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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Obesity01:24

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Updated: Mar 15, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
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Go for Bold: improving outcomes one pound at a time.

Remi Patel1, Allen Twigg2, Maulik S Joshi2

  • 1Meritus Health, 11116 Medical Campus Rd, Hagerstown, MD 21742.

The American Journal of Managed Care
|March 13, 2026
PubMed
Summary

Meritus Health

Area of Science:

  • Community Health
  • Population Health Management
  • Obesity Prevention

Background:

  • Obesity is a significant public health challenge.
  • Community-wide initiatives are crucial for addressing population health.
  • Meritus Health aimed to unify the community in Washington County, Maryland, to combat obesity.

Purpose of the Study:

  • To establish and implement a community-wide goal for collective weight loss.
  • To promote strategies for increasing physical activity, balanced diet, and mental well-being.
  • To create a replicable framework for advancing population health.

Main Methods:

  • Established a collective weight loss goal of 1 million lb by 2030.
  • Leveraged existing resources and built partnerships with schools, employers, and government entities.

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  • Launched the "Go for Bold" campaign with a web-based weight tracker and community engagement events.
  • Main Results:

    • Over 160,000 lb lost by December 2024, with over 7,700 participants.
    • Increased the percentage of endocrinology patients with a body mass index (BMI) under 27 by 6.05%.
    • Achieved a 2.3% rise in overall Meritus patients meeting the target BMI of less than 27.

    Conclusions:

    • Setting bold, measurable goals fosters shared purpose and community engagement.
    • Utilizing existing resources and strategic community events promotes sustained participation and initiative sustainability.
    • The "Go for Bold" campaign offers a successful, replicable model for community health initiatives.