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Children and Nursing: Making a Difference. By Linda Corbin Kim Cox Jon Edgette Shirley Iler Teresa Ross. Childhood obesity is quickly becoming a national epidemic. Nurses responsibility to the epidemic. Early identification (high risk group) Early multidisciplinary intervention (psych)
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Children and Nursing: Making a Difference By Linda Corbin Kim Cox Jon Edgette Shirley Iler Teresa Ross
Childhood obesity is quickly becoming a national epidemic • Nurses responsibility to the epidemic. • Early identification (high risk group) • Early multidisciplinary intervention (psych) • Early holistic education • Acute community involvement
Abstract • Children are growing more obese as the twenty-first century continues to unfold. Obesity is attributed to lack of physical exercise, poor nutrition, and poor health behaviors children learn from their parents. Nurses are on the front lines and can be first to identify childhood obesity. Nurses also have responsibility to educate parents in regards to the childhood obesity epidemic. Underprivileged children and their mothers are the most vulnerable to the childhood obesity epidemic. The focus of healthcare professionals should be on this vulnerable population to help overcome this trend. Many interventions and educational programs are being created to help educate mothers and children to combat obesity.
Obesity • The Center for Disease Control (CDC) defines overweight as body mass index (BMI) at or above the ninety-fifth percentile for weight and gender. (CDC; 2006) • The concern with obesity in children is that it can cause many underlying health care problems such as • Diabetes • High cholesterol • Heart disease • High blood pressure • Many other diseases
Social aspect • Overweight children also face being socially outcast from peers • “The current childhood obesity epidemic has many causes and contributing factors; however, the association between television viewing and obesity is one of the strongest and most consistent.” (Dietz et al., 1985; Gortmakeret at., 1996; Dennison et al., 2002). • The ability to find well fitting and socially acceptable clothing remains a barrier for obese children • Interaction between children can be cruel for an obese child • Society views childhood obesity in a negative manner
Mental issues • Some obese children have mental issues including: • Depression • Anxiety • Additional mental illness
Kansas be healthy (KBH) RN training program • Screening tools • Standardized referral parameters • Targeted assessment kit • BMI calculation wheel • Nutritional guides • CDC growth charts
Critical Appraisal of evidence • The American Academy of Pediatrics, in 2001, recommended “children’s total media time be limited to no more than one to two hours of quality programming a day” and that any “television viewing for children younger than two years” be discouraged. (American Academy of Pediatrics: Children, Adolescent, and Television, 2001) • “Mothers usually influence the nature, variety, and quantity of food available to their young children” (Baughcum et al 2000) • With the control over eating patterns, the mother can influence the type of food a child will want to eat and rituals that focus around eating.
Critical Appraisal of evidence cont. • Childrens eating habits were hard to control because the mothers did not want to deny them food. • 92% of respondents will incorporate screening tools and interventions into their daily practices.
Nurses own perception use of evidence • Internal conflict between fitting in and being ostracized by peer group. • Social isolation can occur • Additional destructive health behaviors emerge • Health professionals need to become proactive in dealing with preschooler obesity. • Health care professionals are in a position to provide effective tools to create healthier lifestyles. • My duty is to provide outside resources to help in their crusade with childhood obesity.
Nurses own perception use of evidence • First hand observations of chronic diseases gives motivation to instill life long healthy behaviors.
Recommendations • Individual children’s thought and feelings of obesity should be the emphasis of further research studies • Unplugging the television for a family game night • Board games • Card games • Reading • Crafts • Changing children’s behavior sets the pattern for the next generation to defeat these disease.
