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NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Student Name

Capella University

NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

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Date

Evidence-Based Population Health Improvement Plan

Hi to all. I am Emma. Today, I will discuss an improvement strategy for managing Diabetes Mellitus (DM) in adult individuals.

Diabetes is known as a severe condition that impacts the health and lives of individuals globally. It is considered the most prevalent ten disease for mortality in adults, accounting for approximately 4 million fatalities worldwide. Diabetes cost USD 727 billion globally in 2017 (Saeedi et al., 2019). This presentation will propose an improvement plan for adult DM patients. It is critical to deal with diabetes as it impacts adult individuals’ standard of life.

Evaluation of Environmental and Epidemiological Data

DM is a prevalent and lethal medical disorder that has grown in occurrence over the past few years to pose a serious health concern in the medical setting. Common complications of DM include macrovascular disorders, including cardiovascular disease, stroke, ischemic stroke, kidney damage from diabetes, and retinal degeneration (Tomic et al., 2022). Centers for Disease Control and Prevention (CDC) revealed that DM is prevalent in the USA; 38.4 million population have DM, and about 97.6 million adult individuals have pre-diabetes, which is 38.0% of the adolescent USA population (CDC, 2024). Furthermore, DM imposes a significant financial and social impact.

The International Diabetes Federation (IDF) estimates over 451 million individuals globally had DM in 2017, possibly 693 million in 2045, without implementing successful preventive measures (Lin et al., 2020). The predicted overall cost of diagnosed DM in America in 2022 is about $412.9 billion, of which $306.6 billion is in immediate healthcare expenditures and approximately $106.3 billion is in secondary diabetes-related costs. Care for DM amounts to 1$ in every 4$ medical expenses in the United States, with diabetes accounting for 61% of the total. On average, individuals with DM pay yearly medical expenses of $19,736 (Parker et al., 2023).

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Information

Epidemiological Data

Adult global population affected by DM

451 million

Adult DM patients in the US

38.4 million

Pre-diabetic adult Us population

97.6 Million, 38% of the US population

Cost of diagnosed DM in the US in 2022

$412.9 billion

Immediate healthcare expenditures

$306.6 billion

Secondary diabetes-related costs

$106.3 billion

Individuals with DM pay yearly medical expenses

$19,736

The findings highlight the necessity of a population-centered approach to the care of adult DM patients. Adults with diabetes can take advantage of improved screening and care options. Concentrating on early identification and avoidance approaches can assist in reducing the prevalence of diabetes.  Solutions include extensive screening and testing programs, encouraging healthy lifestyle practices, and physical activity (Wong & Sabanayagam, 2020). Moreover, Diabetes Self-Management Education (DSME) strategy is a research-based practice offering DM patients the understanding and abilities they require to modify their lifestyles and improve their health (Jiang et al., 2019)

Effects of Environmental Factors

Environmental variables substantially impact the well-being of DM patients in the community. These factors can increase the likelihood of developing the disease or exacerbate pre-existing issues. Communities lacking access to routine testing, adequate medical services and lack of health literacy can increase disease frequency (Campbell & Egede, 2020). A lack of physical activity resources and an unhygienic diet contribute to diabetes. Additionally, environmental variables, including air pollution, contribute to DM. Air contamination can have several detrimental consequences on the body, including increased inflammation or blood vessel damage. These adverse impacts can decrease insulin’s ability to regulate glucose levels (Hwang et al., 2020).  

Ethical Health Improvement Plan

The principal goal of the health enhancement strategy is to mitigate the incidence and negative consequences of diabetes in adults. This goal can be achieved by improving awareness programs and enhancing access to medical care (Sava et al., 2020). Interventions, including community-based Dietary Approaches to Stop Hypertension (DASH) diet initiatives, will be presented to address specific environmental factors and promote the healthy eating habits of DM adult patients (Mirzababaei et al., 2023). Encouraging a healthy and active lifestyle is also essential to the improvement plan. Adults who engage in physical activity can reduce the hazards associated with sedentary lives, leading to better health outcomes (Wong & Sabanayagam, 2020).

Identifying and solving cultural challenges and misinformation about diabetes is critical to improvement planning. Misunderstandings and beliefs of distinct cultural backgrounds in the community can be addressed effectively by focused, culturally competent educational and awareness initiatives. Dietary patterns differ among cultures, increasing the risk of DM (Geng et al., 2020). Engagement with nutritionists is suggested to ensure appropriate meal guidance and promote knowledge about nutritious eating and portion control (Silva et al., 2023).

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Due to restricted access to medical care, DM is not frequently diagnosed and treated. The problem can be solved by developing collaborations with local medical facilities to conduct frequent DM screening activities, which can assist in the early detection of pre-diabetic individuals (Wong & Sabanayagam, 2020). Furthermore, improving telehealth and telemedicine services can increase medical care access, particularly for people with physical constraints.

The effectiveness of the improvement plan will be evaluated through outcome measures, such as a drop in new DM cases among adult community members (Gregg et al., 2023). Evaluating the frequency of adult participants in screening sessions and individuals transforming their eating habits and physical activity levels can aid in determining the plan’s efficacy (Wong & Sabanayagam, 2020).

