NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution

Patient, Family, or Population Health Problem Solution

Type 2 Diabetes [T2D] is a primary health issue (NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution) globally. This metabolic disorder is denoted by high glucose levels as a result of inadequate insulin production through the pancreas. The inflammatory response appears as a result of an invulnerable reaction to increased blood sugar levels as well as due to the occurrence of provocative intermediaries resulting from lipocytes and macrophages in the human body (Berbudi et al., 2019).

Primary aspects of emerging T2D include being obese or overweight, gathering fat in the abdomen, being physically inactive, having a family background with diabetes, age, and fat blood levels (Mayo Clinic, 2022). Type 2 diabetes is a chronic sickness. Therefore, patients with T2D must take additional care while dealing with diabetes. Also, they should adhere to the medication that they have been prescribed and avoid consuming food and beverages containing excessive sugar and its byproducts. Moreover, the patients must foster healthy habits in their lifestyle, like exercising regularly for at least an hour and consuming a low-caloric diet to maintain an ideal glucose level. 

In this research, I will discuss the 2 practicum hours that I have spent with my patient Mr Andrew, who is a 59-year-old man diagnosed with T2D. As a result of diabetes, he has lately been facing several other health problems, including weakness and certain weight problems. Therefore, this research will cover and explain the role that the nursing staff can play in enhancing the quality of care for diabetic patients, along with their safety and medication cost.

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NURS FPX 4900 Assessment 3 Problem: Technology, Care Coordination, and Community Resources Considerations

Role of Leadership, Change Management, and Nursing Ethics in Diabetes

The role of leadership and change management is important for attending the patients with T2D. Efficient leadership is important for establishing and executing interventions that can enhance outcomes associated with patients’ health and advocate constructive amendments in healthcare settings. Transformational leadership is the leadership strategy that can be used in this research to emphasize the standards and ideas for enhancing patient-physician and nurse-doctor associations (Yue et al., 2019). Furthermore, transactional leadership can be implemented for managing the functionality of the healthcare organization, nursing staff, and their related tasks (Chabosseau et al., 2023).

In addition, change management strategies are correspondingly essential for assisting the implementation of innovative health practices and policies that can help in enhancing patients’ quality of care and life with type 2 diabetes (Yue et al., 2019). Also, nursing ethics play a great role in developing interventions for type 2 diabetic patients. The nursing staff should maintain moral principles like generosity, benevolence, and self-sufficiency while establishing and executing the interventions. Moreover, they must also value the culture of patients along with their ethnic backgrounds and standards and guarantee that the intrusion supports the objectives and likings of the patients (Rachmawati et al., 2019).

One intervention that has been established for addressing patients with T2D is a Nurse-Led Education program. The program’s purpose is to enhance the knowledge of patients regarding the disorder and its management. It also encourages healthy behaviours like exercising regularly, consuming a healthy and nourishing diet, and monitoring HgbA1c levels regularly. Moreover, the nurse-led education program was established under a combined approach, which included nursing staff, patients, and other health specialists. The program was intended to be culturally understandable and designed accordingly to the needs and requirements of each patient.

The program was executed under a change management strategy that comprised edification, training, and interaction among the healthcare staff and patients with type 2 diabetes. The nurses involved in this program are highly qualified and well-trained, and they educate the patients regarding the aims of the program along with its benefits (Guo et al., 2021). Moreover, communication channels were developed to safeguard that all stakeholders are well-informed concerning the growth and outcomes of the program. This program is efficient for enhancing the quality of care and health outcomes of a patient, like observing glucose levels, blood pressure, and fat levels. 

Conclusively, the combination of effective leadership, change management strategies, and nursing ethics are important for establishing interventions that can enhance the health outcomes for Mr. Andrew and can encourage optimum change in the overall healthcare environment. 

Best-Practice Strategies for Communicating and Collaborating with Patients

Effectively communicating and collaborating with patients of type 2 diabetes (T2D) is critical for enhancing their health outcomes for them. Following are a few best-practice strategies for collaborating with patients suffering from type 2 diabetes:

Build a Strong Relationship: Establishing a healthy rapport with patients of T2D can assist in building the faith of a patient in the healthcare organization. The healthcare specialist and other associated workers need to treat with compassion and pay attention to the worries and needs of a patient (Melvin et al., 2020).

