Child Healthcare Case: 5-year-old Asian girl of normal weight with obese parents who is
Homeschooled.
The health issues and risks for the 5-year old Asian girl of a healthy weight with obese parents who is homeschooled are overweight-related. Research shows that obesity in parents is a reasonably accurate predictor of the possibility of the children developing the same condition(Shafaghi et al., 2014).At the same time, the parent’s ethnic origin (Asian) has correlations with the development of obesity later in life (Zilanawala et al., 2015).As such, the healthy five-year-old girl has the increased potential of developing overweight issues later on in life. Obesity in young children is a predisposing factor for the development of chronic illnesses and conditions such as type-2 diabetes, hypertension, and Asthma. The diseases currently found in some overweight children were exclusively found in adults. Therefore, the five-year-old child faces multiple risk factors for the development of obesity. Her parental heritage Asian and with a history of obesity places her at a disadvantage of developing obesity and its attendant ill-health conditions.
Further, being homeschooled has implications on the possibility of the child becoming overweight. Homeschooling implies a sedentary lifestyle. Unless the parents or guardians take conscious efforts to make sure the girls take regular exercise, she will become obese. Staying at home throughout the day is means that she will not have time to play with other children. Play helps a child to exercise, among other benefits. However, it is instructive to note that play is not exclusively done in school. Responsible and enlightened parents/ guardians can ensure the child goes to the park for a few hours during the week to exercise. Therefore, the child’s homeschooling exposes her to the potential of becoming overweight and suffering associated with ill-health issues.
The standard measure for obesity is body mass index (BMI). In the measure, one divides the child’s weight in kilograms by her height in squared meters(Güngör, 2014). The BMI measure is accurate up to a point. When used to measure a population’s average, it is highly effective. However, it may miss some critical information ending up with incorrect figures. For instance, it tends to underestimate adiposity (deposition of fat in adipose tissues) in children leading a sedentary lifestyle. Such a child has less muscle and more body fat. In the same vein, BMI overstates adiposity in some children who have more muscle than fat. The weakness of the BMI instrument for measuring obesity lies in the fact that it does not differentiate the source of weight. The weight as a result of muscles and the one due to an increase in fat deposits have different implications for obesity. The weight primarily due to muscles in the body is negatively correlated with obesity. However, weight resulting from the accumulation of fat in the body has negative consequences, as it leads to obesity.
Sensitive Questions to overweight Parents with Children on Obesity
- Would you be concerned if your child was overweight or obese?
- How happy are you with the amount of physical activity your child does?
- What are three things that you could encourage your child to do or discourage them from doing to avoid being obese?
- Is there an activity that you believe you and your child can do to help her remain healthy?
Strategies to encourage the parents to be proactive about their child’s health and weight
Obesity has both genetic and environmental components. Some genes support the expression of the condition in an individual. In other words, some people are born with the genetic capacity to develop the state. However, the expression of the phenotype of the condition depends on the interaction of the genes and the environment. A person with the innate predisposition to develop obesity is likely to manifest the condition early in life when exposed to the right environment. It progresses faster in an individual that subsists on processed foods and has a sedentary lifestyle. On the other hand, obesity is likely to manifest later in life in individuals with a healthy diet and an active lifestyle. Therefore, the parents are critical in ensuring that the environment where children live does not encourage the manifestation of the condition. They have the duty of ensuring that their children eat healthy foods and engage in exercises to remain free of lifestyle conditions such as obesity. However, some parents may be reluctant to engage with activities that would secure their children’s health. The reluctance may be due to ignorance or fear of stigmatization. The health worker needs to develop strategies that would encourage the parent to be more proactive regarding their children’s health.
1.The first strategy is to discuss with the parents the need for proper nutrition for their child. Parents love their children and want the best for them. Enabling a discussion focusing on the child’s interest will be motivating, and the parent will be open to the recommendations. In the strategy, it is critical to keep the child as the only target of the discussion. The discussion will touch on all the aspects of a healthy diet to exercise. During the discussion, the researcher must allow the parents to come up with practical steps that they can implement immediately to support their child.
- Develop a respectful relationship with the parents
Providers need to recognize that the parents have agency and can make the right decisions regarding the welfare of the family and the child. It is critical for the service provider to keep reminding the parent that they have the final say in any interventions. Also, keep reminding the parents that the welfare of their child is in their hands. It is critical that the service provider is not seen as looking down and demeaning the parents and their essential roles in the life of the child. Such a strategy will create an environment of respect. It is easier to impart the necessary skills and information without appearing to be forcing information down their throats. The idea is to empower the parents by providing them with essential and critical skills to allow them to act in the best interest of the child. When the parent feels respected, he or she is more receptive to ideas that might otherwise have been disregarded as elitist. Further, giving the child full responsibility for the child makes them accountable for their actions. They cannot blame the service provider for the non-implementation of best practices as they know it is now up to them.
- Invoking rules, policies, and statutes
Sometimes, the deadlock over non-communication can be broken by informing the parent that the recommendations are based on government policies or laws. Knowing that you are a mere messenger might soften their hard stance and allow for useful discussion. The parents are receptive to ideas coming from the States or federal government
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