Importance Of APRN Role In Educating Patients

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 increasing population of immigrants in the United States has contributed to health disparities in the health care system. Cultural competence can remove health disparities by eliminating personal biases, and treating every person with respect. Simply recognizing and accepting different cultures is not enough, one must be able to consistently recognize and understand the differences in order to be culturally competent. Knowledge and culturally competent practices are a must for nurses to deliver quality care in our rapidly changing multicultural world (Edelman, 2014 p. 25).

By providing healthy food and education to this population, it helps them to have a better and healthy life. In the article “A nurse’s guide to food banks, food pantries, and soup kitchens”, the author mentions, “Individuals living food insecure rarely have access to foods recommended by the American Diabetes Association such as fresh fruits, vegetables, lean meats and whole grains. As nurses, we understand the importance of a healthy diet that allows our patients to maintain health and recover from illness or injury” (Greeg, 2014). As nursing students, we may be able to educate patients on what type of foods they should eat and avoid, but without a clear understanding of how their living situation plays a role in this, it can be hard to help

My short-term goals are to enhance my knowledge of medical nutrition therapy, to gain experiences in all aspects of the dietetic field especially in clinical nutrition setting, and to become an RD. My long-term career goals are to become Certified Diabetes Educator, to engage and serve in community nutrition, and to promote wellness and preventive health care for socio-economically and culturally fragile populations. The U.S. population has become increasingly diverse in ethnicities and cultural backgrounds. Therefore, I believe that providing patient-centered education with respect on the differences of cultural, religious, and dietary practices are the keys to becoming a successful educator in nutrition counseling and education.

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

Public health workers from all spectrums can assist in proposed legislation and policies favoring the Latino community as well as increasing efforts for lifestyle changes leading to r4ducing risk factor such as obesity, hypertension and dietary choices. Public health programs will also look to create more strategies and interventions that promote, prolong and encourage a healthier lifestyle while living on a strained budget. In essence, acculturation and cultural lifestyle contributes to higher rates of diabetes among the Latino community.

The effects of the western diet are emphasized and seen through immigration. Many articles and studies have been done to show the effects of the westernized diet among immigrants. We often view immigrants as people coming to America seeking opportunity for themselves and their families to have better lives. While immigrants focus on providing for their family, one must wonder how often they think of the foods they and their families consume. In this section we will explore the effect of the western diet on different communities of immigrants. Batis, Bates, and Sanou, analyze the trends of obesity between Mexican immigrants and Americans, Latino & Asian Americans, and Canadian born vs. Canadian Immigrants.

In CS1 it is challenging for a nurse to develop new set of roles in conjunction with the term advanced practice nursing (APN), in the area of the direct role of the nurse practitioner (NP). APN’s are expected a broader more comprehensive insight of the vast complexity of health related circumstances than nurses that are in the lower more entry levels. What this means for the APN is that they have to reevaluate themselves and their healthcare contexts. During the case study driven by ambitions there are specific requirements needed in order for this study to be effective. The participants and tools that are needed for this case study are as follows, a nurse practitioner (NP)/advanced practice nurse (APN), NP students, hospital settings

The burden of Type diabetes is much higher in ethnic minorities than for whites (CDC, 2011). Those of which include Latino and African American ethnicities. According to Lemon, Rosal, & Welch (2011), Latinos have a higher rate of type 2 Diabetes Mellitus rates than Caucasian because of socioeconomic status, education, health beliefs, family/relationship, and gender role expectations. The majority of this literature review was women and most of which had less than 8 years of education, with the average income of less than $10,000 annually (Lemon, Rosal, & Welch, 2011). Both of these factors which contribute to the risk of prevalence of Type 2 Diabetes. Several factors including language, literacy, and culture and values all are important in addressing the risk factors in low-income Spanish speaking individuals’ quality of life and risk of chronic disease.

The primary care provider needs to consider the patient 's race and ethnic group when treating diabetes and discussing health issues such as obesity. Literature reveals that certain ethnic groups respond better to selected medications, like the drug Metformin, in the treatment of diabetes (Woo & Wynne, 2013 p. 1096-97). Thus, the caregiver must be knowledgeable about all medications used in the treatment of diabetes. Asking the patient both direct and open-end questions during the assessment helps the provider gain vital information about the patients’ health history. As a result, this information will help lead the provider in the individualized teaching of the patient and creating the right treatment plan. Additionally, gaining trust in the patient is a significant step in successful collaboration between the patient and their care provider

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

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.

Many low income communities, dense of minorities and people of color, struggle to find fresh healthy produce readily available to them. These communities lack access to farmers’ markets, full service grocery stores, and other vendors of fresh healthy produce. Instead they are impacted with an abundance of cheap, high-fat, high-processed fast food restaurants. Without access to fresh healthy foods, a full nutritious diet is hard to achieve. The discrepancies within the food system are leading to harmful impacts on individuals’ health. These discrepancies have led to significantly higher rates of diabetes and complications amongst racial and ethnic minorities. Along with an increase surge of diabetics within marginalized groups, these groups are also faced with more diabetic related complications. For example, “African Americans have 2-4 times the rate of renal disease, blindness, amputations, and amputation-related mortality of non-Hispanic whites. Similarly, Latinos have higher rates of renal disease and retinopathy” (NCBI). The systematic oppression of marginalized groups within the food system has detrimental effects on the health of ethnic and racial minorities.

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,