Community Engagement Project Portfolio: Obesity and Mental Health

This community engagement project portfolio presents a detailed analysis of a health challenge within the Basildon community in Essex, United Kingdom, focusing on obesity and its relationship with mental health. The project includes a patient profile of a 38-year-old woman with cerebral palsy and a high BMI, exploring her lifestyle, habits, and struggles with obesity, alcohol consumption, and depression. The portfolio provides a community profile of Basildon, including demographics, health status, and emotional wellbeing data. The student analyzes the chosen health challenge of obesity, linking it to the patient's case and wider community trends. The project incorporates a record of person-centered narrative from the patient's 15-year-old daughter, offering insights into the patient's experiences and challenges. The report discusses the impact of lifestyle choices, lack of physical activity, and mental health issues on obesity, referencing relevant literature and online sources to support the analysis. The portfolio is structured with evidence, a summary report, and appendices detailing activities and discussions with tutors and colleagues.

Community Engagement Project Portfolio

TABLE OF CONTENTS
PORTFOLIO PART 1: SCRAPBOOK FOR EVIDENCE.............................................................3
1. Patient profile...........................................................................................................................4
2. Community Profile of Basildon in Essex, United Kingdom....................................................4
3. Health Challenge......................................................................................................................8
4. Record of person-Centred Narrative......................................................................................10
REFERENCES..............................................................................................................................11
PORTFOLIO PART 2: SUMMARY REPORT STRUCTURE....................................................13
Introduction ...............................................................................................................................14
Main body..................................................................................................................................14
Conclusion and Recommendation ............................................................................................18
REFERENCES..............................................................................................................................18
Online.....................................................................................................................................19
PORTFOLIO PART 3: APPENDICES.........................................................................................21
Log of Activities........................................................................................................................21
Log discussion with tutor...........................................................................................................22
Log of discussion with interprofessional colleagues.................................................................22

PORTFOLIO PART 1: SCRAPBOOK FOR EVIDENCE

1. Patient profile
When I was placed in local community, I cared for 38-year-old Woman Noah with BMI of 48.2
kg/m2 and body fat content 50.2 %. Also, she was challenged with mobility because she was born
with cerebral palsy and there, she requires crutches or wheel chain to move around. Since many
years she was struggling with different treatment to reduce obesity but completely failed
controlling it. After clinical examination health care professionals asked for using natural dietary
supplement with customized educational program which is known as Body in the Brain. The
programme was to boost her mental status because was distress mentally and used to get
distracted easily. Apart from her medical condition I focused on understanding living habits of
Noah for which I interacted with her 15-year-old daughter Mariah. With the discussion I
discovered that Noah is alcoholic and struggling through sleeping disorder after the death of her
husband. She is anxious to surroundings and therefore forgets things easily. To overcome grief,
she consumes 2 glasses of Red wine and smokes 5 Cigarettes per day every evening. Also, she
has a habit of eating fried food items regardless of the diet chart suggested by Dietician. Red
wine is the major source of resveratrol which carries side-effects that leads to increased
concentration of alcohol and calories which promote weight gain.
In accordance with her condition I gained advise from my mentor who has worked with patients
suffering from obesity. Mentor helped me in managing her diet composition and motivation to
lose weight by organisation behavioural program (Robertson and et.al., 2014). This helped me in
assisting her with depression and overweight. Moreover, my mentor briefed me about different
patient’s situation where mental distress leads to obesity. Hence, as per the discussion I analysed
that it is important for me to first focus on anxiety and depression of Noah because it is a
situation which can lead to Dementia and is also the major cause of increasing weight.
2. Community Profile of Basildon in Essex, United Kingdom
Basildon is a largest town in England region of Basildon with total population of 180,500 and
Brentwood is 75,600 in county Essex, England. It is the region which is facing major financial
challenge and the area is struggling to attaining financial balance. As per the condition there is a
need of transforming health care system of Borough to provide people with aligned health care
resource and services.

Figure 1: Care homes across Basildon
(Source: BASILDON, 2018)
Demographics
As per total population of 180,500, there are 44 GP practices in overall BBCCG region. There are
total 51% of females and 49 % of males in area. Total male population comprise of 55,880 and
females are 59, 389.
As per age group 0 to 17 population comprise total number of 28,168 individuals, 18-64 are
69,959. As per age distribution there are 16,922 in to 9 years. 13, 915 in 10 to 19 years, 15,204 in
20 to 29 years, 16,746 in 30 to 39 years and so on (Black and et.al., 2015).
As per Ethnic group there are total 97,142 whites, 3,445 Asian, 4,119 Black, 82 Arab, 2,071
mixed and 264 are of different ethnic groups.
Country of origin

Figure 2: Country of birth
(Source: BASILDON, 2018)
As per graph it can be clearly said that 98,109 individuals are from United Kingdom whereas 766
are from republic of Ireland, 1,837 from EU and other and 6,411 are from other country.
Religion
Figure 3: Religion
(Source: BASILDON, 2018)
Health status
The pronounced level of premature mortality with cancer is 134 per 100,000 where circulatory
diseases it is 60 per 100,000. Increasing obesity in region is the major point of concern as it can
lead to various life-threatening concerns that is Type II Diabetes, high blood pressure, etc.
Further, it is estimated that 10 of local residents of Basildon in Essex and working as unpaid
health service providers. In Basildon there is greater percentage of adults that is 32 % who have
been classified in overweight population or obese.

