of access to proper transportation (Wadsworth, & Rienks, 2012). If parents are stressed, they are likely to do more purchasing of fast foods in order to save time and reduce the demands related to meal arrangements. Biological factors also play a vital role in the maintenance of health. Examples of biological factors are sleep levels and physical activities. Physical activities are related with control of weight through the stimulation of endocrine, metabolic, and hormone process of the body. Most children do not participate in physical activities in Hawaii because opportunities for safe exercises are mainly found in high income communities thus making the children to gain more weight thus becoming obese. The quantity and quality of sleep are contributing to obesity in children. If children sleep is disrupted often, it shall interfere with the ability of the body of processing the calories and fats effectively. Lack of sleep is also associated with obese in children. The interconnection between the nature of risk factors for obesity in children is overwhelming and makes the policy makers and clinicians without hope of how to slow the epidemic. The best intervention to this type of critical illness can only be through a change in the child’s behavior. There is need of having a well-designed intervention program that shall lead to reduction of obesity within children. Media can also act as an intervention strategy because it can be used to persuading the children on making healthy choices. Parents should be educated on the best precautions and measures towards achieving the best and achievable health care. Through facilitation of education on eating healthy to live a healthy lifestyle may lower obese among children. Health education is related in the promotion of health because health education is all about offering information and knowledge related to health to the people so that they may adopt healthy habits. It is a learning experience which assists the Hawaiians in improving the health by having an influence on their attitudes. Conferences should be held within the state so that people can be trained on how to attain a better health to their children y feeding them healthy foods. The scope and role of nursing in the current interventions in the targeting of obese children is that they aid in the achievement quality healthcare. The nursing role involves the coordination of care, population health and interprofessional collaboration. Nursing education is supposed to impart regulatory frameworks and new skills which should be updated in order to maximize the nurse’s contribution in the transformation of nurse’s care delivery approaches (Doenges, Moorhouse, & Murr, 2010). Nurses also participate greatly in achieving a healthy state. They should always organize programs or conferences so that they may sensitize people on dealing with obesity in children. Interaction with community members one on one shall aid in achieving this agenda (In Stanhope, & In Lancaster, 2014).  There are numerous evidence-based approaches which can be used in order to expand the scope of the interventions towards the critical heath care issue. The WHO provided a heath impact assessment which presented evidence-based interventions for the causes of poor health of the people of Hawaii, For instance, an evidence for physical environment effects may include pollution which occurs due fossil fuels, motor vehicle accidents, urbanization of communities and homelessness. References Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2010). Nursing care plans: Guidelines for individualizing client care across the life span. Philadelphia: F.A. Davis Co. Food Research and Action Center (FRAC) website. (n.d.). Fighting Obesity and Hunger. Washington, DC: Author. Retrieved from http://frac.org/initiatives/hunger-and-obesity Harris, J. L., Bargh, J. A. & Brownell, K. D. (2009). Priming effects of television food advertising on eating behavior. Health Psychology, 28(4), 404-413. doi.org/10.1037%2Fa0014399 In Stanhope, M., & In Lancaster, J. (2014). Public health nursing: Population-centered health care in the community. Maryland Heights, Missouri : Elsevier Mosby. Wadsworth, M.E. & Rienks, S. L. (2012). Stress as a mechanism of poverty’s ill effects on children: Making a case for family strengthening interventions that counteract poverty related stress. APA Public Interest Directorate. Washington, DC: Author. Retrieved from http://www.apa.org/pi/families/resources/newsletter/2012/07/stress-mechanism.aspx

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