Diabetes has become an increasing debilitating disease to many people. Many of these people are unaware that they even have this disease until other complications develop. Studies have shown that with education in self-management practices, people can improve his or her quality of life. This paper will discuss the process of designing a class that will educate the community on these practices. The institution’s philosophy will be addressed, explain the educational need for this population group, a class description, the targeted audience, different learning styles, resources needed, learning outcomes, and learner objectives need to complete this class. Diabetic Education for the Community Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes (CDC, 2015). Diabetes is a chronic disease that can cause severe complications resulting in kidney failure, blindness, amputation, loss of sensation, and cardiovascular disease when not controlled. Studies published have demonstrated that many of the debilitating effects of diabetes are avoidable through consistent glucose control, regular medical care, and self-management practices. These studies have shown that people with diabetes that attend diabetes self-management education (DSME) outpatient classes have better clinical outcomes compared to those that have not participated in these classes (Walton, Snead,
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In contrast to asthma, 285,000,000 people in the US had either type I, type II, or gestational diabetes in 2010 (Cavanaugh, 2010). Type 2 diabetes, which is acquired due to unhealthy lifestyle and other external factors, is more common, affecting 95 out of 100 diabetics. (Cavanaugh, 2010). The most crucial aspect of diabetes to have adequate knowledge about is glycemic blood levels (Cavanaugh, 2010). Hypoglycemia and hyperglycemia are extremely common due to the pancreas’s inability to correctly administer insulin, the hormone that manages glycemic blood levels, throughout the body (Cavanaugh, 2010). According to the study, those who are more proficient in math had an easier time administering their medications (Cavanaugh, 2010). This is due to the necessary method of injecting insulin based upon measured levels of blood sugar using a device that pricks the skin, and calculates a value by testing the blood (Cavanaugh, 2010). While a lot of it is done automatically with today’s society, a basic instruction on how the electronic devices used would dramatically affect literacy outcomes (Cavanaugh, 2010). Low blood sugar or hypoglycemia is more common with individuals possessing inadequate health literacy (Cavanaugh, 2010). Without the proper knowledge, 30% of those with Type 2 diabetes are expected to have hypoglycemic emergency events, and out of the 14,000 tested, 11% of them did have a hypoglycemic
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
Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of
This pamphlet is written on a third grade reading level, making it very easy for just about everyone to read and understand what it has to say. This is vital, because it is estimated that 25.8 million people in the US have diabetes (Diabetes, 2011). That includes children and adults, nearly
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,
Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.
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[ ].
Unfortunately, due to the unprecedented increase in diabetic diagnoses, there are simply not enough doctors available. Educators, therefore, are and will continue to be needed to assist in this shortfall. They will teach new patients how to manage their diabetes, and assists and educate “older” patients in new, exciting technologies.
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
Steinbeck and colleagues (2012) examined the impact of group based diabetes self-management education (GBDS) on the clinical, lifestyle and psychosocial outcomes among type II diabetes patients by reviewing and extracting data from 21 research studies. Analyses of the data showed lowering of the blood glucose levels and glycated hemoglobin in 1503 patients out of the total 2833 participants within 12 months of participation in the GBDS intervention (Steinbeck et al. 2012). Improvement in self-management skills was also noticed among the participants (Steinbeck et al. 2012).
In fact, Diabetes is the 7th leading cause of death in the US and the leading cause of kidney failure, lower-limb amputations, and adult-onset blindness, (CDC, 2015). Patient diagnosed with diabetes have increased risks of comorbidities and death over those without Diabetes. Without weight loss and moderate physical activity, 15% to 30% of those with pre-diabetes will develop diabetes within 5 years. Ongoing patient self-management education and support are critical to reducing the risk of long-term complications. The role patients’ involvement is vital in the management of Type 2 Diabetes. Nurse Practitioners should strive in developing a plan of care that is built upon their patients concerns and priorities.
My teaching on primary prevention of type II diabetes adheres to HP2020 objectives D-1 to D-16 on diabetes, specifically objective D-1 that deals with reducing the annual number of new cases of diagnosed diabetes in the population. (Target is a 10% improvement from the baseline of 8.0 new cases of diabetes per 1,000 population aged 18 to 84 years occurred in the past 12 months to the target of 7.2 new cases per 1,000 population aged 18 to 84 years). Education on the preventive measures needed to be taken by an at-risk population tackles this issue of reducing the annual number of cases.
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.
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,