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Illness and Disease Management Across Life Span

Managing the complex health problem of diabetes may be more accessible by attending to patients’ support requirements. Because diabetes requires rigorous attention to exercise, nutrition, and medicine, support facilitates the development of crucial coping mechanisms. Adverse effects on health may occur if the patient does not adhere to the recommended medication schedule, eats well, and exercises (Ramkisson et al., 2017). The participant’s support requirements and instances of appropriate carer intervention will be defined in this assignment. Last week, we interviewed this individual. In addition, the goals of Healthy People 2030 will be detailed, along with the effects of environmental factors on the health outcomes of people living with type 2 diabetes mellitus (T2DM), a chronic condition.

Support Needs and Interventions

Health professionals must take steps to lift both blood sugar balance and joy in life for those they treat. When dealing with health care, this is of great importance. The critical support needs of type 2 diabetes folks—based on an interview—are ranked as follows: Keen watch over glucose levels can secure reasonable glycemic control. Diet tips aid in effective meal plan management. Steady workouts help keep a healthy weight. One should follow their medical schedule carefully; doing so marks a leap in health gains. – Support from loved ones bolsters mental ease, enhancing life’s feel-good factor by leaps and bounds. Experts concur that such moves make fundamental shifts for the better in the lives touched by type 2 diabetes.

Healthy Diet

The patient needs someone to step in and make sure he eats right. According to his interview answers, his physicians had advised him to make certain dietary adjustments, but he had ignored their advice. A referral to the dietician may help the patient find realistic alternatives for a balanced diet low in calories and fats. It is crucial for controlling blood sugar levels. Helping patients achieve their unique objectives for controlling or maintaining glycemic levels is critical to the dietitian’s job. Improved glycemic control results from patients’ and families’ adherence to dietary and lifestyle recommendations made via dietician counseling (Steinke et al., 2017).

Monitor Blood Glucose Level and Inject Insulin

In 2021, Nasir’s group unveiled a fact crucial for those with type 2 diabetes: proper teaching boosts their ability to self-inject insulin. The trick lies in quality tutorials and hands-on practice—steps far from theoretical. They rest on solid science, known as evidence-based intervention. For a confident man who struggled—blood sugar readings all over the place and reliant on relatives for shots—the strategy promised a shift. With straightforward instructions on glucose meters, he would be set to test alone soon enough. Why bother? Well, strides in self-care raise assurance and command over personal health paths. Findings by Nasir et al. underline this: Educated patients acquire the knack to handle injections without assistance. In essence, equip them with insights and practical know-how—centering patient education—and observe as they seize control of their care routine.

Anxiety

Because type 2 diabetes has such a negative effect on mental health, the patient expressed worry. The highlighted problem also needs the backing of healthcare experts in order to alleviate the fear linked to type 2 diabetes. The patient’s indicated need should be addressed via counseling. Patient counseling and involving them in interest-based activities are often effective ways to address anxiety and despair, which might hinder diabetic self-care (Kalra et al., 2018).

Implementation: The Healthy People 2030 Objectives

The Healthy People 2030 initiative had a wide range of goals, like minimizing the yearly incidence of diabetes, increasing the number of adult diabetics who have annual eye examinations, lowering the death rate, and increasing access to formal diabetes education. Reducing hospitalizations among older adults due to diabetes and implementing daily blood glucose monitoring are two of Healthy People 2030’s vital objectives (Office of Disease Prevention and Health Promotion [ODPHP], 2022). The national plan for reducing gaps and increasing health equality is Healthy People 2030, which includes concrete and quantifiable targets (Ochia et al., 2021). Therefore, these objectives must be implemented. Enhancing diabetes-related well-being is a Healthy People 2030 goal that calls for engaging and inspiring people with diabetes, including doctors, nutritionists, diabetic nurse experts, and other healthcare professionals. The objectives connected to diabetes have to be accomplished through the effective use of healthcare resources. Providing preventative education to people at risk of getting diabetes could help achieve the aim of reducing the number of diabetes cases every year. Regular foot monitoring to avoid wounds and patient education, raising knowledge about risks, and improving outcomes are examples of evidence-based treatments that might be used and attained to reach other goals, such as reducing mortality and hospitalization among diabetes patients. The goal of Healthy People 2030 is to ensure that all diabetic patients, even those on insulin who cannot check their blood glucose levels, do so regularly. Teaching people how to use a glucometer is one way to do this. Iqbal and Heller (2018) state that teaching people how to self-manage their diabetes, including keeping track of their blood sugar levels, is crucial.

