Answer

Implementation Plan Design for Bariatric Surgery Pediatric Patients

An effective management plan for a patient is influenced by inter-professional collaboration, technology, and engaging the patient. In long-term conditions, the core concern is timely achievement of the intended objectives to ensure patient outcome quality. This implementation plan design targets the bariatric surgery pediatric population.

Part 1: Management and Leadership

The implementation plan involves collaboration among various professionals. These include the physician, nurses, nutritionist, physical exercises personnel, and an information and communication technology (ICT) professional. A democratic leadership approach is the most appropriate in this plan, since it allows the communication and inputs of every individual in the team to make the patient-centered decision. Democratic leadership is concerned about relationships and will be instrumental in ensuring a collaborative effort of the individuals involved in patient care (Cornell, 2020). A transformational management approach is essential in implementing the care strategy. This management strategy focuses on fostering relationships and motivating the employees through a shared mission and vision. This management approach’s effectiveness in fostering collaboration is based on communicating the vision to every individual in the team. Professional nursing practices relevant to the successful implementation of the plan include accountability to one’s actions and decisions, demonstrating compassion, and demonstrating the spirit of flexibility and collaboration.

Changes associated with the proposed implementation plan of a collaborative framework will significantly enhance both the patient and the healthcare providers’ satisfaction. Democratic leadership ensures every individual participates in effective decision-making on the effective approaches. Transformational management, on the other hand, ensures a shared vision and collaborative practice. These changes will reduce the cost of long-term management of the condition through quick recovery and reduced length of stay at the hospital. The impacts of the professional nursing practice in the change setting are to prompt every individual’s commitment and ensure every person implements the core healthcare values and competencies, including communication and teamwork. The leadership, management, and professional practice strategies are fundamental in fostering the patient-centered care model. According to Kim and Park (2017), the person-centered care approach allows for the involvement of various individuals, including healthcare providers and family members. These changes are central to the patient’s recovery.

Part 2: Delivery and Technology

The patient-centered care model informs the delivery method. The patient and the family are engaged and informed about the management plan, comprising pharmaceutical and non-pharmacological interventions (Higuera-Hernández et al., 2018)). This information is necessary to promote their participation in its implementation. Patient awareness further provides an opportunity for the patient and the relatives to ask questions regarding the management plan. Quality is achieved by considering diverse factors, including the types of goods and cleaning and dressing of the surgical wound. Quality is also based on the patient and relatives’ commitment and motivation to implement the management and follow-up plan. Quick recovery for the patient is based on the combined drugs, hygiene, and a diet plan.

Present and emerging technologies in delivering the intervention plan include fitness trackers, dieting trackers, and continuous monitoring of the weight levels. The fitness tracker monitors the patient’s exercise duration after the wound has healed, whereas the diet tracker evaluates the calories’ intake according to the proposed plan. The continuous monitoring of the weight helps in assessing the improvements (Bolling et al., 2019). Obese patients are also at risk of other conditions, including diabetes, which should also be monitored regularly. Emerging technologies involve integrating the patient’s data with the healthcare facility’s information management system. This will allow for making informed decisions. Besides, data management helps in determining the patient’s progress.

Part 3: Stakeholders, Policy, and Regulations

Implementing the intervention plan requires financial and human resources and collaboration of various stakeholders. These include the patient’s family and social environment, healthcare providers, and the healthcare facility’s management. Each of these stakeholders plays a unique role in the patient’s progress and welfare. The family members are tasked with tracking the child’s improvement and ensuring the individual gets the required support. Healthcare providers are involved in developing an effective and patient-centered intervention plan. Other support includes having adequate financial resources to facilitate the management plan, including dieting. Obesity management, especially bariatric surgery, is expensive and requires adequate financial and human resources support. This promotes the recovery rate and reduces the length of stay at the hospital.

A significant policy related to children’s Bariatric intervention approach is the Healthy, Hunger-Free Kids Act of 2010. According to Kenney et al. (2020), this policy focuses on national school lunch and smart snacks programs. The effect of these approaches is to reduce overweight and obesity. More policy recommendations to reduce obesity among children should focus on awareness about exercises and healthy eating among children and regulating the sale of foods and other products that increase the risk of the condition.

Part 4: Timeline

The intervention plan’s proposed timeline is influenced by the individual’s current condition, targets, and judgment by the different healthcare providers. However, a suitable period for a pediatric patient is six months. This will allow for the surgery, healing, and implementation of a diet plan and physical exercises while tracking the progress. However, these implementation plans’ success is based on various factors, including the patient and relatives’ commitment and availability of resources (Imbus, Voils, & Funk, 2018). These factors have significant impacts on the timeline as they determine the recovery rate and the achievement of the intended objectives.

In summary, the intervention plan’s effectiveness for an obese pediatric patient that undergoes bariatric surgery is centered on the collaboration between the patient’s social environment and healthcare providers. Effective leadership and management styles are democratic and transformational. The suitable timeline for the intervention plan is six months to allow for the patient’s recovery from the surgery and monitor progress. 

REFERENCES

• Bolling, C. F., Armstrong, S. C., Reichard, K. W., & Michalsky, M. P. (2019). Metabolic and bariatric surgery for pediatric patients with severe obesity. Pediatrics, 144(6).

  Cornell, A. (2020). 5 leadership styles in nursing. Retrieved March 03, 2021, from https://www.relias.com/blog/5-leadership-styles-in-nursing

  Higuera-Hernández, M. F., Reyes-Cuapio, E., Gutiérrez-Mendoza, M., Rocha, N. B., Veras, A. B., Budde, H., … & Murillo-Rodríguez, E. (2018). Fighting obesity: Non-pharmacological interventions. Clinical nutrition ESPEN, 25, 50-55.

  Imbus, J. R., Voils, C. I., & Funk, L. M. (2018). Bariatric surgery barriers: a review using Andersen’s Model of Health Services Use. Surgery for Obesity and Related Diseases, 14(3), 404-412.

  Kenney, E. L., Barrett, J. L., Bleich, S. N., Ward, Z. J., Cradock, A. L., & Gortmaker, S. L. (2020). Impact of The Healthy, Hunger-Free Kids Act On Obesity Trends: Study examines impact of the Healthy, Hunger-Free Kids Act of 2010 on childhood obesity trends. Health Affairs, 39(7), 1122-1129.

  Kim, S. K., & Park, M. (2017). Effectiveness of person-centered care on people with dementia: a systematic review and meta-analysis. Clinical interventions in aging, 12, 381.