Improvement in patient outcomes in relation to diabetes prevention through education is something that is becoming more common in health care, since prevention over treatment has shown better outcomes. According to Dunkley, et al (2014), diabetes prevention has been about promoting weight loss and increasing physical activity through lifestyle changes, but the many different programs available for education on how to prevent this disease that promote these factors have been successful but transferring these findings into a clinical practice has proven to be difficult. In the 22 studies reviewed by Dunkley, et al (2014), that were reviewed found that while lifestyle interventions that involved weight loss and increased physical activity do …show more content…
According to American Diabetes Association (2013), diabetes and diabetes management has caused a burden to be placed on the United States economic status do with indirect and direct cost associated with Diabetes. Consequently, it is essential that health care providers stay up to date on new research and polices regarding this disease so that they can more effectively educate their patients on ways to manage and prevent/delay the disease. This paper will discuses systems models with organization, improvement goals stakeholders expectations, quality oversights, sources for comparative performance data, and improvement tools that can be used to help reach the obtainable goal of translating research and evidence base practice for prevention of diabetes into clinical practice.
Application of a System Model
Determining what type of system model would be best guide the process of quality
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In regards to context and diabetes prevention education, we have to think of what individual are already knowledgeable about in terms of healthy lifestyle, and also what the individual’s knowledge of diabetes is. Thought also has to be given to what is already known about education for diabetes prevention and what has been tired and has either failed or succeeded in the past. The context is linked to the organizational results by being what measures the pre-existing notions associated with diabetes prevention
The most significant difference between the regular insulin and the rapid acting insulin is the onset. The onset for rapid-acting or lispro is 10-15 minutes, and for the regular it is ½-1 hour.
Diabetes (DM) is one the many initiatives that Healthy People 2020 have been focusing on to reduce this disease morbidity and mortality rates throughout the communities. In the United States alone, the number of individuals diagnosed with diabetes has increased from 1.5 million in 1958 to 25.8 million in 2011. The Center for Disease and prevention (CDC) also estimates in the year 2011, 79 million people age 20 and over were noted to have pre-diabetes, in which the blood sugar was higher than normal levels, however, have not reached the level for a diagnosis of DM. Eleven percent of those individuals with pre-diabetic readings of raised blood glucose will progress in full blown diabetes a matter of three years. Healthy People 2020 have used evidence –based practices to aid in the prevention and treatment of diabetes. Evidence have shown by simply modifying one’s lifestyle such regular exercising and healthy eating have been recognized to effectively prevent or delay the onset of type 2 diabetes in high-risk persons. Case in point, the Diabetes Prevention Program research trial revealed that the utilization of lifestyle interferences had its utmost impact in elderly adults and was also effective in all racial groups.
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.
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 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,
Evidence-based research was done in regards to combining diet and exercise programs to lower the risk of type II diabetes. They discovered that those that undertook these programs were able to see a decrease in periods of hypoglycemia and hyperglycemia and were able to maintain normoglycemic levels more easily. In addition they were able to decrease cardiovascular risk and lower blood pressure levels. (Healthy People 2020, 2014)
People often do not realize how deadly and complicated diabetes is. When first diagnosed with diabetes patients may often be confused by how their lifestyle will have to change. Some patients may not even know how serious the complications may be. This information is to help not only the people who are affected by diabetes but also to inform everyone on how to help prevent the onset of diabetes.
We live in an era of rapid technological change, and this environment, undoubtfully changes the human health. Diabetes is one of the most widespread diseases, unfortunately. Therefore, there is a pressing need to inform people about healthy ways of living and a caring approach to their health. The American Diabetes Association (ADA) is one of the organizations that try, to prevent diabetes and raise awareness on the disease in the US and around the world. Unfortunately, it has a set of weaknesses, which influence not only the work of the organization, but the general public’s opinion of it as well.
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 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[ ].
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
However Diabetes can be managed through physical activity, diet and in high levels of diabetes using of insulin and oral medications to keep the blood sugar levels low. Another important impact of diabetes in human body is that it can increase risk of high blood pressure, and high cholesterol too. According to the Centers for Disease Control and Prevention’s report “More than 29 million people in the United States have diabetes, up from the previous estimate of 26 million in 2010”. People can also prevent from diabetes by losing weight, being more active, and eating healthy foods. So if anyone is looking to stop diabetes or prevent it, then it’s better to change their lifestyle and follow the right path for it to reach their goal. Because just by talking about diet and exercise people can’t do anything to stop obesity and diabetes we all need to take a serious action for
Diabetes is a chronic metabolic disorder that "occurs when the body is unable to produce or respond to insulin, a hormone that allows blood glucose to enter the cells of the body and generate the body's energy" (Ebony, 115). Diabetes is a disease that affects approximately 3% of the world' population. In American alone, 10.3 million people report having diabetes, while an estimated 10 million more individuals may have undiagnosed diabetes (Morwessel, 540). The gene for diabetes is located in the HLA region on chromosome 6, and the most probable organization of the responsible gene is on a 19-kb region of INS-IGF2, which affects HLA-DR4 IDDM susceptibility. Diabetes Mellitus, was first diagnosed in the year 1000 BC, by the
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
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.