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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

    Student Name

    Capella University

    NURS-FPX4900: Capstone Project for Nursing

    Prof. Name


    Analyzing the Issue: Evaluating Quality, Safety, and Cost Considerations

    Within this culmination project analysis, we will extensively explore the case of John, a 10-year-old patient grappling with clinical obesity. The objective is to comprehend the far-reaching implications of obesity on the quality of care, patient safety, and associated costs for both the individual and the healthcare system. The primary focus is to scrutinize obesity from multiple dimensions, including quality, safety, and economic perspectives. Additionally, we will delve into nursing practice standards and organizational or governmental policies that influence how obesity impacts care, safety, and financial considerations. Understanding these standards and policies is crucial in shaping the treatment provided to patients like John and addressing potential challenges. Lastly, we will propose deliberate strategies aimed at improving care quality, enhancing patient safety, and reducing costs for both the patient and the healthcare organization, with the goal of better addressing cases akin to John’s. The overarching aim is to provide comprehensive, evidence-based care that significantly improves the health outcomes and quality of life for our patients.

    Impact of Obesity on Care Quality, Patient Safety, and Costs

    John’s clinical obesity has a profound impact on the quality of care, patient safety, and costs within the healthcare system and for the patient. Let’s delve into a detailed analysis.

    Quality of Care

    Managing John’s clinical obesity poses challenges for healthcare providers in delivering high-quality care. Obesity often coexists with comorbidities such as hypertension, diabetes, and heart disease, necessitating a specialized care approach and comprehensive management strategies (Safaei et al., 2021). This complexity can result in inconsistencies or delays in care. Additionally, obesity is associated with psychosocial issues, including depression and anxiety, which can hinder the effectiveness of medical care. Research also underscores barriers to healthcare access for obese patients, including stigma, discrimination, and inadequately equipped medical facilities (Talumaa et al., 2022), impeding regular check-ups, early diagnosis, and preventive care essential for optimal health.

    Patient Safety

    Obesity significantly compromises patient safety. Individuals like John face a higher risk of adverse events such as misdiagnosis due to limitations in physical examinations, inaccuracies in drug dosing, complications from surgeries, and an increased susceptibility to falls (Appeadu & Bordoni, 2023). For instance, issues around correct medication dosing can arise, with the complexities of accounting for body fat potentially leading to overdosing or underdosing.

    System and Individual Costs

    Clinical obesity imposes an enormous economic burden on both healthcare systems and individual patients. Direct medical costs linked to obesity encompass preventive, diagnostic, and treatment services (Ling et al., 2022). Obesity-related illnesses contribute to increased hospital admissions and extended stays, straining healthcare resources. Individually, patients like John bear the brunt of high out-of-pocket expenses, including medication costs, additional co-pays, and surcharges on premiums due to their heightened risk status.

    Nursing Practice Standards and Policy Impact on Quality of Care, Safety, and Costs: A Literature Synthesis

    The Board of Registered Nursing (BRN) in California has established comprehensive standards significantly influencing the quality of care, patient safety, and healthcare costs. The BRN emphasizes the active involvement of registered nurses in preventing and managing diseases collaboratively with other healthcare teams. In the context of obesity, BRN suggests ongoing nutrition and weight management education for nurses while highlighting the need for competent detection of obesity-related complications like diabetes or cardiac issues (Backstrom, 2019). These standards aim to enhance the quality of care provided to obese patients, ensuring safety by preventing or managing potential complications and controlling financial costs associated with unmanaged complications.

    The Affordable Care Act (ACA) has notably alleviated the financial burdens associated with obesity-related diseases by emphasizing preventive care and chronic disease management. The ACA mandates insurance coverage for preventive services, easing the financial burden on patients. It also promotes healthy living to prevent severe conditions linked to obesity. The focus on preventive care directly contributes to cost reduction by averting expensive treatments and hospitalizations later (Rdesinski et al., 2023). Research supports the effectiveness of these policies, with documented declines in obesity-related healthcare costs after ACA implementation (Mylona et al., 2020), highlighting the benefits of concentrating on preventative care and management.

    This policy shift has shaped nursing practice by providing a foundation for a more comprehensive, cost-effective patient care strategy. For a patient like John, this may involve regular health monitoring, mental health support, patient education on self-management, and preventive measures to enhance care quality and safety while reducing costs. The standards and policies guide patient relationships, enforce competency standards, and regulate clinical decision-making. The Nurse’s Practice Act sets the scope of practice, while federal laws, such as the ACA, influence the delivery of preventive care, reimbursement rates, and respect patient rights, collectively impacting the quality of care, patient safety, and costs to both the system and the individual. These combined influences provide direction for nurses to offer efficient, preventive, and sustainable healthcare to patients.

    Effective Strategies for Enhancing Care Quality, Patient Safety, and Cost Efficiency

    Strategies to enhance the quality of care, patient safety, and cost efficiency for John’s clinical obesity could include:

    Personalized Care

    The concept of Personalized Care plays a crucial role in improving patient care, safety, and cost-effectiveness. Addressing patient issues, such as obesity in John’s case, requires a multifaceted approach involving individualized weight loss goals, dietary changes, a structured and safe physical activity plan, and psychological support. Personalized care plans consider each individual’s unique health circumstances and requirements. For obesity management, this approach may include recommendations for dietary shifts, personalized exercise regimens, and behavioral therapies. Involving mental health professionals in the care plan can be beneficial, given the association between obesity and mental health issues. Studies indicate that personalized care leads to improved patient engagement and adherence to lifestyle changes, as it considers individual preferences and capabilities.

