OBESITY in Saddle Brook, NJ, USA

OBESITYin Saddle Brook, NJ, USA

OBESITYin Saddle Brook, NJ, USA

Thepaper focuses on obesity in Saddle Brook Township found in NewJersey, US. The researcher found this necessary as per the resultsshown by BMI outcomes on a series of tests that he conducted throughvisiting various gymnasiums, restaurant chains, school cafeteria,geriatric surgeons, and other institutions that would likely providehim with the information that he required. The main issue of concernlies in looking into the extent of the condition in the area andaiming to compare it holistically with the statistics of the entirenation in a bid to establish the situation of the township as far asobesity is concerned.

B1.Description of Community

SaddleBrook is a township found in the County of Bergen, New Jersey, UnitedStates. The town has a population of about 13,600 people as per theresults of the 2010 census. The figure was quite an increase comparedto the population that occupied the same area as at the census of theyear 2000 (Sullivan, 2015). The results showed that the number hadraised by about 500 people. The region occupies an area of about2.715 square miles and has an elevation of about 46 feet above sealevel (Sullivan, 2015). The population density of the area stands atabout 5,080 people per square miles.

Whitesmake up a majority of people standing at about 90%.Native Americansconstitute an approximate 4.7% of the population while Hispanics andLatinos hold about 6.3%. The proportion of blacks in the community isquite low given the fact that it constitutes about 1.4% of thepopulation (Sullivan, 2015). The region is served by both public andprivate institutions such as schools and hospital facilities. It alsohas a fully-fledged transport system. As at the census of 2010, thetown had a cumulative road connection of about 41.73 miles. It alsohas a railway station that serves most of the population.

B2.Discussion of Health Concern

Obesityis a chronic health problem that is characterized by an excessiveweight which brings out a Body Mass Index (BMI) of 30kg/m2 and above(Locke, Kahali, Berndt, Justice, Pers, Day, &amp Croteau-Chonka,2015). As a result, the person involved lacks the capacity to go onhis normal activities as he may always get tired very easily and aswell, lacks the capacity to handle tasks in a quick fashion. Theperson also suffers the real danger of contracting various chronicdiseases such as diabetes and high blood pressure due to theexcessive fats that are found in the body. In severe instances, thiscondition could be lead to stroke and even cause death.

B2a.Background Information

Obesityis brought about by an excessive consumption of foods that have ahigh content of saturated fats and processed sugar. Such a factorplays a role in the build-up of the weight of individuals due to theaccumulation of fats that have not been burned (Claussnitzer, Dankel,Kim, Quon, Meuleman, Haugen, &amp Abdennur, 2015). Lack of constantexercise is also linked to the state of this condition given the factthat the practice goes a long way in preventing the consistentdepositing of fats in the body. The Healthy people New Jersey 2020website shows that the state aims to reduce cases of adult obesity toabout 23.8. Since Saddle Brook is also a township in the state, thefigures also apply to it (Healthypeople.gov, 2016). This would be areduction of the index shown by the New Jersey department of publichealth and the Healthy people New Jersey 2010 statistics that put thefigures at about 24.1%.

B2b.Data Related to the Health Concern

Sincethe Saddle Brook Township is in New Jersey, the figures of the stateshall be relied upon in a bid to help explain the state of disease inthe region. The area does experience an obesity rate of about 25.5%as of the year 2016 (Areaconnect, 2016). The figure was an incrementfrom 2000 when it stood at 17%. This situation shows that more peoplehave engaged in activities that have very little to do with improvingtheir state of health in general. The state is, however, having the11th lowest adult rate of obesity in the country. The figure of theregion is also lower compared to the national mean whereby almost 69%of people are considered to be either obese or overweight.

Althoughit is doing well compared to most other regions, it is, however, timefor the stakeholders involved to take more action in order to ensurethat people found in the region do not suffer from the harmfuleffects that come with exposure to the health problem. One of thefactors that could be linked to the state of obesity in the communitycould be the fact that it is highly urbanized and most people do notgain quick access to healthy foods that have a lower fat andprocessed sugar content (Claussnitzer et al., 2015). People couldalso be so much engaged in activities that are geared towards makinga living to the point that they are not in a position to concentrateon other equally helpful activities such as exercise. The resultsshown by the state of obesity in New Jersey as a whole indicate thatthe figures have been on a steady increase since 1994 till 2013 whenthey started to fall. The results are as shown in figure 1.0Figure1.0 Adult population with obesity in Saddle Brook, NJ (Source:stateofobesity.org)

B3.Description of Target Population Thestudy focused adults who may be obese in a bid to establish some ofthe factors that may be behind the situation. Women are the majorityin the area constituting about 52.79%, while males make up 47.31% ofthe adult population as per the census results of 2010(Healthypeople.gov, 2016). The entire state of New Jersey whereSaddle Brook is found has men with a higher prevalence of obesitycompared to women. The figures stand at 26.4% and 23% respectively.The situation could be linked to the fact that women are most oftenhealth conscious are bound to be keen on taking actions that have alikelihood of influencing their health positively. It is, however,essential to note that the difference is quite low, and it is safe toopine that females are much at risk of having obesity in the areajust as males are.

