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NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

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Capella University

NURS-FPX 4900 Capstone project for Nursing

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Assessing the Problem: Quality, Safety, and Cost Considerations

Obesity is becoming a crucial risk factor for several chronic, non-communicable diseases. It is a persistent medical condition manifest by the increase of excess fatty tissue, leading to an elevated vulnerability to coexisting health issues such as cardiovascular disease, hypertension, and cancer. The probability of being obese among Hispanics in the United States (US) was 1.9 times higher than that of Caucasian people (Basu et al., 2023). I assessed the effects of obesity on patient care quality, safety, and healthcare costs for both the patients and the healthcare system during a two-hour practicum with Oliver. Oliver is an adult who struggles with obesity-related health issues that impact both his personal and professional life.

Problem’s Effect on Care Quality, Patient Safety, and Care Costs

Obesity disturbs healthcare quality, safety, and costs at individual and organizational levels. The prevention and management of obesity pose complex challenges in the global health systems that considerably influence patient safety, care quality, and costs. People with obesity frequently need complex, long-term interventions, and the rising prevalence of this condition puts a strain on healthcare resources. For instance, adults who are undergoing obesity comorbidities such as high blood pressure, diabetes, and cholesterol levels have a high influence on the healthcare system (Wolfenden et al., 2019).

Impact on Care Quality

Healthcare professionals must discuss the complexities of managing obesity-related comorbidities and modify treatment regimens to meet the needs of a wide range of patients. People who are obese face partiality and stigma in medical settings, which have an impact on the standard of care they receive. Weight-based categorizes accidentally cause doctors and nurses to display negative attitudes, which results in poor communication and understanding (Tak & Lee, 2021). This bias leads to treatment adherence issues, delayed diagnostic evaluations, and a general decline in the patient-provider relationship. These differences impede fair, patient-centered care delivery and exacerbate health disparities (Flint et al., 2021). This stresses Oliver’s quality of care, resulting in unsuccessful cures and poorer health results.

Impact on Patient Safety

More significant risks involve medical and surgical procedures for Oliver’s safety. People who struggle with being overweight are at risk for a series of negative consequences, such as social stigma as a result of poor health advice approach. Lack of direction causes detection and intervention to be delayed, which increases the risk of obesity-related complications like diabetes, musculoskeletal problems, and cardiovascular diseases (Ross, 2021). In addition, Oliver becomes unsatisfied with unsuitable treatments due to a lack of nuanced and patient-centered approaches. This creates a terrible cycle of reduced safety by impeding patient participation and adherence to medical advice. There are inequalities in the way health education is provided, with obese people receiving inadequate information and encountering obstacles in their search for accurate knowledge (Walsh et al., 2019).

Impact on Care Costs

Healthcare expenses linked to obesity rise in correlation with Body Mass Index (BMI) and obesity classification. The United States (US) revealed that per-person direct medical costs associated with obesity exceeded those for overweight individuals by more than six times, with total costs estimated at nearly $114 billion. In a study involving adults aged 53-68, costs were twice as high for individuals with a BMI greater than 39 kg/m2 compared to those with an average weight (Cawley et al., 2021). Additionally, the health services related to obesity set an incredible economic load on healthcare systems, compelling up the cost of care. Medical checkups, testing, and treatment are essential to treat obesity-related diseases like diabetes, cardiovascular disease, and problems with reproduction, resulting in more significant costs. The financial burden also includes lost productivity because obesity is a crucial factor in decreased productivity and absences from work. Pregnancy-related obesity increases the risks associated with it, which drives up costs for maternal healthcare (Link et al., 2021).

State Board of Nursing Practice Standards

Guidelines for advanced practice nursing are usually established by the state board of nursing organizations like the American Nurses Association (ANA), which sets state board nursing standards that shape healthcare delivery. These guidelines take a broad approach, evaluating, diagnosing, and applying interventions for obese people. Advanced practice nurses must uphold ethical principles in managing obesity, combining patient-centered care with cultural competence. The standards also emphasize crucial interdisciplinary teamwork to an all-encompassing strategy (Fruh et al., 2019). 

