Nursing Process
The quality of inpatient care for diabetes type II remains one of the major obstacles facing caregivers and nurses. Healthcare facilities “readmit many patients with diabetes a few days after they are discharged” (Pandya & Nathanson, 2009, p. 4). This has become a common challenge for individuals with diabetes type II. This situation has worsened because society gives little attention to the needs of diabetic persons (Healy, Black, Harris, Lorenz, & Dungan, 2013). Patients with “poorly controlled diabetes should be readmitted in hospitals and healthcare facilities” (Pandya & Nathanson, 2009, p. 3). According to Purdy (2010), readmission increases the costs incurred to provide quality health services. Society should support education, awareness, and home health nursing to help people manage diabetes.
Intervention, Implementation, and Evaluation
Readmission is a major challenge facing different socio-cultural groups in the United States. Re-hospitalization is also common among the elderly. The practice is also common in every disadvantaged neighborhood (Stone & Hoffman, 2010). Community workers and caregivers should address these social inequalities in order to address the needs of every group (Hines, Yu, & Randall, 2010). The workers should also focus on the health needs of re-hospitalized patients. Nurses should educate their patients about the best practices towards managing diabetes type II.
Healthcare institutions and medical homes should provide the best education to diabetic patients. The use of education and awareness can help individuals suffering from diabetes type II (Silow-Carroll, Edwards & Lasjbrook, 2011). The use of continued awareness and educational programs is sustainable. The practice will equip more patients with the best ideas and initiatives to deal with diabetes. Different societies have embraced the importance of educational programs and awareness campaigns for patients with diabetes. According to Martin and Lipman (2013), education and awareness can help diabetic patients manage their health conditions without readmission. Inpatient diabetes control and management programs should use the best concepts in order to empower every patient. According to Stone and Hoffman (2010), nursing education can result in better health outcomes among the targeted patients. The practice will reduce the number of re-hospitalized patients.
Homecare nursing can also offer appropriate solutions to patients with diabetes type II. The involvement of various medical practitioners and specialists can significantly reduce the chances of re-hospitalization. Homecare nursing helps diabetic patients receive the best medical support. Kirkman et al. (2012) observed that continued homecare nursing empowers and motivates every patient. The practice helps the patient embrace the best health practices. The individuals receive the best incentives and support in order to manage their conditions. Many scholars and researchers encourage every patient to be part of these practices (Aalaa et al., 2012). This situation explains why the number of home care nursing centers is on the rise in the United States and across the globe.
Study Approach
This study seeks to examine how nursing homes and outpatient organizations can address the problem of re-hospitalization for diabetic patients. The study will identify how continuous education and awareness can address the problems associated with diabetes. The study will present the best evaluation plan to ascertain whether these practices can help people with diabetes type II. I will use Martha Rogers’ nursing theory because it offers the best solutions for diabetic patients. According to Rogers, health does not necessarily mean the absence of diseases in the body (Benbow, 2009). The theory treats every human being as an essential part of the universe (Martin & Lipman, 2013). Nursing should examine the relationship between human beings and their surrounding environments. Martha Rogers’ theory can help nurses and caregivers provide the best ideas to individuals with diabetes. According to Martha’s nursing theory, nursing is both an art and science. Benbow (2009) explains how every patient can benefit from disease self-management practices. The practice will reduce the rate of readmission. Increased education opportunities for patients with diabetes type II will significantly minimize the risk of readmission. The completed study will provide the best practices and evidence-based ideas to help patients with diabetes type II.
Annotated Bibliography
Aalaa, M., Malazy, T., Sanjari, M., Peimani, M. & Mohajeri-Tehrani, M. (2012). Nurses’ role in diabetic foot prevention and care; review. Journal of Diabetes & Metabolic Disorders, 11(24), 2-6.
According to the authors, diabetes is one of the diseases receiving much attention within the wider healthcare system. Diabetes type II is common in every society. The article explains why disease management should start as early as possible. Nurses should be ready to detect the disease at its earliest stage. The approach will make it easier to provide the best education to the targeted patients. This practice will improve the health outcomes of the targeted patients and reduce the rate of re-hospitalization.
Benbow, D. (2009). Heart Failure: Educating Your Patient Can Help Prevent Readmission. Nursing Management, 40(9), 5-7.
The article supports patient education because it is the best tool to reduce the rate of readmission. Nurses and caregivers should deliver evidence-based, reliable, and timely care for diabetic patients. The first approach towards achieving this goal is by using the best nurse educators and caregivers. The practice can help many patients with various diseases. The approach will also decrease the level of hospital readmission. Nurses should educate their patients before discharging them. The practice will equip them with the best skills and ideas to manage their conditions and eventually reduce the rate of re-hospitalization.
