Patients diagnosed with diabetes and associated comorbidities often feel overwhelmed in accomplishing the daily self-care task required to control their diabetes. When these care task include the added burden of family, work, comorbidities, and limited income, the sense of being overwhelmed becomes magnified. Mrs. J.M a 43 year old Hispanic woman, diagnosed with type two diabetes 10 years past while pregnant with her last child, faces the potential need for insulin to be added to her care regimen. Pertinent details for consideration in planning diabetes educations/goal include: married, 3 children still living in the home, spouse is unemployed and patients’ mother lives in the home. Strong daily influence from Hispanic traditions, fairly sedentary …show more content…
Incorporate dance in the family home and seek local low cost or free resources offering dance opportunities. Frequency of dancing twice weekly for 30 minutes at a medium tempo of at least 75 beats per minute. Walk two days weekly for 30 minutes-may be broken into three 10 minutes session throughout the day. May replace walking at an equivalent pace of 15 to 25 minute/mile with swimming, water aerobics, yoga or golf (American Association of Clinical Endocrinologist, 2015). Strength training for upper body twice weekly, with at least one day of rest between weight training days, start with two sets of 10 reps for biceps and …show more content…
May alter plan in consideration of pattern recognized foods that do not negatively impact glucose levels. Monitor glucose levels pre and post exercise at least for exercise activities that take patient away from the home. Strive for pre-meal glucose levels less than 130mg/dl and post meal glucose levels less than 180m/dl (AACE.2015). In addition monitor blood pressure at least weekly at local grocery store pharmacy, allow a period of at least 5 minutes of rest prior to taking blood pressure reading. Keep written record of glucose logs and blood pressure to share with provider at follow up
The incidences of diabetes are growing annually, and predicted to increase within the coming decades. The number of cases yearly is not only increasing, but the age of onset for diabetes has decreased. This means more individuals are developing diabetes at an earlier age. Diabetes not only affects individuals and communities but countries as well. The prevalence of diabetes has gathered billions of dollars in healthcare costs. [1]Type 2 diabetes also leads to other serious medical conditions such as heart disease, renal failure, blindness, and tissue damage in extremities that will eventually lead to amputation. These illnesses, as a result, result in further costs in the form of disability and the loss of a portion of our workforce. However, incidences of type 2 diabetes are in higher occurrence amongst Hispanic groups. According to the Hispanic Health and Nutrition Examination Survey, Mexican Americans have an unusually high prevalence of diabetes compared to that of the general population [2]. Hispanic females have the highest lifetime risk of becoming diabetic – 52% [3], compared to that of the average risk of
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
Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of
The Hispanic population is constantly growing and we have an estimated 13.7% of Hispanics making up the United States. “The annual percentage of patients with prediabetes in whom overt type 2 diabetes develops is about 5% in the general US population and may reach 15% in the Hispanic American population” (Idrogo & Mazze, 2004, para. 7). This a community health issue because of the percentage of Hispanic individuals that may end up with diabetes. These individuals need to be educated to help the promotion, protection, and maintenance of diabetes in this group. That is why I have created the intervention program for this ethnic group.
This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement.
Diabetes in Hispanic Americans is a serious health challenge because of the increased prevalence of diabetes in this population, the greater number of risk factors for diabetes in Hispanics (Smith, 2010).” In the years of 2004-2006, about 11.9% of Hispanic American aged twenty (20) years or older are diagnosed with diabetes. About 75% of the Hispanic American trend to be overweight or obesity. When work with Hispanic American clients, you have to gain support from clients’ families to enhance their acceptability of the diet. Healthcare provider encourages pregnant Hispanic to eat low-fat cheeses, lean red meat, and fresh fruits and vegetables. “Gender differentiation and male dominance are issues to consider while working with Hispanic households. The father is the leader of the family while the mother runs the home, shops and prepares the food (Smith,
Addressing the diabetes-related health disparity affecting many Hispanic’s in California involves exploring the culture, beliefs, and perceptions of the Hispanic diabetic community. In the case study by Lemley & Spies (2013), the authors discussed a few of the common traditional beliefs and practices related to diabetes found within the Hispanic immigrant population. The purpose of the case study was to provide an overview of one person’s use and perception of three different traditional practices, common in the Mexican American
The Hispanic community faces many challenges in America. One of the major health issues that affect this community is obesity. If not treated, obesity will eventually result in other chronic health problems like diabetes, hypertension and metabolic syndrome. Creating an environment that will foster healthy eating and a healthy lifestyle will enable this group to avoid diabetes or hypertension in the future. Managing existing diabetes is also critical for this at risk group to avoid the chronic problems that may arise form uncontrolled diabetes.
