NURS-FPX4030 | PICO (T) Questions and an Evidence-Based Approach

Non-pharmacological interventions incorporate adoption of patient-centred care to enhance delivery of wholesome health intervention (Higuera-Hernández et al., 2018). Besides, this approach will enable the participants be at the front line in management of obesity. The population under focus include individuals in the facility with a BMI of 30 or more. The objective is to evaluate the fundamental practices that can enable managing the issue of obesity without the application of pharmacological interventions. The exploration of this approach will benefit from a PICOT approach considering that it will be possible to identify the population of interest, the intervention including management approaches, comparison with pharmacologic interventions and the outcomes within a timeframe of 12 month.

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Sources of evidence in answering a PICOT question 

The Early Prevention of Obesity in Childhood (EPOCH) model is effective in evaluating prevalence of obesity in a community by addressing childhood obesity (Seidler et al., 2020). The importance of the tool arises from its ability to identify obesity at an early age and therefore come up with effective interventions. The EPOCH model enables for prediction of BMI trajectory and the prevalence of obesity at an early age (Askie et al., 2020). Therefore, this model creates an environment for assessment the epidemiological factors leading to development of obesity. The application of this model is vital to address in the critical parameters in managing of obesity such as cost implications. This model is also important in building support structure to enable individuals with obesity manage the condition at an early age (Tan et al., 2020). The importance of the evidence-based tools is to enable individuals with obesity tech prompt action that will allow for reduction in BMI and therefore reduce obesity in the stated time frame.

 Health believe model 

 The use of health belief model is vital to manage obesity in the Healthcare sector. The concept behind the model indicates that individual will most likely follow healthy diet and adopt healthy lifestyle that would be vital to improve their overall health outcomes (Abdeyazdan, Moshgdar & Golshiri, 2017). The use of this approach will be vital to enable the individual adopt health promoting behaviours and identify barriers in achieving this perspectives. The fundamental recommendations of the model include important factors that influence healthy behaviours. 

This aspect will be important to address these factors to enable managing obesity in a clinical setting. This approach can also be applied in managing obesity by addressing the PICOT question considering that it can be used to design short and long-term intervention towards this perspective. It is also possible to conduct a health needs assessment, communicate to the target population, provide assistance and eliminate barriers that may hinder achievement of obesity reduction. Therefore, this tool can be used to answer the PICOT question proposed in this essay. 

Individualized intervention model

 The importance of the model in answering the PICOT question arises from the ability to carry out needs assessment, evaluating past history, patient preferences and abilities of individuals with obesity. This model is an important source of evidence considering that it is a patient centred approach carried out by healthcare providers with vast experience and expertise in managing obesity by the use of non-pharmacological interventions. 

Finding

 According to Abhishek & Doherty (2018), the adoption of patient-centred care is an important non pharmacological approach in managing obesity among the population under study. This implies that self-management can play an important role in addressing cases of obesity by giving the individual autonomy to make healthy choices. The evidence presented by Mandal et al., (2018) indicates that combination of nutrition and exercise is vital in addressing cases of obesity among the population. This study presents significant evidence considering that the authors adopt a randomised controlled trial. The article is also peer- reviewed and written by individuals with high credibility in addressing the topic of obesity. 

According to Salam et al., (2020), giving the patient ability to manage their health is an imperative aspect in attaining objective of reducing obesity. The evidence presented by the article illustrates that it is also imperative