B3a.Link to Health Inequity and Health Disparity

Asit would be expected, the 23% prevalence rate of obesity among womenin the community gives rise to various health problems. One of themis high blood pressure that is estimated to be about 30%(Healthypeople.gov, 2016). The situation is brought about by the factthat obesity acts as a risk factor to the contraction of high bloodpressure due to the constriction of blood vessels. The body alsobecomes much larger than the entire circulatory system and,therefore, brings about the problem of overworking the heart. Suchsituations could lead to the problems of heart failure.

B3ai.Specific Data

Statisticsin the healthy 2020 show that more than 18,600 people in the state ofNew Jersey died of cardiovascular disease. They also indicate that afurther more than 3,300 people were killed by stroke in the sameperiod (Healthypeople.gov, 2016). Most of the deaths were those ofwomen and as a result, it is of great importance to highlight theproblem of diabetes in the region, given the fact that it has a highrelationship with the health problems highlighted.

B4.Resources and Partners

Variousprimary resources and partners are involved in dealing with obesityin the Saddle Brook Township. These include private hospitals thathave a wellness wing which takes part in informing patients of themeasures that they need to take so as to avoid the harmful effectsthat come with being obese. These centers also train people from thecommunity in the ways that they may be able to carry out properphysical exercise so as to reduce their weight in general andminimize the chances of being obese (Sullivan, 2015). The centers arealso important at training people on the proper diet that they mayconsume and the foods that they may minimize or even avoid completelyin a bid to reduce the likelihood of developing obesity. The wellnesscenters also provide free BMI check-ups on people who are interestedin the same with the view of enabling them keep tabs on their healthand take actions to address the same where they notice that theirweight is getting towards an alert zone.

Thereis also the American Cancer Society that has been on the forefrontwith providing patients and other interested parties with thefacilitation and measures that they need to put in place in a bid toavoid obesity. The organization also goes a long way to explaining topeople the importance of leading healthy lifestyles as such practiceshave an effect on the general well-being of people in the longrun(Sullivan, 2015). They are also able to avoid some health problemsthat are associated with a lifestyle which is not favorable.Community libraries also stock books that have vital informationabout obesity and, therefore, may relate to how the community memberscould avoid the problem of obesity and lead much more fulfillinglives.

B4a.Fieldwork Interviews

Theresearcher relied on the use of field interviews whereby he appliedsystematic random sampling at various social places in an attempt togather information that would be pertinent in providing the necessaryinformation (Flick, 2015). He also took the chance to explain to therespondents chosen the nature and aim of the research and assuredthem that the information gathered would only be used for educationalpurposes. He would also take appropriate action to ensure that theinformation that they provided would be handled in a manner thatmaintained confidentiality and privacy. The researcher also asked therespondents to sign consent forms to show that they had willinglyobliged to take part in the exercise without undergoing any form ofcoercion to do the same (Flick, 2015). The interviewees were then torespond to both structured and semi-structured questionnaires thathad questions about obesity problems in the region. As a result, theresearcher was able to gather information that was vital in coming upwith viable conclusions regarding the state of the problem given thefact that the respondents had made a willful decision to take part inthe study and would, therefore, provide factual responses. Theaspects of the disease that the researcher was interested in waswhether people had knowledge about the health problem, including itscauses and effects.

B5.Aspects Not Being Addressed

Thecandidate does not provide a logical discussion of aspects of thepopulation health concern not being addressed despite the efforts ofthe partners involved. The candidate provides a logical discussion,with no detail, of aspects of the population health concern not beingaddressed despite the efforts of the partners involved. The candidateprovides a logical discussion, with limited detail, of aspects of thepopulation health concern not being addressed despite the efforts ofthe partners involved.

C1.Desired Outcome or Goal for Improvement

Thedesired outcome of the project shall lie in ensuring that there is asignificant decline in the number of people who have obesity. Thereduction of the prevalence rates of obesity shall majorly be aresult of concerted efforts by various parties which shall do theirroles to ensure that their aim is achieved (Sargent, Forrest, &ampParker, 2012). The success of the project shall also be aided by someother specific objectives. One of them will be to increase the numberof people who take part in regular physical exercise so as toincrease their capability of burning up excess fats and sugar. Such aprocess will go a long way in ensuring that the people have reducedchances of being obese or even overweight. Another objective willinvolve the increase of the level of healthy diet intake by peoplefrom the target community in an attempt to ensure that the mainagenda of the project is achieved. Such a process will be importantin ensuring that people from the community are not faced withsituations that may pre-dispose them to other health problems such asdiabetes and high-blood pressure.

