Table of Contents
Introduction
The number of people who are living with diabetes in the US has increased by almost 50% and this totals up to 29 million Americans. In the whole world, diabetes has affected more than 380 million people all over the world and according to a study done by the world health organization, the number are expected to double by 2030 in the world. Living with diabetes has a lot of emotional impacts to the patients as well as physical effects. The disease is costly in terms of treatment and management. It is estimated that the annual amount of money which is used by the US citizens is more than $245 billion in the management of diabetes. Researching this topic concerning diabetes has been spearheaded by the danger which the disease has caused to the American people and it is aimed towards providing an effective care plan which is meant to help the participants in the society.
According to the healthy people 2020 goals in the society, there are several objectives which are expected to help the diabetic people in the society. The health people 2020 goals in diabetes care are meant to help in reducing the death rates of the diabetes patients through providing effective services, they are aimed towards attaining health equity in the society and assist in the reduction of disparities in the society in terms of diabetes care, they help in creation of social and physical environments which assist in promotion of good health for everyone and they assist in the promotion of quality life and increasing the development of health to people in all stages of life (Model, 2015). The reason why it is important to study about the healthy people 2020 is because it helps in understanding the goals which are set concerning the provision of care of the diabetic people in the US and it also helps to understand the importance of care plans in meeting those goals.
A holistic diabetes care plan
Assessment data
From the assessment data, it is found out that the patients did not observe all the requirements of diabetes care in terms of eating unhealthy foods, smoking and drinking alcohol, lack of checking the glucose levels and lack of doing the regular exercises.
Interview results
Mr. AB was a diabetic patient and through an interview, it was noticed that he was not following the correct procedure which is required in order to assist in fighting against diabetes (Association, 2014). This is because the nurse did the interview and found out that he was not doing the necessary physical activities, he was not eating healthy foods and also he was not checking his glucose levels in the body because he did not care.
Desired outcomes
Identification all the risk factors which might be leading to the unstable levels of glucose have to be done. The risk factors which are associated with lack of physical activities is also done as well as the risk factors which are associated with eating unhealthy foods is also done. This is done through verbalization of the importance of balancing the body of the diabetic patient with energy needs in the body. The identified risk factor are also handled effectively in order to help in the stabilization of the patient. In doing physical activities, the risk factors are verbalized to the patient in order to make him aware of the problems which he might have brought to himself.
Evaluation criteria
The evaluation criteria which is followed in the case of the diabetic patient involves a well thought out procedure which shows the effects of lack of taking the glucose measurements , effects of taking unhealthy foods , drinking alcohol and smoking as well as the effects of not doing physical activities on the emotions of the patients (Funnell, 2009). This evaluation is meant to assist in identifying the main measures which have to be used on the patient in order to bring him back on course.
Actions and interventions
| Nursing action and intervention | outcomes |
| Determination of the risks which lead to unstable glucose in the body | The risk of having a family history of people having diabetes, family history of people who have poor control of glucose levels in the body, having poor exercises, having eating problems which are associated with eating unhealthy foods are results of the poor glucose stability in the body. |
| Educating the diabetic patient on balancing of intake of healthy foods in the body | This is important when it comes to prevention of the increase in the glucose levels in the body. |
| Educating the patient on doing physical activities | This is important because it can assist the patient in managing the blood sugar levels in the body and also maintains the sugar levels to normal. |
| Reviewing the risk factors which are affecting the patient and providing information on how to avoid the complications in the body | This helps in the prevention of unstable glucose levels in the body, helps in making the patient concentrate more on exercising and makes the patient practice healthy eating |
Importance of the weekly assignments on creation of a care plan
In the assignment where there was a case study concerning diabetes control in relation to Mr. AB, an appropriate care plan can be made from the interview. The assignment was effective in the creation of a well-managed care plan because it elaborates the problems which affected Mr. AB including lack of proper eating habits, lack of monitoring the glucose levels, lack of doing physical activities and getting involved in drinking alcohol and smoking. This was perfect in the creation of a perfect care plan for the patients because the problems which were presented could lead to increased resistance of insulin intake in the body. A care plan was supposed to be established in order to assist in the management of the patient better.