Use Plain Language: T2D patients might be incapable of comprehending intricate therapeutic vocabularies or jargon. Therefore, healthcare workers need to make use of easy, comprehendible dialect while examining their health condition, medication plan, and additional medicinal evidence (Melvin et al., 2020).

Provide Education: Diabetic patients are required to be well-informed about their disease, the dangers linked to it, and the need to amend their lifestyle to manage their diabetes effectually. This comprises information regarding dietary changes, physical activities, treatment, and monitoring glucose levels (Melvin et al., 2020). 

Encourage Self-Management: Encourage T2D patients to participate in supervising their health condition. This involves setting targets, observing their glycemic levels, consuming prescribed medicines, and fostering healthy lifestyle changes (Melvin et al., 2020).

Use Technology: Technology can be employed to enhance collaboration and communication with patients with type 2 diabetes. This consists of utilizing EHRs, telemedicine, and health applications to ease patient-physician interaction and to observe improvement in his health conditions (Melvin et al., 2020).

By applying these communicational strategies, I was able to provide exceptional care to Mr. Andrew for improving and maintaining his diabetes along with the aspects associated with his disease. Moreover, the above practices are credible and authentic and will, when employed in a healthcare setting will, enhance the quality of care for diabetic patients. 

Nursing Practice Standards and Organizational or Governmental Policies

Nursing practice standards and governmental policies in the United States for administrating type 2 diabetes are targeted at enhancing the quality of care for diabetics. Some of the nursing practice standards and organizational policies for dealing with T2D in the United States include:

  • National Diabetes Prevention Program (NDPP): The NDPP is a state program that emphasizes avoiding T2D. The program offers training sessions for improving lifestyle and educates people who have a greater chance of getting this disease (Ritchie et al., 2020).
  • American Diabetes Association (ADA) Standards of Medical Care: The ADA establishes and modernizes the standards of medical care in managing type 2 diabetes, which provides peer-reviewed suggestions regarding the organization of disease. These criteria state numerous factors associated with care, including glycemic levels, treatment administration, and lifestyle intrusions (Goyal et al., 2020).
  • Quality Measures for Diabetes: Quality measures are utilized for evaluating the care quality offered to patients. These measures involve assessments of glucose monitoring, BP control, and lipid administration (Riordan et al., 2020).
  • Medicare Diabetes Prevention Program: Insurance programs guard the Diabetes Prevention Program (DPP), which is a planned lifestyle modification program intended to prevent or delay the beginning of T2D (Holliday et al., 2019).
  • Health Information Technology: EHRs and other healthcare IT tools are utilized by healthcare organizations to manage diabetes by allowing the distribution of patient health-related information among health providers and enhancing interaction and care coordination (Carayon & Hoonakker, 2019).
  • Centers for Disease Control and Prevention (CDC) Diabetes Programs: The Centers for Disease Control finances and provisions plans to target averting and administrating diabetes, comprising the National Diabetes Prevention Program and the National Diabetes Education Program (BURD et al., 2020).

Nurses have a major role in managing type 2 diabetes, as they are frequently accountable for delivering training, treatment management, and lifestyle education to people with T2D. Through these nursing practice standards and governmental policies, nurses can assist in guaranteeing that people with T2D obtain good care and attain enhanced health consequences.

Interventions to Address Diabetes 

Interventions are the fundamental educational approaches utilized for spreading consciousness and the purpose of enhancing a health disorder. At present, technology is being utilized by healthcare organizations to facilitate enhanced health consequences for patients with various sicknesses. Healthcare technology intervention execution is not an innovative subject of discussion, but it has already proved its value by providing primary new contributions to the outdated healthcare industry. Telehealth is used in the case of Mr. Andrew to provide him ease in getting his disease treated just by staying at home. Using this platform of health will protect his information and as well as will reduce the travel expenses that he had been spending for years just to get himself treated.

Moreover, providing mHealth or mobile health platforms to him will assist him in monitoring his daily steps to make sure that he has been actively working out to improve his health and maintaining an adequate weight to reduce the risks associated with diabetes. This will help him in monitoring his diabetes and later will assist in encouraging a healthy lifestyle additionally. The yearly cost spent on healthcare for treating diabetics is approximately $237 billion. My patient Mr. Andrew is also worried about his medication expenses. Therefore I suggested that he should take advantage of the Affordable Care Act (ACA) and obtain an insurance plan which will aid him in reducing medication costs and overall burden (CDC, 2021).