Figure 4: Trends and pattern in Child obesity in Essex
(Source: Obesity Issues in Essex, 2016)
Overall Emotional Wellbeing in Essex
Figure 5: Emotional Wellbeing in Essex
(Source: Emotional Wellbeing and Mental Health Needs Assessment on Children and Young

people across Southend, Essex and Thurrock, 2016)
Figure 6: Primary mental health issues in people of Essex
(Source: Emotional Wellbeing and Mental Health Needs Assessment on Children and Young
people across Southend, Essex and Thurrock, 2016)
Physical activity
Lack of physical activity is the major concern of obesity and therefore it is younger adults in
society are encouraged to participate in sports and recreational activities (Heymsfield, and
Wadden, 2017). The below graphs present insight over involvement of population of Basildon in
Essex in physical activity.

Figure 7: Physical activity in adults
(Source: People in Essex enjoy good health and wellbeing, 2018)
Figure 8: Physical activity
(Source: People in Essex enjoy good health and wellbeing, 2018)
Figure 9: Adult participation in active and Sports recreation
(Source: People in Essex enjoy good health and wellbeing, 2018)

3. Health Challenge
I have chosen Obesity because after meeting Noah and her daughter I have understood that,
Noah's lifestyle has preference in relation with Obesity. Noah used to drink and smoke 5
cigarettes regularly and used also used to eat fried food which leads to unhealthy lifestyle. Noah
was not getting involved in any physical activity which lead to high risk of obesity and which
eventually leads to higher and increased chance of chronic disease. This largely impacted the
physical and mental health of the Noah which led to depression. Noah is completely reliant on
her daughter to get her dietary and fried products. It has been analysed and effectively evaluated
that Noah didn't focus on her increased risk of obesity and poorly managed diet due to lack of
knowledge of Noah's daughter upon whom she is reliant. The health issues related to Obesity and
mental health will be further explored in the assignment.
Figure 10: Health Profile 2017
(Source: Health Profile 2017, 2017)

According to Health Profile 2017 ( 2017) report This chart closely aligns the time and
period of data effectively predicting the statistics of the cause of death among individuals as per
100.000 population. These statistics compare the graph with Basildon community and rest of the
United Kingdom to analyse the cause of death of individuals in United Kingdom. It has been
analysed from 2017 statistics that, the death from the cause of men has been highest. The death
rates in people below 75 has been shown in the statistics. The death rates have been highest in the
year between 2010 to 2015 which lead to early deaths of men. The early deaths of women is
lower as compared to the statistics of men. Lower number of women are in relation to the risk. It
has been analysed from the above statistics that, early deaths from heart stroke has been highest
in England which is at the highest point in the year 2003. Further it has been examined from the
above-mentioned statistics is that, the death stroke from cancer id low in 2014 where around 150
people are dying due to cancer. The consumption of smoking is high in UK and increase in the
risk of obesity and diabetes leads to increase in risk among patients.
Djalalinia, S and et.al, (2015) sought to analyse that, obesity leads to depression and adversely
impact the mental health of individual.
4. Record of person-Centred Narrative
Mariah 15-year-old with mother 38-year-old suffering from obesity
From the start I was concerned about the increasing heath concerns and lack of care providers in
region. The first time when I was concerned about my mother was the time when she started
having glasses of Wine every Evening. The loss of husband was the panic situation for her when
she started living alone and consuming wine and started asking for junk and fried food items.
This grief of my father dragged her to depression because of which she was unable to cope with
increase in weight regardless of medication. I was worried but ignorant to her increasing weight
because of her vulnerable behaviour till I realised that she is gaining weight continuously and
now her BMI was 48.2 kg/m2 and body fat content 50.2 %. Further, one day I noticed that she is
forgetting everything and have become anxious and aggressive to surroundings which was
threatening situation for me as I was unable about symptoms of mental distress which can lead to
weight gain and obesity.
Also, there was one situation when I felt that there is something wrong when she started smoking
and having fried food daily. The urge for fired edibles was increasing which I realised when she
asked me to buy freeze food items. Hence, I can say that managing care for the patient suffering

from obesity or gaining weight continuously is tiring and because the people lack understanding
over eating habits.