Plan for Collaboration with Community Organization

Collaboration with the local medical facility is essential to effectively implement the health improvement plan for adult DM patients. Community-based medical facilities often develop connections and confidence in the community; thus, DM patients can readily depend on them. Local medical facility staff are entirely acquainted with the community’s requirements, ethical principles, cultural customs, social codes, and possible challenges to providing medical care. Regional medical centers’ support and assistance for the plan can boost credibility and efficacy and promote wider community acceptance (Tremblay et al., 2021).

Sharing of Thoughts and Visions

Developing respectful communication with the community groups entails scheduling frequent meetings, discussions, and open sessions. These interactions and communication enable participants to express their concerns and provide insights according to their real-life experiences, improving the program’s effectiveness (Burgess et al., 2023).

Involvement of Community Stakeholders

Community stakeholders are vital for achieving the improvement plan. Medical practitioners, fitness instructors, nutritionists, and health educators can all guide about healthy and active lifestyles and healthy eating habits. Collaboration and coordination with stakeholders can assist in establishing a comprehensive, multifaceted plan for controlling and avoiding DM (Rodrigues et al., 2020).

Effective Communication and Data Confidentiality

Transparent, respectful, and confidential communication is essential for plan success. All discussions and information sharing will obey Health Insurance Portability and Accountability Act (HIPAA) practices to protect confidentiality and security (Galvin & DeMuro, 2020). Complicated medical terms and conditions will be translated and simplified into several languages, as needed, to render the information accessible to every adult DM patient (Shin et al., 2021). 

Health Education Sessions

Health education sessions will be held to guarantee that all information is comprehended, irrespective of educational status. Educational interventions will also help adult DM patients enhance their self-efficacy and self-management skills. Furthermore, these tactics will help respect community members’ different language and academic experiences, fostering an approach to improve health outcomes (Jiang et al., 2019).

Value and Relevance of Resources

When establishing a community health improvement plan for adult diabetes patients, it is critical to use evidence-based tools. Incorporating evidence-based approaches enables the implementation of established procedures, leading to improved medical care. The collection and analysis of population health information, including incidence rates and DM warning signs, demonstrates the significance of evidence. For example, Suri et al. (2020), emphasize the necessity of healthy eating habits and the DASH diet strategy, the foundation for the plan’s dietary guidelines. Besides, an active lifestyle and physical activity aid in reducing the incidences of diabetes among adults. Moreover, research from Selvarajah et al. (2019), revealed the necessity of conducting regular diabetes screenings because early diagnosis leads to better outcomes by reducing complications and medical expenses.

Information Communication Technology (ICT) is also essential in the control of diabetes. According to Kesavadev and Mohan (2023), telemedicine and telehealth services are more effective ways to provide medical care to people who cannot access physical care services. These solutions enable remote consultations, surveillance, updates, and online instruction sessions, which help address and control diabetes. Additionally, mobile health apps are helpful resources for encouraging self-care of patients’ health, allowing people to play an integral part in managing diabetes. These programs can provide individualized physical activity routines, nutrition guidelines, and medication alerts, promoting compliance with the diabetes care plan (Islam et al., 2022).

Conclusion 

The comprehensive improvement plan can potentially improve community-based care of adult diabetes patients. The plan can reduce DM incidence by incorporating environmental and cultural sensitivity initiatives. Community involvement and stakeholder engagement are critical for the plan’s effectiveness.

References

Burgess, R. A., Shittu, F., Iuliano, A., Ibrahim Haruna, V., P., A. A. Bakare, Colbourn, T., Graham, H. R., McCollum, E. D., Falade, A. G., King, C., Ahmed, T., Samy Ahmar, Cassar, C., Adamu Isah, Adams Osebi, Abdullahi Magama, Ibrahim Seriki, T. F. Olowookere, & McCalla, M. (2023). Whose knowledge counts? Involving communities in intervention and trial design using community conversations. Trials24(1). https://doi.org/10.1186/s13063-023-07320-1

Campbell, J. A., & Egede, L. E. (2020). Individual-, community-, and health system–level barriers to optimal type 2 diabetes care for inner-city African Americans: An integrative review and model development. The Diabetes Educator46(1), 11-27. https://doi.org/10.1177/0145721719889338

CDC. (2024). National diabetes statistics report. | cdc.gov.  https://www.cdc.gov/diabetes/data/statistics-report/index.html

Galvin, H. K., & DeMuro, P. R. (2020). Developments in privacy and data ownership in mobile health technologies, 2016-2019. Yearbook of Medical Informatics29(01), 032-043. https://doi.org/10.1055/s-0040-1701987

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Geng, L. T., Kilham, J., & McLeod, K. M. (2020). Cultural influences on dietary self-management of type 2 diabetes in East Asian Americans: A mixed-methods systematic review. Health Equity4(1), 31-42. https://doi.org/10.1089/heq.2019.0087

Gregg, E., Buckley, J., Ali, M. K., Davies, J., Flood, D., Mehta, R., & HPAAC Collaboration. (2023). Improving health outcomes of people with diabetes mellitus: Global target setting to reduce the burden of diabetes mellitus by 2030. Lancet401(10384), 1302. https://doi.org/10.1016%2FS0140-6736(23)00001-6