Technology, Care Coordination, and the Utilization of Community Resources 

Type 2 diabetes (T2D) is a lasting health problem that necessitates continued organization and support to attain positive health results. Technology, care coordination, and utilization of community resources can have a significant character in highlighting the intricate requirements of individuals with T2D. Technology can enhance patient self-management and involvement, leading to improved health outcomes. For instance, mobile applications and wearable gadgets can deliver an instantaneous response on blood sugar levels, physical activity, and diet, allowing patients to generate knowledgeable results concerning their health condition.

Digital health interventions, including telehealth and mHealth, can also enhance the approach to quality care and support, specifically for individuals living in remote or disadvantaged areas (Powers et al., 2020). Moreover, Care coordination is crucial for stating the various health requirements of diabetics. Active care coordination contains the incorporation of different healthcare facilitators and amenities involving care, endocrinology, diet changes, and psychological health.

Care coordination can enhance medical results and reduce the costs of treatment by decreasing the repetition of facilities and enhancing interaction and teamwork between health facilitators. The use of community resources can also enhance health results for patients with type 2 diabetes. Community-based programs, like diabetic training and self-management coaching, can offer skills to patients that they require to understand and manage their conditions (Powers et al., 2020).

Social support programs, like care groups and community health workforces, can also enhance patient health results by stating and highlighting societal determinants of health, like providing an approach to nutritious food and protected environments for physical training. Numerous pieces of research have revealed the efficiency of these accesses for enhancing health outcomes for T2D patients. For instance, a study discovered that a telehealth intervention enhanced sugar control and diminished healthcare readmissions of patients with type 2 diabetes.

Another research found that a community-based diabetes self-management program upgraded sugar control and lessened the expenses of healthcare services for individuals with T2D (Jeffrey et al., 2019). In a nutshell, technology, care coordination, and utilization of community resources are crucial for stating the multifaceted requirements of patients with type 2 diabetes. These approaches have been unveiled to improve health outcomes, decrease healthcare costs, and improve patient involvement and gratification. Healthcare facilitators and legislators must rank the application of these methods on the topmost level for improving the care quality for patients with type 2 diabetes.

Conclusion – NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution

Diabetes is a lasting health condition that necessitates enduring treatments and medications. A capable nursing leader’s role is to develop a healthy nurse-patient rapport with influential communication and teamwork. Moreover, a transformational leader appreciates modification in the existing outdated healthcare institution. Transformational leadership, when combined with organizational and governmental leadership strategies, emphasizes workforce involvement, enthusiasm, and strategies for the patient according to his liking.

The optimum communication practice is listening effectively and regarding the likings of patients and respecting their thoughts so that the patient will feel at ease during his treatment. Moreover, the intervention that I have proposed is thoroughly explained in this study. I recommended Mr. Andrew foster technologies like telehealth and the mHealth application so that he can observe and monitor his diabetes with a self-management methodology. The mHealth app will assist him in staying adhered to the changes and treatment plans. Furthermore, the cost-reduction program, i.e., Affordable Care Act, can be implemented to provide health insurance plans to patients to ease their treatments and their expenses.

References

NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution: Berbudi, A., Rahmadika, N., Cahyadi, A. I., & Ruslami, R. (2019). Type 2 diabetes and its impact on the immune system. Current Diabetes Reviews, 16(5). https://doi.org/10.2174/1573399815666191024085838

NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution: BURD, C., GRUSS, S., ALBRIGHT, A., ZINA, A., SCHUMACHER, P., & ALLEY, D. (2020). Translating knowledge into action to prevent type 2 diabetes: Medicare expansion of the national diabetes prevention program lifestyle intervention. The Milbank Quarterly, 98(1), 172–196. https://doi.org/10.1111/1468-0009.12443

NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution: Carayon, P., & Hoonakker, P. (2019). Human factors and usability for health information technology: Old and new challenges. Yearbook of Medical Informatics, 28(01), 071–077. https://doi.org/10.1055/s-0039-1677907

NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution: CDC. (2021, May 17). Cost-effectiveness of diabetes interventions | power of prevention. Www.cdc.gov. https://www.cdc.gov/chronicdisease/programs-impact/pop/diabetes.htm#:~:text=%241%20out%20of%20every%20%244

NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution: Chabosseau, P., Yong, F., Delgadillo-Silva, L. F., Lee, E. Y., Melhem, R., Li, S., Gandhi, N., Wastin, J., Noriega, L. L., Leclerc, I., Ali, Y., Hughes, J. W., Sladek, R., Martinez-Sanchez, A., & Rutter, G. A. (2023). Molecular phenotyping of single pancreatic islet leader beta cells by flash-seq. Life Sciences, 316, 121436. https://doi.org/10.1016/j.lfs.2023.121436

Goyal, A., Gupta, Y., Singla, R., Kalra, S., & Tandon, N. (2020). American diabetes association “standards of medical care—2020 for gestational diabetes mellitus”: A critical appraisal. Diabetes Therapy, 11(8), 1639–1644. https://doi.org/10.1007/s13300-020-00865-3

NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution: Guo, J., Wang, H., Ge, L., Valimaki, M., Wiley, J., & Whittemore, R. (2021). Effectiveness of a nurse‐led mindfulness stress‐reduction intervention on diabetes distress, diabetes self‐management, and HbA1c levels among people with type 2 diabetes: A pilot randomized controlled trial. Research in Nursing & Health. https://doi.org/10.1002/nur.22195

Holliday, C. S., Williams, J., Salcedo, V., & Kandula, N. R. (2019). Clinical identification and referral of adults with prediabetes to a diabetes prevention program. Preventing Chronic Disease, 16. https://doi.org/10.5888/pcd16.180540

NURS FPX 4900 Assessment 4 Patient, Family, or Population Health Problem Solution: Jeffrey, B., Bagala, M., Creighton, A., Leavey, T., Nicholls, S., Wood, C., Longman, J., Barker, J., & Pit, S. (2019). Mobile phone applications and their use in the self-management of Type 2 Diabetes Mellitus: A qualitative study among app users and non-app users. Diabetology & Metabolic Syndrome, 11(1), 1–17. https://doi.org/10.1186/s13098-019-0480-4

Mayo Clinic. (2022, November 19). Type 2 diabetes – symptoms and causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193

Melvin, C. L., Harvey, J., Pittman, T., Gentilin, S., Burshell, D., & Kelechi, T. (2020). Communicating and disseminating research findings to study participants: Formative assessment of participant and researcher expectations and preferences. Journal of Clinical and Translational Science, 4(3), 233–242. https://doi.org/10.1017/cts.2020.9

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report of the American diabetes association, the association of diabetes care and education specialists, the academy of nutrition and dietetics, the American academy of family physicians, the American Academy of PAs, the American association of nurse practitioners, and the American pharmacists association. Diabetes Care, 43(7), dci200023. https://doi.org/10.2337/dci20-0023

Rachmawati, U., Sahar, J., & Wati, D. N. K. (2019). The association of diabetes literacy with self-management among older people with type 2 diabetes mellitus: A cross-sectional study. BMC Nursing, 18(S1). https://doi.org/10.1186/s12912-019-0354-y

Riordan, F., McHugh, S. M., O’Donovan, C., Mtshede, M. N., & Kearney, P. M. (2020). The role of physician and practice characteristics in the quality of diabetes management in primary care: Systematic review and meta-analysis. Journal of General Internal Medicine, 35(6), 1836–1848. https://doi.org/10.1007/s11606-020-05676-7

Ritchie, N. D., Baucom, K. J., & Sauder, K. A. (2020). Current perspectives on the impact of the national diabetes prevention program: Building on successes and overcoming challenges. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Volume 13, 2949–2957. https://doi.org/10.2147/dmso.s218334

Shan, R., Sarkar, S., & Martin, S. S. (2019). Digital health technology and mobile devices for the management of diabetes mellitus: State of the art. Diabetologia, 62(6), 877–887. https://doi.org/10.1007/s00125-019-4864-7

Yue, C. A., Men, L. R., & Ferguson, M. A. (2019). Bridging transformational leadership, transparent communication, and employee openness to change: The mediating role of trust. Public Relations Review, 45(3), 101779. https://doi.org/10.1016/j.pubrev.2019.04.012

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