Diabetes Self-Management

It also shows that not having someone to help these patients manage their diabetes as an obstacle to good diabetes management. This study created a plan and this plan was able to be tested to show its effectiveness in diabetes

3.1 What are the barriers to adhering to self-management in patients with type 2 diabetes?

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.

According to the American Diabetes Association, the complications and cost acquired from diabetes can be dramatically reduce if patients are more aware of the potential risk and receive proper health prevention education. Diabetes self-management is essential in reducing the complications of disease. Researchers use several theories to help come up with the best way to provide care to patients with chronic illness such as diabetes. The major theory for this EBP is the Chronic Care Model, the author chose this model because of its versatility, it can be apply in any setting and allow for the improvement of care of both the individual and community level (Coleman, Austin, Brach, & Wagner, 2009)

Diabetes is a disease that causes the human body to not create or not use insulin effectively. The body needs insulin to take the energy or sugars and turn it into energy. The human body needs energy to survive. Diabetes can be broken into three main categories. Type 1 diabetes is where the body makes no insulin at all. Type 2 diabetes is where the body does not produce enough insulin or it does not use it correctly. Gestational diabetes is more of a type 2 diabetes for pregnant women, which usually returns to normal after birth (Ruder 7-8).

After reflecting on my own nursing practice, I decided to search the literature on the need for better education associated with DMI. Certain ethnic and cultural groups have an increased risk for DMI and educating those at risk is a key component in the management process. If nurses use more individualized teaching processes and meet their patients’ teaching needs, then their patients will feel more comfortable in taking care of themselves at home and in schools. By reviewing the literature on the need for enhanced diabetes

Diabetes has recently become a focal point of health care systems around the world due to its high prevalence and the severity of secondary complications caused by the disease. Over the course of my project on diabetes, I have had the opportunity to speak with a group of diabetics to understand from a patient’s perspective how diabetes is managed in a rural community. While I found that while some patients ignored treatment and refused to make any dietary changes, the majority of the patients I interviewed were well-informed and actively managing diabetes in their everyday life.

The authors of this journal article initiated research into this subject by entering certain key words related to self-management techniques and practices for type 2 diabetes in three major journal research engines. What is notable about this process is that the literature review that accompanies most research documents actually doubled as the actual research performed itself, since the authors merely analyzed the studies and findings of the journal articles they deemed relevant to their review of existing literature. The initial titles that

Three Month period for this project will be better because it will allow participants more time to implement behavior change and also increase their diabetic knowledge. Expanding this program to patient in another healthcare setting, uninsured patients and homeless will provide enough data to determine significant changes and also increase the number of participant. The participant for the program was non-insulin dependent diabetics only. Including all diabetic patients in the enrollment will help with the study. The only form of interaction use in this project was text messaging and by mail which was challenging. Including face to face interaction will allow potential questions being answered and also number of participants will be increased.

Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].

The feedback that was given back from both primary and secondary audience was discussed and documented. The secondary audience which were the health workers known as the enrolled and registered nurses. They listed the health resources that were available for patients with diabetes were pamphlets, posters, active programmes, websites, apps and plates with food images on them showing the portion of food the patient is recommended to have as stated on (Ministry of Health, 2014a). The primary and secondary target audience both stated that there is adequate information out there, unfortunately not enough information to help both the patient and the Nurses work side by side to help promote self management to the patient with diabetes (Ministry of Health, 2015). The critical information that the primary and secondary audience should know is that the nurse and doctor can do all they can to educate and promote to the patient to live a more healthier lifestyle, but in the end it is literally up to the patient to decide and make a choice on how they would manage their diabetes regardless of all the health resources they are given (Ministry of Health, 2014d). The audience needs to know that diabetes can be controlled if they are willing to make the change. The health resource that was considered by the primary and secondary audience is to have a health resource that would have everything a patient would need all in one and mostly help the health workers monitor their

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,

Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.

A patient is referred to the medical center by a physician after which the doctor, patient, and pharmacist collaborate the best option for a successful health plan. The American Association of Diabetes Educators (AADE) came up with a framework to generate an ideal practice of Diabetes Self-Management Training (DSMT). The process was an interactive and collaborative one that convoluted a patient with a diabetic educator(s). “The steps of the procedure were comprised of assessing an individual’s educational needs, determining one’s self-management goals, educational and behavioral intervention, and evaluating the progress of a patient” (Shane-McWhorter, 2005). The educational behaviors that have been identified as essential to living a healthy lifestyle are called the AADE7TM. The behaviors include: healthy eating, physical activity, medication taking, monitoring, problem solving, healthy coping, and reducing risks. Pharmacists and their patients then set accomplishable goals based on those practices and after determined time periods evaluate the patients’ progress (Shane-McWhorter, n.d.).

Diabetesmellitushas been the causeof4.6milliondeaths. In addition,health expenditurefordiabetes mellitushas reached465billionUSD. Complicationsexperienced bypatients withtype 2 diabetes mellitusthatcauses the suffererto experiencedependencein regulatingdietary patterns. Ketidakmandirianpatientsin managingthe dietdue toa lack of knowledgeandlack ofmotivationin self-care. This study aims toidentify theeffectiveness ofDiabetesSelf-Management Education toindependenceyipe2diabetic patientsin managingthe diet.