Hwang, M.-J., Kim, J.-H., Koo, Y.-S., Yun, H.-Y., & Cheong, H.-K. (2020). Impacts of ambient air pollution on glucose metabolism in Korean adults: A Korea national health and nutrition examination survey study. Environmental Health19(1). https://doi.org/10.1186/s12940-020-00623-9

Islam, S. M. S., Mishra, V., Siddiqui, M. U., Moses, J. C., Adibi, S., Nguyen, L., & Wickramasinghe, N. (2022). Smartphone Apps for diabetes medication adherence: Systematic review. Journal of Medical Internet Research Diabetes7(2), e33264. https://doi.org/10.2196/33264

Jiang, X., Wang, J., Lu, Y., Jiang, H., & Li, M. (2019). Self-efficacy-focused education in persons with diabetes: A systematic review and meta-analysis. Psychology Research and Behavior Management, 67-79. https://doi.org/10.2147/PRBM.S192571

Kesavadev, J., & Mohan, V. (2023). Reducing the cost of diabetes care with telemedicine, smartphone, and home monitoring. Journal of the Indian Institute of Science, 1-12. https://doi.org/10.1007/s41745-023-00363-y

Lin, X., Xu, Y., Pan, X., Xu, J., Ding, Y., Sun, X., Song, X., Ren, Y., & Peng Fei Shan. (2020). Global, regional, and national burden and trend of diabetes in 195 countries and territories: An analysis from 1990 to 2025. Scientific Reports10(1). https://doi.org/10.1038/s41598-020-71908-9

Mirzababaei, A., Abaj, F., Hajishizari, S., Bahrampour, N., Noori, S., Barekzai, A. M., & Mirzaei, K. (2023). The association of Dietary Approaches to Stop Hypertension (DASH) with the odds of diabetic nephropathy and metabolic markers in women: A case–control study. BioMed Central Women’s Health23(1), 63. https://doi.org/10.1186/s12905-022-02140-y

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Parker, E. D., Lin, J., Mahoney, T., Nwanneamaka Ume, Yang, G., Gabbay, R. A., ElSayed, N. A., & Bannuru, R. R. (2023). Economic costs of diabetes in the U.S. in 2022. Diabetes Care47(1), 26–43. https://doi.org/10.2337/dci23-0085

Rodrigues, A. M., Haste, A., Penn, L., Bell, R., Summerbell, C., White, M., Adamson, A. J., & Sniehotta, F. F. (2020). Stakeholders’ perceptions and experiences of the national health service diabetes prevention programme in England: Qualitative study with service users, intervention providers and deliverers, commissioners and referrers. BioMed Central Health Services Research20(1). https://doi.org/10.1186/s12913-020-05160-2

Saeedi, P., Petersohn, I., Paraskevi Salpea, Belma Malanda, Suvi Karuranga, Unwin, N., Colagiuri, S., Guariguata, L., Motala, A. A., Ogurtsova, K., Shaw, J. E., B., D., & Williams, R. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International diabetes federation diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice157, 107843–107843. https://doi.org/10.1016/j.diabres.2019.107843

Selvarajah, D., Kar, D., Khunti, K., Davies, M. J., Scott, A. R., Walker, J., & Tesfaye, S. (2019). Diabetic peripheral neuropathy: Advances in diagnosis and strategies for screening and early intervention. The Lancet Diabetes & Endocrinology7(12), 938-948. https://doi.org/10.1016/S2213-8587(19)30081-6

Shin, T. M., Ortega, P., & Hardin, K. (2021). Educating clinicians to improve telemedicine access for patients with limited English proficiency. Challenges12(2), 34. https://doi.org/10.3390/challe12020034

Silva, P., Araújo, R., Lopes, F., & Ray, S. (2023). Nutrition and food literacy: Framing the challenges to health communication. Nutrients15(22), 4708–4708. https://doi.org/10.3390/nu15224708

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Suri, S., Kumar, V., Kumar, S., Goyal, A., Tanwar, B., Kaur, J., & Kaur, J. (2020). DASH dietary pattern: A treatment for non-communicable diseases. Current Hypertension Reviews16(2), 108-114. https://doi.org/10.2174/1573402115666191007144608

Tomic, D., Shaw, J. E., & Magliano, D. J. (2022). The burden and risks of emerging complications of diabetes mellitus. Nature Reviews Endocrinology18(9), 525-539. https://doi.org/10.1038%2Fs41574-022-00690-7

Tremblay, M. C., Bradette‐Laplante, M., Witteman, H. O., Dogba, M. J., Breault, P., Paquette, J. S., & Echaquan, S. (2021). Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives. Health Expectations24(2), 296-306. https://doi.org/10.1111%2Fhex.13168

Wong, T. Y., & Sabanayagam, C. (2020). Strategies to tackle the global burden of diabetic retinopathy: From epidemiology to artificial intelligence. Ophthalmologica243(1), 9-20. https://doi.org/10.1159/000502387

 

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