Culminating Experience Report

Diabetes affects nearly 10% of the total population and national cost of more than $200 billion each year in the United States (Center for Diseases Control and Prevention, 2017). Before the patient protection and affordable care act (PPACA), many low-income diabetes patients had no or very limited access of health insurance coverage due to financial disadvantage. PPACA Title II-Role of public programs expanded Medicaid coverage to individuals under 133% of the federal poverty level (Obamacarefacts.com, 2013). Nurses directly interact with low-income diabetes patients to guide, advocate, educate and navigate the complex healthcare system to deliver the best evidenced care (Marquis &

Mediterranean diet, a low-carbohydrate, high protein diet, a vegan diet and a vegetarian diet all of which to have shown to improve metabolic conditions. The degree of the improvement varies from patient to patient therefore, it is necessary to evaluate each patient based on their only needs and individual metabolic demands. It is recommended that patients with pre-diabetes be made aware of beneficial nutrition intervention. Knowing what diet is best for the patient can significantly help with the risks of developing diabetes type 2. Medical nutrition therapy plays a role at three levels, primary prevention, secondary and tertiary prevention. For the purpose of this paper primary prevention is observed to help aim in delaying or arresting the development of diabetes. Different types of diet have been shown to be associated with improvement in metabolic condition. Modest weight loss has been shown to improve insulin resistance so either a low carbohydrate, low-fat calorie-resistance, or Mediterranean diet may be effective in the short term (Khazrai et al.,

The goal is to increase the percentage of understanding of diabetes and how to live empowered with diabetes. I will conduct outreach programs in various methods to reach the people to participate in the health program. My objective is done by specific, measurable, achievable, results-focused, and time-bound (SMART) goals. By May 31, 2018, an increase of 40% establishes one-on-one follow up education session with each individual and families through home visits or phone calls to monitor them to improve their lifestyles. By February 30, 2018, an increase of 80% distribution of brochures and with door to door interactions with the individuals in the community. By September 2018, increase 90% of people to engage in community health fair, classes, and exercise activities on diabetes and cardiovascular classes. This will introduce the individuals in social support that allow interactions with teaching and

• Funding from CDC, allows the NYSDOH to support other organizations to “develop and implement a range of diabetes prevention and management activities in community and healthcare settings” (New York State's Approach to Diabetes. (2017, June).

Diabetes pertains to a group of illnesses that is characterized by an unusually increased amount of glucose in the blood of the person. Because of this, the person experiences problems in the shortage of insulin. This disease can result to significant complications that can even kill the person who has this condition. However, the good news is that diabetic people can be able to do certain measures to make sure that they are able to manage this disease and reduce the possibility that more complications would emerge. Diabetes is actually one of the primary causes of mortality and incapacity in America, and the overall expenses connected to the treatment of this disease is estimated to around the $200 billion every year. This paper will discuss the urban health problem of diabetes among African Americans.

Most of the individuals living with Type 2 Diabetes in these low income areas know they have to eat healthier foods in order to control the illness and reduce the risk of getting worse, but they are often confounded by the distance they had to travel in order to buy the healthier foods from the health market, unaffordable prices of buying a healthier nutritious food, and the means of travel to get to the market. Chaufan, Davis, & Constantino (2011), noted that disproportionate risk is caused by living conditions, because living conditions are not natural facts but rather the product of policy decision distributing societal benefits and burdens. The prevalence of Type 2 Diabetes health and lifestyle education programs can be useful in

Diabetes relates to a gathering of ailments that is described by an abnormally expanded measure of glucose in the blood of the individual. As a result of this, the individual encounters issues in the deficiency of insulin. This malady can result to noteworthy difficulties that can even murder the individual who has this condition. In any case, the uplifting news is that diabetic individuals can have the capacity to do certain measures to ensure that they can deal with this illness and lessen the likelihood that more intricacies would rise. Diabetes is really one of the essential drivers of mortality and insufficiency in America, and the general costs associated with the treatment of this illness is assessed to around the $200 billion consistently. This paper will examine the urban wellbeing issue of diabetes among African Americans.

The grim diabetic prevalence further indicates that such external influences of food deserts and oppression determine the health of vulnerable populations. Native Americans living in Cuba, New Mexico were forced to shop for groceries are liquor stores and Walmart until recent public health campaigns advocated for access to fruits and vegetables. However, a key determinant of this accessibility is financial stability. Native Americans are disproportionately unemployed and accounted for less than one percent of the U.S. labor force in 2011 (Statistics, 2012). Without access to job opportunities, one’s access to nutrition and education about the significance of nutrition is threatened. It is well documented that physiological and metabolic health is attributed to frequent exercise and consumption of sufficient nutrients. However, the societal assumption of widespread understanding is tremendously ignorant, particularly considering the severe educational deficit Native Americans

I am writing to urge your support in a matter that is overlooked, and suggesting some actions that can be taken to ease the issue of those diagnosed with diabetes and the lack of affordable healthy foods. Assisting in providing resources and available services is a suggested action.This is a matter that needs to be addressed because as reported by The New York State Department of Health (NYSDOH) 1.6 million New Yorkers (10.0%) have diabetes, and the percentage of New York State adults who have diabetes increased from 6.3% in 2000 to 10% in 2014 and the latest report is yet to come, in the face of this alarming increase, I suggest that we all take actions to control this issue.

