Scientific Research Paper For Diabetes

Based on the United States census, it is estimated that by the year 2050 one in three people living in the United Sates will be of Hispanic/Latino origin which include sub groups like Puerto Rican, Mexican, Cuban, Central Americans, and South Americans (Heart Association, 2014). Within those subgroups, the prevalence varied for people of Mexican descent from as high of 18.3 percent to as low as 10.3 percent for people of South American descent, Dominicans and Puerto Rican descent 18.1 percent, Central American descent and Cubans descent 13.4 percent all living in the United States with diabetes type 2. On another commentary being published in the same issue of Diabetes Care, the author wrote, “the differences in diabetes and obesity prevalence among Latinos subgroups are marked when all individuals are combined into a single group” (Heart Association, 2014). Diabetes in Latino Americans has become more prevalence with aging, by the time they reach the age of 70 years, 44.3 percent of Latino men age 70 years old to 74 years old will have develop diabetes. The same study also indicated that the longer Latino Americans live in the United States the more likely they will develop diabetes, that is according to the education and income level of the person. The study also shows

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.

Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the

The Hispanic population is constantly growing and we have an estimated 13.7% of Hispanics making up the United States. “The annual percentage of patients with prediabetes in whom overt type 2 diabetes develops is about 5% in the general US population and may reach 15% in the Hispanic American population” (Idrogo & Mazze, 2004, para. 7). This a community health issue because of the percentage of Hispanic individuals that may end up with diabetes. These individuals need to be educated to help the promotion, protection, and maintenance of diabetes in this group. That is why I have created the intervention program for this ethnic group.

The Eliminating Disparities in the Diabetes Prevention, Access, and Care Act (EDDPAC) aims to improve diabetes research, treatment, education, and prevention in minority populations, including Native Americans. This proposed piece of legislation would require the National Institutes of Health (NIH) to examine the various factors that lead to diabetes in minority populations, and would also require the Health Resources and Services Administration (HRSA) to provide grants for diabetes education classes and training programs for health providers on cultural sensitivity (Chow et al., 2012). HRSA would also fund Federally Qualified Community Health Center programs that provide diabetes services and screenings, and strengthen career-building programs to provide career opportunities within minority populations that are focused on diabetes treatment and care (Chow et al.,

The medical conditions associated with Latinos include diabetes, obesity, and high blood pressure. Diabetes is a large problem for Latino communities: it affects them almost double the amount that it does non-Hispanic whites (Rodriguez, 2013). Although there is no cure for diabetes, it can be treated and controlled. A large problem with this is that 25% of Latina women do not believe there is a problem with their weight and see being overweight as “normal” while only 15% of non-Latino white women (Rodriguez, 2013). This creates an idea that since there is no problem, there is nothing to fix; Latinos believe they do not have to visit a healthcare professional to either test for diabetes or to treat it if they are aware they have the condition.

Diabetes in Hispanic Americans is a serious health challenge because of the increased prevalence of diabetes in this population, the greater number of risk factors for diabetes in Hispanics (Smith, 2010).” In the years of 2004-2006, about 11.9% of Hispanic American aged twenty (20) years or older are diagnosed with diabetes. About 75% of the Hispanic American trend to be overweight or obesity. When work with Hispanic American clients, you have to gain support from clients’ families to enhance their acceptability of the diet. Healthcare provider encourages pregnant Hispanic to eat low-fat cheeses, lean red meat, and fresh fruits and vegetables. “Gender differentiation and male dominance are issues to consider while working with Hispanic households. The father is the leader of the family while the mother runs the home, shops and prepares the food (Smith,

Addressing the diabetes-related health disparity affecting many Hispanic’s in California involves exploring the culture, beliefs, and perceptions of the Hispanic diabetic community. In the case study by Lemley & Spies (2013), the authors discussed a few of the common traditional beliefs and practices related to diabetes found within the Hispanic immigrant population. The purpose of the case study was to provide an overview of one person’s use and perception of three different traditional practices, common in the Mexican American

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 10 FHA’s used a curriculum that was initially created to evaluate Native Americans. This curriculum was then adapted for the Racial and Ethnic Approaches to Community Health (REACH) study. The REACH curriculum was used to reduce the risk factors associated with diabetes, decrease diabetic complications, encouraging diabetes self-management comprehension, increase self-efficacy, and self-motivation. Topics such as understanding of eating healthy, cooking, physical activity, and stress reducing components were also incorporated in the REACH study. Respondents met for five 2 hour group sessions every four weeks with the 10 FHA’s in a local community center from June to October. Classes were held in English and Spanish and respondents were

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.

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).

The review of literature section will define diabetes and prediabetes, identify the prevalence and major risk factors for diabetes, and present behavioral changes that can reduced the risk of developing diabetes. This section discusses the types of presentations and teaching methods that have been utilized in diabetes prevention and the health belief model. The final paragraphs in the review of literature present the learning theory and delivery method of instructional designs, which are ideal for a diabetes prevention program.

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.