Diabetes is a chronic disease that requires constant self-care management practices among diabetic patients. The patients have to make decisions to stick to a strict diet and exercise plan, they also have to be involved in complex activities aimed towards their care and health. Diabetes self-management education provides patients with essential information and has been shown to have a positive impact on the health of patients. Self-management enhances patients with skills and knowledge and information for self-care. The problem focus for this project is lack of culturally diabetes self-management education for the diabetic Hispanic adult population who receive care at a free clinic in Indio, California. Patients who have diabetes need information about their behavior and diet plans to help in the management and maintenance
The following is a case study of a 41 year-old Mexican American woman who was recently diagnosed with type 2 diabetes.
Type 2 diabetes is a chronic disease where patient education is imperative and requires education that surpasses the primary care office. According to Cha et al. (2012) basic education and family involvement is an essential component for pre-diabetic and diabetic population to achieve glycemic control. Time management and time constraint are obstacles that are affecting the primary care provider in initiating health promotion topics and disease prevention information (Kowinsky, Greenhouse, Zombek, Rader & Reidy, 2009). Recognizing the time constraint at the EBP change project site for health promotion and patient education a culturally sensitive educational program would be created to promote healthy lifestyle behaviors targeting African Americans with prediabetes.
Type 1 diabetes is one of the most common chronic health conditions known in childhood (Marks, Wilson, Crisp, 2013). The majority of these children attend school and the appropriate diabetes care in necessary for the child’s safety and long term wellbeing. A Diabetes health care plan should be in place and all involved should know what needs to be done. Depending on the age of the student will depend on monitoring the student. At a young age children may not always notice the signs at a teenager will be able to tell if they need to check their blood levels. If a student receives their insulin by shots, this procedure is normally performed by a nurse, unless the student is older and is able to provide the necessary procedure. With using needles,
JB was terrified during the interview because she also had a history of gestation diabetes with her last son and was not eating as nutritionous as she wanted to and did not exercise regularly despite having available resources. This author can understand her fear for developing diabetes as the literature indicates that it is the sixth leading cause of death and is cited as a global epidemic (Castro et al. 2008). The author also understand her risk for developing type 2 diabetes, like many of her maternal relatives, because it is closely linked to obesity and sedentary lifestyle which are factors the patient has at this time (Shulze & Hu 2005). This author will not just solely focus on her risk factors but on promoting her prevention of diabetes and well being in the future through the development of a
Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,
Sporting events, church activities, chores, playing and homework take up most of a child’s waking hours. The monitoring and treatment of this disease affects everything the child does and in turn affects the entire family. Keeping the insulin levels within normal limits requires diligent monitoring of blood glucose levels and managing the child’s diet is extremely important. When blood glucose levels fall out of the normal range the main treatment for Type 1 Diabetes requires insulin therapy. The Insulin therapy is needed to replace or supplement what insulin the body can’t provide. Some factors that affect blood glucose levels are: insulin, food, activity, exercise, and stress ( Daneman, Frank & Perlman,1999). Because of the difficulties that families with child diabetes face it is hard for the families not to revolve everything they do around the child. Although there is no easy answer to this problem HK Akerblom explains it well,“ Insulin therapy should be fitted into the daily schedule and way of life of the child and the family, rather than the child and family living their lives according to a strict timetable determined by the insulin therapy”(1998).