The Affordable Care Act (ACA) is a healthcare law that affects obesity in many ways. As essential healthcare professionals, nurses are essential to implementing ACA programs about managing and preventing obesity. It probably goes over treating obesity as a disease and affects patient education, intervention strategies, and assessment instruments, all of which add up to a more systematic and successful nursing approach that complies with state board requirements (Christensen, 2020). 

The ACA emphasizes preventive services, and nurses are in an excellent position to participate in preventive initiatives like obesity screening, counseling, and education. The ACA Medicaid expansion has made obesity-related services more accessible to low-income individuals, which may help to lessen socioeconomic gaps in the treatment of obesity. Nurses empowered by the ACA contribute to a more thorough, equitable, and accessible approach to managing obesity. This teamwork can reduce healthcare costs for the healthcare system and individuals. By concentrating on prevention and early intervention, the healthcare team can decrease costly treatments and hospitalizations (Jevitt et al., 2019).

Policy Impacts on Nursing Scope of Practice

Policy impacts on nursing scope of practice are apparent in the plans set by organizations like the ANA and state boards. These strategies form a broad approach for advanced practice nurses, highlighting moral principles, patient-centered care, and multidisciplinary teamwork in managing obesity (Zhang et al., 2020). The ACA affects nursing practice, concentrating on preventive services such as promoting healthy lifestyles and physical activity and expanding access to obesity-related care, mainly for low-income individuals. These policy-driven initiatives empower nurses to approve a more systematic and cost-effective approach, underlining prevention and primary intervention in obesity controls (Fruh et al., 2021).

Strategies to Improve the Quality of Care for Patient

Healthcare professionals must adopt patient-centered approaches, prioritizing multidisciplinary collaboration. Evidence-based strategies include personalized dietary counseling, physical activity schedules, and behavioral interventions like mindful eating, self-monitoring, and cognitive behavioral therapy. They must integrate these approaches into treating and managing Oliver’s obesity (Zeng et al., 2021).

To promote successful patient engagement, healthcare providers should also place a high priority on communicating in a way that is both culturally and linguistically appropriate. Implementing programs for continuous medical education can guarantee that medical professionals stay current on the most recent developments in treating obesity. Moreover, incorporating technology, like telehealth solutions, improves care accessibility.

The clinical environment can be optimized by prioritizing these strategies to provide Oliver with high-quality, equitable, and culturally sensitive care. Telehealth solutions can lower healthcare costs by improving accessibility, remotely monitoring patient progress, and modifying interventions. Reducing the frequency of in-person visits maximizes resource use and supports patient-centered, affordable obesity care for Oliver (Kanwal et al., 2021).

NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

Several strategies to improve the quality of care for obese patients emerge from the Very Low-Calorie Ketogenic Diets (VLCKD) investigation. Healthcare providers can customize VLCKD plans for Oliver, considering their unique requirements, preferences, and health issues. It becomes essential to closely monitor anthropometric metrics like weight, waist circumference, and BMI to track improvement and modify interventions as necessary. Additionally, it is crucial to promote patient education to guarantee that the fundamentals and possible difficulties of VLCKD are communicated clearly (Rosa et al., 2020).

A comprehensive care plan must include regular evaluations of lipid profiles, microbiota, body composition, and satiety levels. A multidisciplinary strategy that entails cooperation between psychologists, dietitians, and other medical specialists is essential. Psychosocial support plays a significant role in success, including addressing the behavioral and emotional aspects of eating (Rosa et al., 2020).

The Obesity Medicine Association (OMA) sets benchmark information on obesity outcomes and program efficacy. It employs various approaches to improve the standard of care provided to obese patients (OMA, 2020). These include personalized treatment plans, evidence-based nutritious interventions, ongoing medical education for healthcare providers, and initiatives to address disparities associated with obesity. Through the promotion of comprehensive and patient-centered approaches, OMA aims to raise the standard of care provided to those stuck by obesity (OMA, 2020).


To summarize, combating obesity necessitates a multimodal strategy that includes evidence-based tactics, cultural competency, and customized care. The consequences of obesity on healthcare costs, safety, and quality highlight the need for all-encompassing interventions. Policy initiatives, such as the ACA and nursing practice standards, primarily shape effective care models. Healthcare providers can promote equitable and sustainable strategies for managing obesity and optimize Oliver’s care quality by prioritizing patient-centered approaches and ongoing education.


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NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

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NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

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