D1.Nursing Action Plan

Thenursing action plan that shall be viable to improve the situationwill involve conducting BMI tests on the people who visit thefacility and at their will to ascertain those who may be overweightor obese. The next process shall be to put the ones who are in thissituation under a program that will be geared towards helping themregain the normal body weight (Sargent et al., 2012). The programwill majorly involve passing such people through health talks on thereasons why they need to reduce their weight. This part will be ofimportance since it will provide the subjects with cues to action onthe reason as to why they would need to stick to the process. Thenurses will then provide them with a range of menu that they mayinclude in their diet and the ones that they need to minimize on soas to have a state of health that will enable them to go about theirnormal activities as they would wish.

D1a.Population Focused Objectives

Oneof the objectives that shall be of the essence as far as achievingthe goals of the program is concerned is the increase in the level ofphysical exercise done by people in the community. This process shallbe well achieved through setting up of wellness centers, with thehelp of other players such as non-profit organizations (Sargent etal., 2012). Such centers could be furnished with various physicalexercise equipment as well as specialized personnel who are wellskilled in the field of physical exercise. They may, therefore, trainpeople on various methods that they may apply so as to achieve highrates of return while taking part in the exercise. This action couldinvolve telling such people about the amount of time that they mayassign to each and the amount of pressure that they may apply. Thissituation will be quite imperative since it will prevent people fromdoing physical exercise in a harmful way that could pre-dispose theminto even worse situations.

Thesecond objective that includes the increase in the level of healthydiet intake by people will also be essential. The aim will well beaddressed through carrying out regular sessions with all the patientsand other people involved. These sessions will include sharing withthem information on the kind of foods that they may need to put theirfocus on and the ones that they need to avoid (Sargent et al., 2012).The more people take part in such meetings, the more they will bewilling to stick to healthy diets that have less likelihood ofaffecting them. With time, the health of those people who are eitheroverweight or obese will start improving accordingly. More peoplewill also be willing to take part in the program once they haveobserved the level of outcome that is realized among those who werepart of it at first. It is also important to note the general successof the program will also be based on the consistent involvement ofpeople.

D1b.Population Focused Nursing Interventions

Thereare various population-focused nursing interventions that may bepreferred for the process so as to make it beneficial to many people.The nurses may need to first pass most of the patients through a BMItest with the aim of showing those who are either in the alert ordanger zone. Such a process will be quite important given the factthat it will enable such people to come to full realization thatthere is the need to take a corrective action to address the problemaccordingly (Potter, Perry, Stockert, &amp Hall, 2016). The nurseswill also take a moment to explain to the patients who are listed as,‘unhealthy’ on the reasons as to why they need to be enrolled inthe program that the institution has set up. The patients will bemore willing to join it once they are convinced that it has a highlikelihood of benefiting them. This aspect also means that the nurseswill also need to explain to the patients the advantages that theywill have once they reduce their weight to normal levels.

Anotherintervention that nurses may take is consistent monitoring thevarious aspects of the health of people involved such as their bloodpressure and sugar levels since most of these situations go hand inhand with obesity (Potter et al., 2016). They may also keep track ofthe BMI of the patients who have enrolled in the program with the aimof ensuring that they show whether the program has been of benefit tothem or not. Where such people observe that taking part in theprogram has had major advantages, they may have the zeal to continuetaking part in the exercise with much vigor. They may also take sucha moment to encourage other people to also take part in the program.

D2.Potential Partnerships

Giventhe fact that the process will be quite extensive and may requireimmense resources and facilitation, there may need to form apublic-private partnership. The private hospital that establishes andruns the wellness center may also put in some reduction of costs onall the activities that are aimed at reducing the levels of obesityin the community of interest (Maurer &amp Smith, 2013). As such,this process will provide the opportunity for more people to beenrolled in the program given the fact of the huge benefits that maylie in doing the same. As such, these people shall have the reducedlikelihood of contracting various health problems that may affectthem quite negatively in the end.

