What’s Really Causing America’s Obesity Crisis?

Overeating doesn’t cause obesity. Obesity causes overeating.”
Dr. Lee Kaplan, Harvard University

Obesity is a disease.

Image created by OpenAI’s ChatGPT with DALL-E.

We see it everywhere, the very real and ongoing obesity pandemic. This pernicious disease now affects nearly half of the adults in this country, including those on both sides of the hospital bed rails, bringing with it over 200 associated complications and morbidities.

Obesity first became common in America during the last decades of the 20th century; since then its prevalence has only accelerated. Our youth have not been spared, with one in six children and one in four adolescents currently affected.

Despite what we see, many fail to recognize obesity as a true disease with complicated origins. The misguided and reductive idea that behaviors such as eating too much and moving too little are the predominant factors in risk and causation of obesity perpetuates the belief that those suffering with this devastating disease have an underlying character flaw such as gluttony, laziness, or lack of willpower. This in turn propagates societal and medical bias, leading to patient shaming and delayed obesity interventions.

While there’s no standard definition of obesity, it can be […]

2024-04-23T09:49:01-04:00April 22nd, 2024|Nursing, Public health|1 Comment

Walking the Path of Service: DNP Students Provide Foot Care for the Unhoused

TCU nurse practitioner students. “The importance of foot care for this population cannot be overstated.”

In the heart of the Fort Worth, Texas, community, where the daily struggles of people without housing are vividly evident, a group of doctor of nursing practice (DNP) nurse practitioner (NP) students from Texas Christian University (TCU) has embarked on a journey to make a difference. Through the foot clinic initiative in partnership with True Worth Place, a day shelter for people without housing, they’ve established hope and healing with a compassionate service.

The initiative began in early 2018, following a vision from the leadership at True Worth Place. They conceived of a service where basic yet often neglected aspects of personal health—such as foot care—could be addressed. The idea evolved to include volunteers washing the feet of the guests, which extended to providing the guests vitally important medical services like foot assessments and nail care.

TCU faculty and NP students

Eager to serve, a handful of DNP […]

2024-04-15T11:02:29-04:00April 15th, 2024|Nursing, Public health, volunteering|1 Comment

Creating a Disaster Simulation for Nursing Students

A nursing student treats a volunteer acting as a disaster victim during a high-fidelity simulation at the University of South Carolina Aiken Convocation Center. Photo courtesy of the authors.

According to the National Oceanic and Atmospheric Administration (NOAA), in the United States “there were 28 weather and climate disasters in 2023, surpassing the previous record of 22 in 2020.” With the number of disasters increasing in recent years, preparedness is crucial.

Many simulationists may believe that creating a disaster simulation is complicated, expensive, and requires a lot of resources. The opposite is true if you have enough support from your organization and community. The only cost incurred during our disaster management simulation project for nursing students at our institution was the cost of make-up to create realistic wounds.

Finding a gap in student knowledge.

The first thing we did was to perform a needs assessment. We knew that our students were not well prepared in our program for caring for patients during a disaster. In the past, this area of content was never really addressed in our curriculum. As we were […]

PrEP, HIV, and Continuing Barriers to Access

As a gay man navigating the complex landscape of health care, I never expected to encounter judgment, stigma, and discrimination in my pursuit of preventative measures against HIV. In a world that’s constantly evolving, it’s disheartening to see how outdated attitudes still hinder access to essential services like pre-exposure prophylaxis (PrEP). My personal experience may shed light on the urgent need for an update on PrEP for HIV prevention.

The human cost of judgment and stigma.

Like many in the LGBTQIA+ community, I faced the harsh reality of being told not to have sex, to pursue monogamy and marriage as the only path to a healthy life. These societal expectations, fueled by ignorance and prejudice, led me to suppress my desires, inadvertently putting my health at risk. Denial of access to prevention services like PrEP left me feeling isolated, vulnerable, and frustrated.

My wake-up call came through a close friend who, unfortunately, lived out the consequences of societal judgment. Despite being vulnerable and at risk, he was denied access to PrEP because of the same archaic beliefs that I had encountered. The result was a diagnosis of HIV that forever altered his life and left me grappling with the reality that I could […]

2023-12-18T09:33:20-05:00December 18th, 2023|equity, infectious diseases, Nursing|0 Comments

RSV Prophylaxis for Infants and Children: Now Available, But Is it Accessible?

July, a month typically characterized by the relative hibernation of communicable respiratory illnesses, brought with it the U.S. Food and Drug Administration’s (FDA’s) approval of nirsevimab-alip (brand name: Beyfortus) and thus a reminder of the gearing up necessary for the respiratory disease season ahead. Nirsevimab, approved for the prevention of respiratory syncytial virus (RSV), is poised to mitigate the staggering effects of this lower respiratory tract disease. Since significant barriers remain related to distribution, accessibility, and insurance reimbursement for this drug, it is especially important for primary care RNs and nurse practitioners in clinics and medical homes to be well informed on this topic.

RSV: a significant public health burden.

Transmission electron microscopic image revealing morphologic traits exhibited by a human respiratory syncytial virus (RSV)/ CDC

RSV is primarily of concern in the youngest and most vulnerable of the pediatric population, such as those born prematurely, with chronic lung or congenital heart disease. As many of us know all too well, RSV carries significant public health burden, causing more hospitalizations than any other illness in U.S. infants and accounting for 100 to 300 deaths each year in children under five […]

2023-09-21T11:10:58-04:00September 21st, 2023|infectious diseases, Nursing, pediatrics, pediatrics|0 Comments
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