Healy, S., Black, D., Harris, C., Lorenz, A., & Dungan, K. (2013). Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control. Diabetes Care, 1(1), 1-8.
The authors conducted this study to analyze the relationship between hospital readmissions and inpatient diabetes education (IDE). Formal IDE plays a significant role in managing diabetes type II. The practice was also associated with reduced frequency of all hospital re-hospitalization within one month. Some of the basic skills include injection of insulin and proper dietary practices. The authors support education and awareness as the best tools to equip patients (and their guardians) with the best ideas to manage diabetes type II. The practice will also reduce the chances of re-hospitalization.
Hines, P., Yu, K., & Randall, M. (2010). Preventing Heart Failure Readmissions: Is Your Organization Prepared? Nursing Economics, 28(2), 74-85.
The article explains why many organizations and hospitals are working hard to improve inpatient outcomes and performance in cardiovascular support. The authors support the implementation of new programs in order to manage different complications such as heart failure and diabetes. The current rate of readmission is associated with increased costs and the provision of poor healthcare support. The article explains why every hospital and healthcare organization should execute appropriate strategies and education programs in order to reduce the number of readmitted patients. The practice will make it easier for individuals suffering from certain terminal diseases and diabetes to manage their conditions successfully.
Kirkman, S., Briscoe, V., Clark, N., Florez, H., Haas, L., Halter, J., Huang, E., Korytkowski, M., Munshi, M., Odegard, P., Pratley, R., & Swift, C. (2012). Diabetes in Older Adults: A Consensus Report. Journal of the American Geriatrics Society, 10(1), 1-15.
The authors examine the importance of evidence-based research and practice to treat diabetes in senior citizens. The article supports the use of continued awareness and individualized treatment regimes for the elderly. Such recommendations are applicable in homecare centers and hospitals. This practice is relevant because many people in the country are suffering from different chronic diseases. This explains why caregivers should focus on the health needs of the group. Such recommendations are critical towards dealing with diabetes type II.
Martin, A., & Lipman, R. (2013). The Future of Diabetes Education: Expanded Opportunities and Roles for Diabetes Educators. The Diabetes Educator, 39(1), 436-446.
The article explores the opportunities and challenges associated with diabetes awareness and education. The authors wanted to understand the need for more diabetes educators. The practice will increase their roles in the management of different diseases such as diabetes. The authors encourage nurses to address every obstacle limiting continued diabetes education in order to support the targeted population. The authors also encourage diabetes educators to use evidence-based practices in order to acquire the best competencies and skills.
Pandya, N., & Nathanson, E. (2009). Managing Diabetes in Long-Term Care Facilities: Benefits of Switching from Human Insulin to Insulin Analogs. American Medical Directors Association, 10(1), 1-8.
Long-term care (LTC) facilities for patients with diabetes should focus on the health conditions of every person. The main requirement is to ensure the individuals receive individualized care. This explains why nurses and caregivers in LTC facilities should avoid not using the established medical guidelines because they target the general population. Every caregiver should promote the concept of insulin analogs in order to improve the health conditions of his or her patients. The use of awareness programs and homecare practices will reduce the costs associated with re-hospitalization.
Purdy, S. (2010). Avoiding Hospital Admissions: What does the research evidence say? The Kings Fund, 1(1), 1-28.
Purdy believes every emergency admission (and readmission) is preventable. This has become a major concern for every hospital and healthcare organization. The author goes further to explain how the best practices will help patients get the best medical support. The article offers some of the best practices such as the provision of proper care, continued patient education, and focus on individuals from marginalized societies and communities. The study findings also support diabetes self-management because it reduces the complications associated with diabetes. This will also reduce the rate of re-hospitalization.
Silow-Carroll, S., Edwards, J., & Lasjbrook, A. (2011). Reducing Hospital Readmissions: Lessons from Top-Performing Hospitals. The Commonwealth Fund, 5(1), 1-19.
This article gives a new dimension to the issue of hospital readmission and diabetes education. The authors begin the article by explaining why hospitals should be on the frontline to reduce the rate of re-hospitalization for patients with diabetes and other chronic diseases. Every healthcare organization should invest in patient education and quality improvement practices. It is appropriate for every hospital to use modern practices and evidence-based nursing strategies to manage diabetes. This practice will empower more patients and eventually reduce the rate of readmission.
Stone, J., & Hoffman, G. (2010). Medicare Hospital Readmissions: Issues, Policy Options, and PPACA. Congressional Research Service, 7(1), 1-37.
The government can reduce Medicare spending by minimizing hospital readmissions in the United States. As well, the practice will ensure patients get quality services from disease educators and community workers. Nurses and caregivers can improve the current situation by providing adequate information to patients, post-acute caregivers, and disease educators. The practice will ensure every diabetic patient complies with the best disease management practices. The approach will improve the patient’s health conditions and reduce the rate of readmission.