    Telehealth Services

    Telehealth services are increasingly crucial in managing obesity, facilitating remote patient monitoring, nutrition counseling, mental support, and physical activity strategies. For John, struggling with obesity, telehealth can provide advantages such as remote tracking of weight and health indicators, adjustment of treatment plans, and access to nutritional counseling services. Telehealth can also offer comprehensive physical activity programs, connecting individuals with healthcare professionals virtually, removing barriers like the need for a gym membership or transportation. Additionally, telehealth can connect patients with mental health professionals to address mental or emotional challenges associated with obesity. Studies demonstrate that weight management programs via telehealth lead to weight reduction and improved health behaviors among obese individuals.

    Evidence supporting strategies like personalized care and telehealth services for managing obesity is steadily growing, guided by research and relevant benchmark data. Sources such as the Centers for Disease Control and Prevention (CDC) and the American Telemedicine Association offer benchmark data on obesity prevalence, related health outcomes, and the scalability and effectiveness of telehealth services. Comparing John’s progress with these benchmarks provides invaluable insight into both his health journey and the effectiveness of personalized telehealth services.

    Practicum Experience Hours

    To track the practicum hours spent assisting John with obesity management, meticulous data logging on Capella’s Academic Portal Volunteer Experience Form will be undertaken. This will include records of session dates, times, the nature of interactions, interventions employed, and John’s progress. It will encompass changes in weight, diet, exercise habits, and responses to different strategies. Any consultations with subject matter and industry experts during these hours will also be documented. This detailed record-keeping demonstrates accountability, commitment, and professionalism, providing an objective review of intervention efficacy and informing future approaches. The process aims to make the overall approach more evidence-based and person-centered.


    In concluding our in-depth exploration of quality, safety, and cost considerations in healthcare, particularly in John’s clinical obesity context, it is crucial to reflect on the complexity of this pervasive health challenge. Obesity transcends individual concerns, impacting every facet of our healthcare system. Its downstream effects on quality of care, patient safety, and costs for both individuals and the system are profound. Adherence to standards set by entities like the Board of Registered Nursing (BRN) and legislation like the Affordable Care Act (ACA) can significantly mitigate these effects. Healthcare providers can take these as guiding principles, steering their approach towards prevention, proactive management of complications, and fostering a more comprehensive care system that is financially feasible. It is essential not to lose sight of the human at the center – patients like John, struggling under the burden of obesity. Combining empathetic, clinically excellent care, effective policies and standards, and personalized preventive strategies can significantly improve their healthcare experience.

    Our collective efforts should be dedicated to making their journey toward health not just a possibility but a reality. This endeavor is not just about professional standards; it is the very core of why we became part of the healthcare system – to assist individuals like John in living healthier, happier, and more fulfilling lives.


    Appeadu, M., & Bordoni, B. (2023). Falls and fall prevention. PubMed; StatPearls Publishing.

    Backstrom, L. (2019). Weighty problems: Embodied inequality at a children’s weight loss camp. Rutgers University Press.

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

    Houser, S., Joseph, R., Puro, N., & Burke, D. (2019). Use of technology in the management of obesity: A literature review. Perspectives in health information management, 16(Fall).

    Lavallee, K. L., Zhang, X. C., Schneider, S., & Margraf, J. (2021). Obesity and mental health: A longitudinal, cross-cultural examination in Germany and China. Frontiers in Psychology, 12(712567.).

    Assessing the Problem: Quality, Safety, and Cost Considerations Ling, J., Chen, S., Zahry, N. R., & Kao, T. A. (2022). Economic burden of childhood overweight and obesity: A systematic review and meta‐analysis. Obesity Reviews, 24(2).

    Mylona, E. K., Benitez, G., Shehadeh, F., Fleury, E., Mylonakis, S. C., Kalligeros, M., & Mylonakis, E. (2020). The association of obesity with health insurance coverage and demographic characteristics: A statewide cross-sectional study. Medicine, 99(27), e21016.

    desinski, R., Chamine, I., Valenzuela, S., Marino, M., Schmidt, T., Larson, A., Huguet, N., & Angier, H. (2023). Impact of the Affordable Care Act Medicaid expansion on weight loss among community health center patients with obesity. The Annals of Family Medicine, 21(Supplement 1).

    Safaei, M., Sundararajan, E. A., Driss, M., Boulila, W., & Shapi’i, A. (2021). A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Computers in Biology and Medicine, 136(104754).

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

    Talumaa, B., Brown, A., Batterham, R. L., & Kalea, A. Z. (2022). Effective strategies in ending weight stigma in healthcare. Obesity Reviews, 23(10).

    Ufholz, K., & Bhargava, D. (2021). A review of telemedicine interventions for weight loss. Current Cardiovascular Risk Reports, 15(9). Wadden, T. A., Tronieri, J. S., & Butryn, M. L. (2020). Lifestyle modification approaches for the treatment of obesity in adults. American Psychologist, 75(2), 235–251.