5-Year-Old-Girl Case Study
Date formatted as Month Day, Year.
Case Study: Home Schooled Asian Girl with Obese Parents.
In America, obesity during childhood is rising alarmingly and is becoming a dangerous epidemic, which not only concerns America but the rest of the continent. Statistics from the World Health Organization (2021) state that “Over 1.9 billion adults were overweight in 2016, 18 years old and older. More than 650 million of these have become obese.” Most of the obesities are directly connected to the availability of unhealthy meals such as fast food, and increasing inactive lifestyles, while others are genetic or influenced by the general environment (Schrempft et al., 2018). This paper will focus on addressing the health risk to the Asian girl presented in the case scenario, explaining ways to obtain supplementary confidential facts, seeking additional information from the parent of the child and explaining two strategies that might promote assertive caregivers or parents concerning their child’s weight and health.
Health risks and issues related to the child’s health.
The assigned case is of a 5-year-old Asian girl who physically appears normal though the parents are obese. According to studies, most Asian migrants to the United States tend to suffer from obesity. Such fast growth in the obesity level in Asian society can be directed from low-calorie foods to high-calorie foods to nutrient changes and societal changes (Sun, Kovacs, & Guiu-Jurado, 2020). Furthermore, dietary modifications in Asian societies were closely connected to increased calorie dietary nutrition. Several studies have indicated that Asian migrants are likely to have low body weight at birth, followed by rapid childhood weight gains.
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The Asian girl is normal considering the age, but based on family genetics considerations, if appropriate preventative measures are not taken, obesity is well on its way. The risk factor for childhood obesity involves parental obesity. The parent of this child is obese, as illustrated in this given scenario, meaning that this girl does not live in a healthy household (Sanyaolu et al., 2019). From the case study, it is evident that the girl is not staying in a healthy environment. According to Lin and Li (2021) mass index (BMI) is 25% to 40% inheritable and has been directly linked to becoming obese. Obesity does not only lead to long-lasting health-associated problems consisting of dyspnea, CHF, high blood, diabetes, pressure but has also been directly linked to other health-related problems like childhood asthma, HDL, painful or irregular periods among females while some children are socially and emotionally affected due to poor esteem and bullying (Lin & Li, 2021; Sanyaolu et al., 2019).
Additional Information Needed for Weight Assessment
This case study is missing some vital information needed before determining this child’s diet and activity. Additional information I will like to ask in other to gather more information includes;
Asking the 5yr old child for her eating habits; if she’s very particular about her foods and how often she eats?
Does she engage in any physical exercise and how much time does this child spend watching television/ iPad if she has any?
What is your favorite food and how often do you eat this type of food?
How do you feel about healthy snacks like fruit bars and veggie snacks?
In addition to this, I will ask the mother for information about her pregnancy history, if she developed any complications like gestational diabetes and (PIH) Pregnancy-induced hypertension. The specific question I would ask the parent regarding this topic would include;
Did you have any difficulties throughout your pregnancy?
Did use any over the counter (OTC) medications while pregnant?
The first question can be used to help decide the kind of food the child consumes and how she eats, also it can help determine if she eats healthy. While the second question can help determine the child’s activity of daily living (ADL’s) since she is currently home-schooled, these child does not necessarily partake in physical activity like gymnastics. It is also crucial to evaluate how much time she spends watching television or other devices like the iPad to determine if she’s spending too much time indoors and not socializing with kids in her age group. According to CDC, it is recommended that children get at least 60 minutes of physical activity daily. Excess time children spend surfing the internet, watching television, playing game consoles, is time they could be physically active (Centers for Disease Control and Prevention, 2021). The third and last question evaluates the parent’s dietary choices because studies have shown that fast foods eventually leads to obesity. In addition to this, based on the present economy it is easier and cheaper to eat fast food than healthier options.
Proposed strategies that can help caregivers or parents become proactive regarding their child’s weight and height.
A parent’s role in a family is very critical in developing a child’s healthy lifestyle. Also, it helps shape the behavior of the children in the family. But let’s face it conversations involving weight and general lifestyle can be very sensitive especially within certain age groups and ethnicity; this is why I will focus my attention on general health improvement and less focused on weight loss itself. My first strategy would be to advise and educate the parent on documenting the child’s dietary intake and daily activity before the next follow up visit. I believe it will help encourage the child’s parent to be more involved in helping the child maintain a healthy weight by knowing exactly what she eats daily also used as a reminder for the parent, while at the same time allowing the provider to assess the child’s daily habits. These food diaries will not only include everything the child eats and drink in a day, but also will include her participation in any physical activity and how much time the child spends using any electronics.
Another strategy I would employ to help the parent remain proactive in their child’s health is by educating them with factual statements. The caregivers need to be factually educated on a well-balanced diet and the way to make a healthier dietary preference without making them feel body shamed. My education will also involve the importance of participating in physical activities like walking or jogging. Also explaining to them why exercise is not only beneficial towards a healthy weight but also helpful with the overall growth and development of the child. The child’s parents need to also be informed on the associated health risks of being obese and unhealthy.
The goal of this paper was to explain health risks applicable to a homeschooled Asian girl whose parents are obese. Additionally, my objective was to post an explanation on how to correctly have a proactive conversation without offending this child’s parent. Advance Practice Nurses (APN) need to know how to have sensitive conversations with patients without offending anyone while being informative. Also, generally mindful of everybody’s feelings when discussing health risks associated with obesity.
Centers for Disease Control and Prevention. (2021). Childhood Overweight & Obesity | Overweight & Obesity | CDC. Cdc.gov. Retrieved 14 September 2021, from https://www.cdc.gov/obesity/childhood/.
Lin, X., & Li, H. (2021). Obesity: epidemiology, pathophysiology, and therapeutics. Frontiers in Endocrinology, 1070.
Sanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and Adolescent Obesity in the United States: A Public Health Concern. Global pediatric health, 6, 2333794X19891305. https://doi.org/10.1177/2333794X19891305
Schrempft, S., van Jaarsveld, C. H., Fisher, A., Herle, M., Smith, A. D., Fildes, A., & Llewellyn, C. H. (2018). Variation in the heritability of child body mass index by obesogenic home environment. JAMA pediatrics, 172(12), 1153-1160.
Sun, C., Kovacs, P., & Guiu-Jurado, E. (2020). Genetics of obesity in East Asians. Frontiers in Genetics, 11.
WHO. (2021). Obesity and overweight. Who. int. Retrieved 14 September 2021, from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
5-year-old Asian girl of normal weight with obese parents who is home schooled
(You are allowed to make up information regarding the details of the case, medications, vital signs and development of the suggested case)
-An explanation of the health issues and risks that are relevant to the child you -were assigned.
-Describe additional information you would need in order to further assess his or her weight-related health.
-Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
-Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
-Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.
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