Summary
Type 2 diabetes mellitus is defined as one of the most dangerous chronic diseases in contemporary societies. It poses a significant challenge to manage for individuals, not because of a lack of treatment options but rather a population issue. Because families and patients typically accomplish managing diabetes, self-management is chosen as the best method to perform diabetes care. Nonetheless, a large number of individuals have a problem self-managing their care, necessitating new intervention measures to address the issue (Carpenter et al., 2019). Therefore, it is crucial to discern how interventions influence self-management actions for individuals with Type 2 diabetes. It is essential to consider that diabetes mellitus poses a problem for self-management because of the expenses involved in acquiring medication. These expenses pose a problem for the patient’s well-being as they have to work longer and experience illnesses such as fatigue, anxiety, and depression.
Self-management is the practice of dynamically conducting self-care actions while intending to boost an individual’s well-being and behavior. It includes measures such as planned physical activity, taking diabetes medication, meal planning, managing illness episodes, monitoring blood glucose, and determining high or low blood glucose (Carpenter et al., 2019). Treatment plans involving self-management are continually advanced in tandem with the consultation of various healthcare professionals such as pharmacists, dieticians, nurses, and doctors.
An individual should maintain a regulated glycemic control using the tenets of self-management to reduce the possibility of complications related to diabetes. Nonetheless, diabetic self-management and strict glycemic controls are distinct and could be confounded by concerns connected to treatment plan adherence (Carpenter et al., 2019). The majority of diabetes research indicates that many patients do not conduct proper self-management routines. Lack of commitment to a strict self-management process is known to derail patient progress and inhibit adequate handling of diabetes.
The Necessity to Address the Problem
Diabetes Mellitus poses a significant danger due to the limited awareness of every party involved. This qualitatively influences the care and treatment care effectiveness. If a patient poorly manages their health, their diabetes may adversely affect them more than their current state. The study is also critical as it illustrates the medical system’s absence of proper communication channels. It also defines the issue of limited time as individuals should access medicine within a particular time, barring which they face physical problems (Carpenter et al., 2019). These people may lack access to medical treatments due to faulty medical coverage or poverty. The disease also poses a problem for many individuals across the world because of the limited capacity for individuals to gain medication. Such issues impede the development of a good course of therapy when compounded, necessitating effective government, medical and patient intervention to prevent the proliferation of diabetes mellitus around the world.
Relevance of the Problem to Nursing and the Patients
Type 2 diabetes of a unique condition that is growing in prevalence; for instance, about 12% of Americans, accounting for 24 million individuals, have the illness (Konchak et al., 2016). Nurses are the primary healthcare professionals that offer care to these patients. Lack of proper self-care prevents people from knowing they need to have a special diet, come up with an exercise routine, have drug therapy, self-monitor their blood glucose levels, and monitor the psychosocial impact. Joint decision-making is also another significant component of self-management. Patients should develop a program with their nurses and families to prevent the illness from progressing and monitor it.
Nurses and patients should consider effective self-management behavior as a necessity to develop glycemic control. While Type 1 diabetes is check-list driven and prescriptive, self-management needs a shared and more cooperative approach. Nurses should teach patients to adopt an active position in their care (Carpenter et al., 2019). They should also realize their personal and autonomous preferences. These tenets align with the Nursing and Midwifery Council, which indicates that nurses should work together with patients, encourage them, and empower individuals in the community to offer their treatment and care decisions. It is essential to realize the importance of this problem to nurses and patients as they seek to adopt empowerment. Nurses should adopt a communicative approach that focuses on patient needs. The issue also illustrates the necessity for nurses to adopt a holistic stance, realize patient barriers to self-management and develop ways to address them.
Role of Leadership and Change Management
Leadership plays a major role in managing diabetes mellitus. Firstly, it prevents individuals from using a lot of sugar via taxation of the product. It is essential to consider the importance of leadership in providing the community with information on the illness. Many individuals without access to self-management knowledge benefit from community teachings on the disease. The leaders also conduct seminars to inform people about the dangers of Type 2 diabetes, promoting dialogue within the community to sensitize the community on its development, effects, and progression (Vana & Tazbir, 2021). Subsidization of medical products also helps patients access expensive medication at lower costs, eliminating the high burden of managing the disease.
