Developing Outreach Efforts For Primary Care Providers Essay

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,

The population for this evidence based project are African Americans diagnosed with prediabetes at a local primary care facility in Tallahassee, Florida. The intended age group is for this evidence based practice change project are patients from the ages of 18- 60 years of age. Participants must be English speaking African American males or females between the ages of 18-60 years of age old and clinically diagnosed with pre-diabetes with an a1c of 5.7 % to 6.4%.

Utilization of APRNs as members of the care team improves care coordination, diabetes management and fill gap in diabetes education and management for small communities such as Saline County. In addition a team care approach for diabetes education and management reduces diabetes associated risk, comorbidities and improves diabetes outcomes for patients (CDC, 2013). According to the National Institute of Diabetes and Digestive and Kidney Disease (NIH) (2011) specific areas of positive outcomes include increased patient

According to Rural Health Information Hub (2017), the fundamental purpose of disease prevention is to keep individuals healthy. One implements health promotion interventions in an effort to promote healthy behaviors and to decrease the risks of developing chronic illnesses (RHIH, 2017). According to the ADA (2016) individuals that participate in health promotion behaviors are more likely to have better health outcomes compared to those who do not. The EBP change project has shown that educating patients with prediabetes can increase diabetes knowledge and promote an increase in health promotion behaviors. The EBP change project outcome has indicated that participants who completed the 6-week diabetes education program were able to increase their knowledge regarding type 2 diabetes. Therefore, with the positive outcome of the EBP change project, the EBP change project site can incorporate certain aspects of the diabetes education program into their patient education to increase diabetes knowledge, picking healthier food options and participants in activities that would increase physical fitness.

American Diabetes Association has a long history of research support and engagement. The first direct ADA research were awarded in 1952, and in the late 1970s, the ADA research funding was centralized into a program model after that of the National Institute of Health (NIH), with operational and scientific oversight housed in the national office. Founded in October 1994, the ADA Foundation was created to substantially accelerate the Association 's ability to raise major gifts to directly fund diabetes research. Now the ADA is a volunteer-driven organization, with about 90 local offices above the United States. The goal of the ADA is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. The burdens of diabetes are enormous and escalating at an alarming rate. About 26 million Americans have the disease, and over 10% of the total adult population and over 25% of the population aged 65 years and older. If present trends continue, as many as one in three Americans adult will be diagnosed with diabetes by 2050; in majority of cases will include older adults and racial ethnic minorities.

In this assignment I will discuss the effectiveness of health and social care practitioners and agencies working together to deliver the care pathway for one of the chosen physiological disorders. The disorder I have chosen to evaluate is diabetes type 2 diabetes.

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 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,

According to the American Diabetes Association, more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).

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

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.

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

Health objectives and campaigns are designed to set the foundation for addressing health care issues prevalent across the nation. Diabetes is a disease that affects millions of people. Due to the complications that can often go along with diabetes, public health policies are implemented to clarify issues that will improve the health of individuals. As presented in the health campaign part one, there are numerous government agencies, which exploit health information on federal, state, and local levels to develop policies and allocate resources to programs and necessary organizations. Many models and systems are used to manage diabetes and bring forth

Several nationwide programs and incentives were administered in the last couple of decades to promote awareness of diabetes and hopefully help prevent millions of Americans from developing diabetes. Health Agencies, such as World Health Organization (WHO) and Center of Disease Control and Prevention (CDC), have developed objectives to tackle diabetes. Some of these objectives include conducting surveillance and obtaining diabetes data to identify trends in the population, spreading awareness about the condition, and developing programs that will enhance diabetes care and ensure the longevity of the patients. Various programs have been developed but while some excel, others fail to benefit the lives of the patient.