Nurses as Advocates: Acceptance of Diagnosis and Treatment

Patient advocacy on the part of nurses aids patients in accepting their diagnoses and treatments since it informs by providing information about the patient’s diagnosis, therapy, and prognosis, along with suggestions for alternative methods. 2020; Abbasinia et al. People with type 2 diabetes are more likely to accept their diagnosis and available treatment choices because of the professional duties of nurses. A diabetic nurse’s role is to inform and uplift patients about the condition and its signs, hoping they will accept their diagnosis. Through education, the patient thoroughly understands the symptoms and consequences associated with diabetes, improving his understanding of his current condition. Evidence suggests that educational interventions by nurses help patients accept their illness and become more dedicated to finding solutions to lessen it, according to Martos-Cabrera et al. (2021). The nurse may assist patients in accepting their diagnosis and course of treatment because of the collaborative efforts that go into developing a care plan. Respect for the participant, an older adult with a diabetes diagnosis, and collaboration are necessary for accepting the diagnosis and course of treatment. Luca et al. (2021) assert that nurses are essential in patient advocacy because they pay attention to patients’ worries and value their perspectives. When nurses assist patients in adjusting to their type 2 diabetes diagnosis and treatment, they carry out their duty to support them.

The Impact of the Environment on Patient’s Health

The patient’s environment comprises several external factors, such as air pollution, traffic noise, the patient’s culture and surroundings, and family support. People who have type 2 diabetes suffer significantly from the damaging effects of air pollution and the continuous honking of passing automobiles. According to Dendup et al. (2018), exposure to air pollution and the noise it creates increases a person’s risk of developing type 2 diabetes and hypertension. One important environmental component that may impact people’s health is culture. For example, certain societies manage diabetes using medicinal products made from herbs, which might lead to uncontrolled diabetes and other health problems. A stable home and a calm environment benefit the participant’s health.

Socioeconomic factors have an impact on the participant’s health, which may have an impact on type 2 diabetes treatment. First, socioeconomic determinants of health, namely a lack of funds that adversely affect financial stability, have an effect on the care of patients with type 2 diabetes. The difficult financial situation in the healthcare system and the rising cost of treatment disproportionately negatively impact diabetes patients (Haque et al., 2021). A diet rich in calories and a sedentary lifestyle are mentioned as potential risk factors for type 2 diabetes and health problems for patients (Kolb & Martin, 2017). Other socioeconomic factors that affect health, such as limited access to high-quality healthcare services, also impact participant care.

Conclusion

Following the interview, determining the participant’s support needs and implementing an intervention to address them may help the patient stay healthier, maintain an average glycemic level, and lower their risk of complications. The identified support needs of the participants—a balanced diet, trouble injecting insulin, monitoring blood glucose levels, and anxiety—are addressed via counseling, instruction, and demonstration. Utilizing existing healthcare resources and inspiring and involving all relevant stakeholders is essential to achieving the Healthy People 2030 objectives connected to diabetes. A nurse’s role includes assisting patients and their families in accepting a diagnosis and treatment plan. Several socioeconomic factors that affect health, such as inadequate financial stability, lousy eating patterns, inactivity, and limited access to high-quality medical care, hurt patient care.

