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 &
Understanding that diabetes has reached epidemic proportions globally, the ADA has set up a yearly “wake up call” event that hopes to reach as many individuals in the workplace, homes, clinics, and everywhere in America and have them take the Association’s 60 second survey called the “Type 2 Diabetes Risk Test” ("American Diabetes Association Alert Day," 2017). This event is held every year on the last Tuesday of March, and is called the “American Diabetes Association Alert Day” and all companies and organizations that want to make a difference in this diabetes epidemic can definitely make a difference by sharing via social media, email, digital banners, posters, risk test handouts, and educational resources provided on the ADA’s website. This event focuses on awareness, as prediabetes is a condition that can be reversed with weight loss, active lifestyle, healthy food choices, healthier lifestyle modifications and lastly medications regimen ("American Diabetes Association Alert Day," 2017). As nurses, it is imperative to become involved with associations like the ADA to assist communities with education, screenings measures, and
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
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,
Working in a multidisciplinary team means the patient with type 2 diabetes can receive a better all-round level of care. All ideas and treatment plans can be discussed weighing up the advantages and disadvantages of each situation. For example, a nurse might suggest something that would be disadvantageous to a person’s occupational needs. It is also less likely that things are missed, as more than one person is involved. From an operational point of view, all team members are aware of progress and major decision meaning if sickness or annual leave happens the patients care does not stop.
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
Dominique presented on Population Health Management and Standardized Care in Type 2 Diabetes. The meeting was held November 1st at 3:00-4:00pm in the Corporate Auditorium at Centura Health Corporate Building. The concentration of her presentation was based on Figure 2 and Figure 2 maps. Figure 1 represents the increase shade of blue proportional to the increase of percentage being told they had diabetes (Centers for Disease Control and Prevention,
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[ ].
Since 2005, Wellcentive has driven quality improvement, revenue growth, and business transformation for providers, health systems, employers, and payers transitioning to a value-based care. Through the RGV HIE Wellcentive has been empowering providers in a four-county area to collaborate with hospitals and clinics in the region to better manage the health of their Medicaid and uninsured patient populations, initially focusing on the care of patients with diabetes. According to South Texas Diabetes Initiative, nearly 76,000 people have diabetes in the RGV which is around 30% and another 30% has prediabetes.
Saline County, Kansas population 55,606 ranks 48 out of 102 counties for health outcomes (County Health Rankings and Roadmaps, 2015) and has a diabetes diagnosis of 8.8% for the total population. Additional statistics of diabetes diagnosis reveals 24.4% for Medicare age and 12% of residents age 20-64 being diagnosed with diabetes (Robert Woods Johnson Foundation, 2016). Prior needs assessment identified a lack of outpatient diabetes education and self-management support (DSMES) for person with diabetes (PWD) for Saline County and surrounding counties. Additionally, a previous Logic Model identified resources, key stakeholders, essential activates, outputs and short and long term program goals of the DSMES program. Identification of
Health care has evolved and is continuously evolving. The management of care now involves different clinicians to better assess, diagnose and cure a patient. The clinicians evolved from a general practitioner to a team now comprised of Physician’s Assistant, Nurse, License Practical Nurse and Specialists. These health care professionals now compose a team of health care providers that are essential in a patient’s over all health care. The team-based approach is a delivery system that provides a patient an all-encompassing health care delivery system. “ By practicing in a team-based care model, physicians and other
As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).
Teamwork is vital in healthcare. When all participants are engaged in a program, goals are successfully achieved. Being able to communicate and work collectively as a team requires an appreciation for each other’s area of practice. Every team member has an important role and being acknowledged provides a sense of responsibility and accountability. Essentially, inter-professional collaboration helps ensure that the patient is getting care that is not only accessible but also comprehensive. The plan of a patients’ care includes active participation by all health care professionals working interdependently in accordance to the patient’s preferences, values and beliefs. The health care team accomplishes the goal of meeting the patient’s medical needs by delivering evidence-based practice. To deliver quality care, the patient should always be involved.
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,
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