In the week whereby there was a study concerning the general effect of diabetes to the nation and assessment criterion of the diabetes patients, the general outcome of the assignment showed that carrying a full assessment of the diabetic patient can help in recognizing some of the problems which may face the diabetic patients. This assessment was a way of recognizing the problems which come as a result of lack of proper care of the diabetic patients. The numbers show that diabetes has claimed the lives of many people and therefore an effective plan has to be made.
In the evaluation of the national resources which are used in diabetes care, it was noticed that the resources are expensive in terms of fees which are used. The integration of the resources with the diabetes care plans is very important because it can assist in managing the disease. However, it requires trained staff and a lot of finances. The resources help in providing quality services to the diabetic patients and therefore they have to be used in the creation of an effective care plan.
In addressing the support needs of most of the diabetic patients, appropriate interventions to the caregivers have to be taken. The nurses usually play a very important role in supporting the patients’ needs and treatment of the condition. Therefore it is important to consider appropriate measures which can be used in the management of the diabetic patients. The environment and the social determinants can affect the needs of the diabetic patients and this may affect the overall effectiveness of the created plans which are used in managing the patients.
Diabetes care plan
Assessment data
Fluctuations in the level of physical activities which are done and Lack of monitoring of the glucose levels in the body
Inappropriate care interventions provided by the caregivers
Inappropriate incorporation of resources
Lack of carrying out full assessment of the diabetic patients
Interview results
The results showed that there are low glucose levels in the body which can be attributed to lack of assessment, improper use of resources, inappropriate interventions of care and fluctuations in the different levels of physical activities and lack of monitoring.
Desired outcomes
Identification of the factor which might have led to instability in the levels of glucose in the body
Communicating to the patient on the proper use of resources
Communicating to the patient on a plan to improve the level of assessment and interventions which are meant to improve the health outcomes of the patients
Helping in maintaining the sugar levels of the patient back to normal
Evaluation criteria used
Through use of assessments to the patient
Through use of the available resources in order to determine the problems of the patients
| Nursing interventions | rationale |
| Priority 1: assessing fluctuations on the level of physical activities which are done and Lack of monitoring of the glucose levels in the body | |
| Determine the factors which led to improper monitoring of the glucose levels | These factors can be addressed through creation of an effective client plan for healthcare |
| Educating the patient on food intake and doing physical activities | Important in preventing the fluctuations of the sugar levels |
| Determining the fluctuations on the level of physical activities | this is addressed through creating a monitoring plan for the patient and proper communication with the patient |
| Priority 2: Inappropriate care interventions provided by the caregivers | |
| Determining the client’s religious and cultural factors which might affect the care interventions | Addressed through creation of an effective care plan |
| Determining the awareness of the clients on the healthcare plans | Developmental stages and maturity affects the treatment plans which are provided to the nurses |
| Priority 3: Inappropriate incorporation of resources | |
| Provision of information to the patients concerning the resources in the community and the support groups which provide diabetes education | Assist in providing the clients with additional resources which might be helpful in the proper management of diabetes |
| Priority 4: Lack of carrying out full assessment of the diabetic patients | |
| Reviewing the patient’s risk factors and providing full information to them in order to avoid future complications | Helps in preventing the occurrence of unstable levels of glucose in the body |
Doing all these activities will assist in the proper management of the conditions which are facing the patients and it will assist towards the creation of an effective care plan. Analyzing the care plan helps in solving the dilemma of the diabetic patients and improves their health and also their lifetime (Association, 2017).
- American Diabetes Association. (2017). Standards of Medical Care in Diabetes—2017 Abridged for Primary Care Providers. Clinical Diabetes, 35(1), 5-26.
- American Diabetes Association. (2014). Standards of medical care in diabetes—2014. Diabetes care, 37(Supplement 1), S14-S80.
- Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., … & Siminerio, L. M. (2009). National standards for diabetes self-management education. Diabetes care, 32(Supplement 1), S87-S94.
- Model, C. C. (2015). Standards of medical care in diabetes—2015 abridged for primary care providers. Diabetes care, 38(1), S1-S94.