References

Abbasinia, M., Ahmadi, F., & Kazemnejad, A. (2020). Patient advocacy in nursing: A concept analysis. Nursing ethics27(1), 141-151. Retrieved from: https://doi.org/10.1277/0969733012832950.

Dendup, T., Feng, X., Clingan, S., & Astell-Burt, T. (2018). Environmental risk factors for developing type 2 diabetes mellitus: a systematic review. International journal of environmental research and public health15(1), 78. Retrieved from: https://doi.org/10.3490%2Fijerph15020078.

Haque, W. Z., Demidowich, A. P., Sidhaye, A., Golden, S. H., & Zilbermint, M. (2021). The financial impact of an inpatient diabetes management service. Current diabetes reports21, 1-9. Retrieved from: https://doi.org/10.2007%2Fs11892-020-01274-0.

Iqbal, A., & Heller, S. R. (2018). The role of structured education in the management of hypoglycemia. Diabetologia61(4), 751-760. Retrieved from: https://doi.org/10.2007/s00125-017-4324-z.

Kalra, S., Jena, B. N., & Yeravdekar, R. (2018). Emotional and psychological needs of people with diabetes. Indian journal of endocrinology and metabolism22(5), 696. Retrieved from: https://doi.org/10.5103%2Fijem.IJEM_578_17.

Kolb, H., & Martin, S. (2017). Environmental/lifestyle factors in the pathogenesis and prevention of type 2 diabetes. BMC Medicine15(1), 1-11. Retrieved from: https://doi.org/10.1286/s12916-017-0902-x.

Luca, C. E., Cavicchioli, A., & Bianchi, M. (2021). Nurses who assume the role of advocate for older hospitalized patients: A qualitative study. SAGE Open Nursing7, 23779608211030651. Retrieved from: https://doi.org/10.2177%2F23779608211040651.

Martos-Cabrera, M. B., Gómez-Urquiza, J. L., Cañadas-González, G., Romero-Bejar, J. L., Suleiman-Martos, N., Cañadas-De la Fuente, G. A., & Albendín-García, L. (2021, July). Nursing-intense health education intervention for persons with type 2 diabetes: a quasi-experimental study. In Healthcare (Vol. 9, No. 7, p. 832). MDPI. Retrieved from: https://doi.org/10.4390%2Fhealthcare9040832.

Nasir, B. B., Buseir, M. S., & Muhammed, O. S. (2021). Knowledge, attitude, and practice towards insulin self-administration and associated factors among diabetic patients at Zewditu Memorial Hospital, Ethiopia. Plos one16(2), e0246741. Retrieved from: https://doi.org/10.1361/journal.pone.0245741.

Ochiai, E., Blakey, C., McGowan, A., & Lin, Y. (2021). Practice Full Report: The Evolution of the Healthy People Initiative: A Look Through the Decades. Journal of Public Health Management and Practice27(6), S225. https://doi.org/10.1087/PHH.00000000001477.

Office of Disease Prevention and Health Promotion. (2022). Healthy People 2030: Diabetes. Health.Gov. https://health.gov/healthypeople/objectives-and-data/browseobjectives/diabetes#:~:text=Goal%3A%20Reduce%20the%20burden%20of,sevent%20leading%20cause%20of%20death.&text=Healthy%20People%202030%20focuses%20on,cases%2C%20complications%2C%20and%20deaths.

Ramkisson, S., Pillay, B. J., & Sibanda, W. (2017). Social support and coping in adults with type 2 diabetes. African Journal of Primary Health Care and Family Medicine9(1), 1-8. Retrieved from: https://doi.org/10.2102%2Fphcfm.v9i1.1305.

Steinke, R. A., O’Callehan, E. C., & York, H. L. (2017). Role of a registered dietitian in pediatric type 1 and type 2 diabetes. Translational Pediatrics, 6(5), 364-372. Retrieved from: https://doi.org/10.2037%2Ftp.2017.09.04.

 

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