According to Rhee et al., “approximately 29.1 million people or 9.1% of the U.S. population currently has diabetes (2015)”. As the rise in diabetes continues so is the cost of medical care. Physical activity and proper nutrition and are the cornerstone of treatment and prevention of T2D. In addition to lifestyle modifications, controlling blood glucose, cholesterol, and blood pressure dramatically improves health outcomes (American Herat Association [AHA], 2015). Furthermore, Increasing awareness, knowledge and understanding about diabetes among patients, health care professionals, and the community is crucial. A global perspective of the epidemic of T2D is essential to understand the true dimensions of the disease burden and its consequences by making sure the vulnerable population have access to care. According to Rhee, et al., compared to non white women, African American women are more likely to be physically inactive and have a higher body mass index (2015). The study found that with a healthier diet in all ethnic and racial groups, the risk of T2D reduced. A healthy rich diet containing plenty of fruits and vegetables, weight control, exercise, and behavior modification can greatly prevent and reduce complications of T2D. The need for education and on-going support for patients with type 2 diabetes requires taking control of diabetes to improve the quality of life. The purpose of this paper is to determine the

One of the prospects of research on high-risk population is the ability to recognize the disease and its outcomes, is to identify and implement of evidence-based intervention that will reverse or slow the progress of the negative outcomes of the disease (Ricci-Cabello, et al. 2013). Type 2 diabetes mellitus (T2DM) is a progressive and protracted disease related with substantial morbidity and mortality. African Americans (AA) adults have the highest occurrence of T2DM due to factors such as obesity, sedentary lifestyle, and high consumptions of sugar that predisposed them at risk for prediabetes. AA adults with T2DM are predisposed to experience greater debility from diabetes-related consequences that arise when their blood glucose levels are not under control than other ethnic groups. Such complications include neuropathy, retinopathy, end-stage renal diseases, peripheral vascular disease, limb amputation, and death (Gregg, et al., 2014; Farooq, Birada, & Iti, 2015). Therefore, healthcare providers need to integrate social, economic, family, emotional, and behavioral responses of patients into comprehensive diabetes care planning as the patient struggle to assimilate diabetes, risk factors, and management into their lives (Shrivastava, 2013). Therefore, the purpose of this project is to identify evidence-based interventions for AA at risk for T2DM, identify outcome measures to utilize in the evaluation phase of the project, and discuss the implications for the advance

As the healthcare market moves toward population health management, it is vital that healthcare providers manage high risk patients with chronic diseases effectively. Patients are becoming increasingly more involved in their care and they are seeking to make the health care delivery system more responsive to their own needs. The Chronic Care Model (CCM) uses a systematic approach to restructuring medical care to create partnerships between health systems and communities (Stellefson, Dipnarine, Stopka, 2013). Diabetes is a major cause of heart disease and stroke in the United States. It affects 25.6 million adults (Center for Disease Control (CDC), 2011). One of

There is a need for detailed dietary plan for patients with Type 2 Diabetes Mellitus as these patients are incredibly susceptible to to coronary artery eevents, and microvascular and macrovascular events such as stroke, ischaemic limb amputation, and diabetic retionopathy, which can lead to total loss of vision in the eyes. However, there are not many articles which explore the exact details of the macronutrient and micronutrient profile of the diets in which Type 2 Diabetes Mellitus patients should undergo. This essay will examine the evidence based practice in adding or increasing the content of monounsaturated fat in Type 2 Diabetes Mellitus patients’ diets.

Within the teaching plan it is important to incorporate all the aspects of Type 2 Diabetes prevention. To know the history of Type 2 Diabetes it is vital that everyone in the community knows the past struggles of this condition and the efforts that have been made to treat and prevent Type 2 Diabetes. In like matter, the inclusion of Type 2 Diabetes overview is presented, which includes the process of the pancreas that release’s insulin to the bloodstream to help decrease blood sugar levels. Overtime the increased blood sugar levels lead to other health complications, such as eye, kidneys, nerves, and heart problems. Moreover, the presentation presents with the risk factors to Type 2 Diabetes, which includes family history of diabetes, being overweight, unhealthy diet, physical

Health care organizations and communities must work together to support diabetes care programs. Addressing health care issues, such as diabetes, is challenging for health care systems to achieve without the support of the community. “The Building Community Supports for Diabetes Care (BCS) program of the Robert Wood Johnson Foundation Diabetes Initiative required that projects build community supports for diabetes care through clinic-community partnerships” (Brownson, O’Toole, Shetty, & Fisher, 2007, p. 210). The BCS project’s demonstrates community leadership