Essay On How To Improve Diabetes Management In Low Income Population

Individuals that have been diagnosed with type 2 diabetes are cared for by a variety of people like podiatrist, district nurses, DSNs, GPs, and practice nurses. Good communication between these professionals and the person with type 2 diabetes can lead to better insight into the individual’s life, therefore helping to plan and provide the best care for that person. This can reduce repetition, improve quality of care for people with diabetes type 2 and

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[ ].

Background: Uninsured patients with diabetes are at increased risk for poor outcomes and often have limited access to health and prescription services necessary to manage diabetes. The Cooper Rowan Clinic is a medical student-run, attending-supervised free clinic that offers primary care to the

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

There are over twenty-nine million people in the United States who have diabetes and it is the seventh leading cause of death (CDC National Data). Diabetes is a life changing disease that challenges multiple aspects of a patient’s health and quality of life. A life threatening complication of this disease is diabetic foot ulcers (DFU) that can be incapacitating, cause undue suffering and cost billions of dollars annually to treat (CDC National Data). As the prevalence of diabetes rises, so does the incidence of DFU and looking for ways to decrease them and improve patient outcomes are crucial. Many clinicians try to reduce the incidence of DFU with the use of medications and appliances, but these interventions are costly. Clinicians must find

As you know Diabetes (DM) is a growing health disparity in the United States (U.S.). Today we are going to take a closer look at how we can improve the management of DM in the rural communities within Iowa. Particularly looking at improving the primary care aspect of these patients in three rural counties in central Iowa. Currently Grinnell Regional Medical Center (GRMC) affiliated clinics attempt to manage DM on the primary care level and then will refer patients to Internal Medicine and/or endocrinology specialists within a larger health care system. By improving the current process throughout the clinics within this network, and creating a streamlined process we can decrease the referral rates to other clinics, decreasing patients

This is a diabetes case study of Mr. Charles D., a 45-year old male who is experiencing classic symptoms of hyperglycaemia. Recently divorced and living alone in a new home, Charles has complained of recent weight loss, excessive thirst, and frequent urination. He is a busy CEO for a major technological company. This case study for Charles will educate him as to what are the causes of diabetes: explain the presenting signs and symptoms emphasize the psycho-social impact to his amended life, and instruct him in the economic impact that he and millions share.

With predictions projecting “one in three individuals will develop type 2 diabetes by 2050” (Powers et al., 2016, p. 70), the importance of patient teaching to help manage and preserve a good quality of life is paramount. With the nurse being on the front lines when patients are

As a 1305 grantee, the Indiana Department of Public Health is expected to increase use of diabetes self-management education and support services (DSMES) in community settings and to increase referrals to, use of, and reimbursement for CDC- recognized lifestyle change programs for the prevention of type 2 diabetes. Indiana is working to expand DSMES access across the state and to scale and sustain the National Diabetes Prevention Program (National DPP) by achieving coverage for various groups including state employees, Medicaid beneficiaries, and self-insured employers.

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,

Elke and colleagues said one of the limitations is that there was no way of actually measuring the actions of each care giver; there was no way of detaching each activity, because all the activities are interdependent (Elke E.A. Arts, 2011). The research was not specific enough. There is no way of actually proving what kind of care each care giver provided (Elke E.A. Arts, 2011). The second limitation of this study is that the participants in the study were patients with complex cases of diabetes mellitus type 1 and 2 from a hospital based setting, so this limits the general validity of the study. The results of this study cannot be applied to simpler cases in a primary care setting. One of the strengths of this study is that Elke and collegues ensured that there were good inclusion criteria. The inclusion criteria ensured that a homogenous sample was collected so this will prevent erroneous results. The second strength of the study was that it was able to effectively show that diabetes nurse specialist can provide care similar to the care provided by physicians to patients with diabetes mellitus type 1 and type 2.This article is important because the number of people with diabetes mellitus will be 336 million in the next twenty years (Elke E.A. Arts, 2011). These people will need health care. The results of this article show diabetes nurse specialists provide similar care to the care provided by physicians in a hospital- based

Type 2 diabetes is one of the most common chronic conditions encountered in the primary care setting. It is a lifetime condition that requires careful management to prevent debilitating complications, such as peripheral neuropathy, amputations, diabetic nephropathy, kidney failure, diabetic retinopathy, and blindness. It is also a cardiovascular risk factor to heart attack and stroke. Basing on my experience with my patient encounters as a nurse, most diabetics do not fully understand the severity of their condition, thus management of it is being taken for granted. Costs of diabetes care continue to increase each year, causing a huge financial strain for both the patients and the healthcare system.

Despite the growing burden of diabetes and the lack of diabetes care providers, barriers and resistance for utilization of Advanced Practice Registered Nurses (ARPRNs) to provide diabetes care continues to exist. According to the Centers for Disease Control and Prevention (CDC) (2017), an estimated 30.3 million people have diabetes, with greater than 90% having Type Two Diabetes. In Saline County, Kansas, 12 % of the population has been diagnosed with diabetes (Robert Wood Johnson Foundation, 2016). A previous gap analysis identified the lack of outpatient diabetes education and management services in Saline County, Kansas. Follow-up SWOT (strength, weakness, opportunities and threats) identified barriers and potential solutions that must

In the article “Translating What Works: A New Approach to Improve Diabetes Management,” it is suggested that the most effective strategies to increase diabetes control include individual case management, health care teams, patient education and the reporting important medical information to the patients primary care physician(Phillips). An intervention aimed at being patient centered to increase the quality of care for diabetics, was implemented in Miami, where seven health care centers participated. They had a care management team that made pre-visit phone calls to diabetic patients who had an upcoming appointment. The purpose and goal of these phone calls was to increase patient knowledge and self-management goals. They also recorded important

Diabetes education is the main therapeutic tool that enables a patient to communicate properly with their care provider to manage their diabetes. Diabetes self-management education is a fundamental component of diabetes care. Pharmacists who have background knowledge of biological and social sciences, communication, counseling and education are competent to work as diabetes