Diabetic Care Plan For Diabetes

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 &

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 health disparities among the Blacks/African American is on the rise which is of being mostly affected by diabetes the United States and Maryland. Diabetes and cardiovascular diseases are connected which can lead to increase mortality among this population. In that matter, the Health Empowerment African Americans Diabetes Program proposal includes my creating awareness which will offer diabetes education as connected to other commodities and self-management and counseling. This will be done through outreach programs in the community in health classes and health fairs through health screening, blood glucose screening, A1C, exercise activities, body mass index (BMI), weight, monitoring of individual self-monitor log, and

Diabetes  is a serious health condition that is a chronic illness for the African Americans. Diabetes preventions strategies in African American community can be a tricky task to contain and prevent for several reasons I will discuss in this paper.

The rate of diabetes in the United States is one of the highest compared to other developed countries. An estimate of 9.3% of the population have diabetes, of those with diabetes 27.8% have yet to be diagnosed (Centers for Disease Control and Prevention [CDC], 2014). This means that approximately 8.1 million people are currently living with diabetes, but are unaware of it. As of 2012, 12.3% of people with diabetes were 20 years old or older, the largest population diagnosed with diabetes were adults 65 years old or older. 25.9% of this population lives with diabetes (CDC, 2014). On a national level, the CDC have launched initiatives that focus on prevention and disease management. The National Diabetes Prevention Program is an example of one such initiative. This program focuses on lifestyle changes,

According to the American Diabetes Association, more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).

Diabetes as describes by health. NY. GOV is a disease in which blood glucose (blood sugar) levels are above normal ("Diabetes Basics," 2007). This can lead to a range of serious health consequences, “including vision loss, nerve damage and numbness, high blood pressure, kidney disease, heart disease and death” (DiNapoli, 2015). Diabetes is a growing epidemic in New York City among all age group but has grown significantly over the years among adults especially African American and other minority groups. In 2007, data report from the New York City Health Department reported that “diabetes was higher in NYC than in the U.S. overall (9.1% vs 7.5%). (NYC health data).

In the US type 2 diabetes is a major medical problem affecting all ethnic backgrounds and needs to be addressed. The pre-diabetic and diabetic population is steadily increasing every year despite medical advancements. Unfortunately, the African American population is at a disadvantage when it comes to diabetes. Preventing medical complications related to diabetes, initiating health promotion programs, increasing healthy lifestyle behaviors will essentially lead to a decrease risk of complications secondary to diabetes and overall improve patient

The entire concept of diabetes is about living on the edge of trouble. While Type 1 Diabetes is a biological condition associated with a fundamental flaw in the way one's body produces or reacts to insulin a substance that controls and monitors sugar in the blood and cells Type 2 Diabetes is a social and cultural condition. Those most likely groups of people to have to live with it are persons of non-white nationalities (increasingly Hispanics and Asians) who live at or below the US poverty level and/or who have not achieved a very high level of educational advancement (California Department of Public Health, 2010). And in places like San Diego County, California, this puts a major number of people, young and old, quite literally on the border of health and wellness disasters.

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.

Carter, Barba, and Kautz (2013) report culturally tailored education can lead to significant improvements in self-care in African Americans with type 2 diabetes. Also, appropriate dieting, exercise, medical checkups and medication regimens for prevention and management show efficient improvements. The Health Belief Model is realistic and acknowledges that having a desire to change health behavior may not be enough. Therefore, two elements that may be helpful include cues to action and self-efficacy. The cues to action are external whereas, self-efficacy focuses on his or her ability to make a health-related change (Boskey, 2014).

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,

According to the Centers for Disease Control and Prevention's National Center for Health Statistics, "[By 1993] death certificates listed diabetes as the fifth leading cause of death for Blacks aged 45 to 64, and the third leading cause of death for those aged 65 and older in 1990.” (Bailey, 2007). These statistics show how serious the problem of diabetes has become in the black community. Epidemiological studies can focus the efforts of the healthcare community to effective interventions aimed at lowering the prevalence and incidence of diabetes among African Americans.

We are laid down on this Earth, born with a mission. A mission that defines who we are and we would rather die than fail to accomplish it. It is my mission to seek the annihilation of diabetes from the face of this Earth. A disease that is claiming lives left and right, even including my own family who is suffering because insulin is ineffect and leaves them vulnerable to other diseases. I can and will not stand to watch their suffering, if there is something I can do to stop it. It has become my life long goal to become a diabetes doctor to help find the cure for all types of diabetes and later on become a politician to seek government funding for diabetes and other diseases that continue to not have a cure. Both ways promote and will inspire

In order to create change healthcare providers must work together to educate their communities. According to a study found that Type 2 Diabetes is the highest among all Hispanic/Latino groups in which 16.9 percent for both men and ladies, contrasted with 10.2 percent for non-Hispanic whites. It is evident communities are not being educated on preventing Type 2 Diabetes and their risks (American Diabetes Association, 2014). The purpose of this paper is to discuss the summary of the teaching plan, epidemiological rationale for topic, evaluation of teaching experience, community response to teaching, areas of strengths and areas of improvement.