Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.
For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Sample Solution
⢠Structured daily meals and planned snacks with balanced macronutrients (breakfast, lunch, dinner, and 1 or 2 scheduled snacks, with no food or calorie containing beverages at other times) ⢠Emphasize food with low energy density (those with high fiber or water content) ⢠Reduce frequency and quantity of foods with high energy density (eg; fried foods, baked goods, fats) ⢠Limit portion size ⢠Set explicit behavior goals ⤠1hour of screen time daily ⢠â¥1hour of physical daily, supervised ⢠Monthly patient-provider contact ⢠Monitor eating & physical activities through logs ⢠Use positive reinforcement techniques (reward system) ⢠Strong parental involvement for school aged children 3. Comprehensive multidisciplinary intervention ⢠Same as stage 2, along with structured diet & physical activity designed for negative energy balance behavioral interventions like development of short-term diet & physical activity goals. ⢠Weekly patient-provider contact (and/or phone) for a minimum of 8-12 weeks. Subsequently, monthly visits can help maintain new behaviors. ⢠Parent training in behavioral techniques to improve home eating & activity environment 4. Tertiary care intervention ⢠Used for severely obese children who failed in comprehensive multidisciplinary intervention stage but are willing to maintain physical activity and healthy diet. Options include pharmacotherapy and bariatric surgery but children should be carefully selected for this intervention and only is absolutely required. If there is no improvement after 3-6 months of stage1 adaptation, the patient can move on to stage 2. Similarly after 3-6 months in a structured weight management program, some patients who have not achieved goals can move to stage 3. TABLE 10 Age Weight goals according to BMI percentiles 2-5y 85-94th: weight maintenance until BMI is <85th percentile, o>
⢠Structured daily meals and planned snacks with balanced macronutrients (breakfast, lunch, dinner, and 1 or 2 scheduled snacks, with no food or calorie containing beverages at other times) ⢠Emphasize food with low energy density (those with high fiber or water content) ⢠Reduce frequency and quantity of foods with high energy density (eg; fried foods, baked goods, fats) ⢠Limit portion size ⢠Set explicit behavior goals ⤠1hour of screen time daily ⢠â¥1hour of physical daily, supervised ⢠Monthly patient-provider contact ⢠Monitor eating & physical activities through logs ⢠Use positive reinforcement techniques (reward system) ⢠Strong parental involvement for school aged children 3. Comprehensive multidisciplinary intervention ⢠Same as stage 2, along with structured diet & physical activity designed for negative energy balance behavioral interventions like development of short-term diet & physical activity goals. ⢠Weekly patient-provider contact (and/or phone) for a minimum of 8-12 weeks. Subsequently, monthly visits can help maintain new behaviors. ⢠Parent training in behavioral techniques to improve home eating & activity environment 4. Tertiary care intervention ⢠Used for severely obese children who failed in comprehensive multidisciplinary intervention stage but are willing to maintain physical activity and healthy diet. Options include pharmacotherapy and bariatric surgery but children should be carefully selected for this intervention and only is absolutely required. If there is no improvement after 3-6 months of stage1 adaptation, the patient can move on to stage 2. Similarly after 3-6 months in a structured weight management program, some patients who have not achieved goals can move to stage 3. TABLE 10 Age Weight goals according to BMI percentiles 2-5y 85-94th: weight maintenance until BMI is <85th percentile, o>