Thefacility may also involve private health insurance companies andgovernment-sponsored insurance programs such as Medicare and Medicaidin the process so that they may provide some subsidies that may helpto include more people from the community in the program. Such anassociation will help the community gain a lot given the fact thatthe cost of taking part in the program will reduce by a big margin(Maurer, &amp Smith, 2013). Also, since many people will have thechance of taking part in the program, this shows that the communityshall have a positive outcome in that a large proportion of peoplewill have reduced weight to normal levels. The concerted efforts thatwill be achieved through the process of public-private partnershipwill be essential in the achievement of population-focused nursinginterventions that may be preferred so as to aid in the process ofreducing the different health problems that the community members maybe going through.

D3.Timeline for Interventions

Theprogram shall need to adhere to various timelines so as to achievethe process of reducing obesity levels in the Saddle Brook community.Given the fact the program is projected to include many people, thereis need to come up with a plan that is bound to consider all peopleand ensure that none of them are sidelined from the program. Theprogram shall, therefore, be divided into months. The first monthshall involve the diagnosis of either a case of overweight orobesity. The first month could be any month in a year. Therefore, thetimeline shall not include the name of the month but rather, thenumber of the month that a candidate is in the program. The programis slotted to take ten months since the diagnosis and release of apatient. It is expected that in such a period, the weight of thepatient will have reduced normal levels. Where the weight will nothave reduced in one year, the facility shall accord the patientadditional six months towards the same. It is outlined in Table 1.0.

Table1.0: Timeline of population-focused intervention

1st Month

Tests and diagnosis of overweight and obesity case. Subsequent enrollment in the program.

2nd Month

Explanation of importance of the program.

Taking the patients through physical exercise.

3rd Month

Regular exercise and health diet advice to patients

4th Month

Monitoring of the health and weight of patients

5th Month

Regular exercise and health diet advice

6th Month

Regular exercise and health diet advice

7th Month

Regular exercise and health diet advice

8th Month

Monitoring of the health and weight of patients

9th Month

Evaluation of the effects of the health intervention to patients.

10th Month

Release.

Release of patient from the program

E1a.Measurable tools

Theprogram shall involve the use of various measurable tools so as toensure that the desired outcomes are achieved. One of them lies inconsidering the BMI of the patients, which would need to be between18.5-24.5 Kg/m2(Maurer&ampSmith, 2013). Other measurable indices would be the weight of thepatients as well as the blood sugar and blood pressure levels of thepatients. The personnel involved in the program shall collectvaluable data concerning these elements about patients and monitorthem over time to ascertain the progress standards of the patients.All these aspects will be important in carrying out an evaluationconcerning the success of the program. The evaluation would beconducted on a scale of 1-10 in relation to how the exercise anddietary changes that the pollutions have made are of effect.

F1.Conclusion

Thenation, state of New Jersey and the Township of Saddle Brook aredoing their level best to ensure that cases of obesity are on adownward trend. There, however, needs to be more action fosteredtowards the intake of healthy foods in the population. The oneelement that I learned in the exercise is that obesity can becontrolled with a change in lifestyle. The one thing that surprisedme is the fact that rates of obesity have had a significant growth inSaddle Brook in the recent years. I thought that more women are obesecompared to men, but these thoughts were proven otherwise by theresearch that I conducted in the project (Healthypeople.gov, 2016).

References

Areaconnect(2016). Saddle Brook Population andDemographicshttp://saddlebrook.areaconnect.com/statistics.htm

Claussnitzer,M., Dankel, S. N., Kim, K. H., Quon, G., Meuleman, W., Haugen, C.,… &amp Abdennur, N. A. (2015). FTO obesity variant circuitry andadipocyte browning in humans.&nbspNEngl J Med,&nbsp2015(373),895-907.

Flick,U. (2015).&nbspIntroducingresearch methodology: A beginner`s guide to doing a research project.Sage.

Healthypeople.gov(2016). Leading health indicators: Progress Update

Locke,A. E., Kahali, B., Berndt, S. I., Justice, A. E., Pers, T. H., Day,F. R., … &amp Croteau-Chonka, D. C. (2015). Genetic studies ofbody mass index yield new insights for obesitybiology.&nbspNature,&nbsp518(7538),197-206.

Maurer,F. A., &amp Smith, C. M. (2013).&nbspCommunity/publichealth nursing practice: Health for families and populations.Elsevier Health Sciences.

Potter,P. A., Perry, A. G., Stockert, P., &amp Hall, A.(2016).&nbspFundamentalsof nursing.Elsevier Health Sciences.

Sargent,G. M., Forrest, L. E., &amp Parker, R. M. (2012). Nurse deliveredlifestyle interventions in primary health care to treat chronicdisease risk factors associated with obesity: a systematicreview.&nbspObesityreviews,13(12),1148-1171.

Stateofobesity.org(2016) http://stateofobesity.org/states/nj/The State of Obesity in

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Sullivan,F.T., (2015). Bergen County, New Jersey.