Leadership and Change Management Strategies’ Influence on the Proposed Intervention’s Development
The proposed intervention requires a personal approach to diabetes mellitus management. Patients can only manage the illness if nurses provide them with adequate knowledge of the disease. They also need to monitor the patients during their hospital stay, developing a positive relationship that encourages them to communicate about any issue that may aggravate the disease. Leaders can contribute to the intervention by promoting policies that encourage nurses to offer comprehensive and personalized care plans that indicate the need for mental health and population needs as the patients are treated. They should encourage processes that promote collaboration, coordination, and accessibility of care at the right place and time (Vana & Tazbir, 2021). These policies also encourage physical comfort and emotional health for the patient. When developing treatment policies, leadership considers clients cultural norms, values, and socioeconomic statuses.
Role of Nursing Ethics
Diabetes mellitus affects many individuals without the capacity to access care. They are also unlikely to have good access to medicine and knowledge on self-management. They end up stressed and anxious, issues that worsen their conditions in the long run. A nurse’s duty is to help patients; therefore, as one of the most prevalent illnesses in America, it is vital to address the problem.
Intervention
Nursing care should introduce personal and comprehensive intervention methods to promote proper self-management of type 2 diabetes. However, despite the increasing number of individuals with the illness worldwide, the nursing community could give them the tools to mitigate the illness’s effects (Copeland et al., 2016). Good communication with patients and their families would help nurses improve their healthcare provision.
Communication and Collaboration Strategies to improve Problem Outcomes
Patients with type 2 diabetes are prevalent in the US. Healthcare initiatives to educate the communities could elicit a large number of potential patients. Nurses should use materials such as brochures, posters, and social media posts to disseminate information on the illness.
Patient
The patients include individuals with type2 diabetes. It is essential to consider that type 1 diabetes requires traditional methods. However, they have various similarities as Mellitus influences the families that have to support or lose aid from an individual due to the high medical costs involved.
Benefits of gathering their Input
The proposed intervention requires nurses to communicate constantly with the patient as they teach them self-management methods. Many patients without such knowledge indicate that nurses would need more time with these people to provide the information (Copeland et al., 2016). If individuals can manage their issues at home, they would alleviate patients from medical institutions and reduce the burden placed on nurses to help them with the illness.
Best-Practice Strategies
Nurses should use direct communication tactics, ensuring they make regular calls to patients to confirm they are adhering to the stipulated diet, exercise regimen, and other necessary issues for self-management (Copeland et al., 2016). Patients should also ask questions at home or the hospital concerning their illness’ management. Nurses should cultivate a positive and close relationship with patients to make them comfortable enough not to fear posing any questions.
Role of Governmental Policies
The CDC indicates the necessity for continual assessment (6 months) to improve patient outcomes. The government illustrates the importance of close nurse-patient collaboration in this intervention to develop efficient diabetes mellitus intervention methods (Sassen, 2018). It is also essential to establish policies that promote more communication between these groups and their families to chart the way forward as they seek information on self-management.
Existing Research on the Standards
Sassen states that communication between patients and nurses positively affects the development of diabetes mellitus in patients. The book also indicates that patients with timely and collaborative communication are likely to develop better self-management techniques (Sassen, 2018). They can also handle their illness better than their compatriots who do not communicate well with their nurses.
Enhancing Quality of Care, Patient Safety, and Reducing Costs
Patients with effective self-management techniques would have fewer medical costs as they would not visit the hospital as often. As the CDC requires one to see their nurse once every six months, they would only buy medicine for their illness during the other periods. Additionally, the patients and nurses would have more time together, allowing the patient to know more about the disease (Sassen, 2018). Furthermore, as the intervention would also include community education, these individuals would be able to avoid issues that lead to type 2 diabetes.
Role of Technology, Care Coordination, and Community Resources
Technology plays a major role in propagating information to different individuals in the community. During the covid-19 period, the nurses could use social media platforms such as Twitter and Facebook to inform patients of self-management tenets. Care coordination is also a good component of the intervention. It would allow patients and nurses to develop accurate meal plans and therapy periods to prevent patients from skipping their appointments or medicine.
In conclusion, self-management is an essential tool for type 2 diabetes management. Many individuals cannot care for themselves due to monetary issues influenced by high medical costs. However, nurses and the government should develop policies that help these individuals access hospitals and understand their illnesses to independently manage their disease from home.
References
Carpenter, R., DiChiacchio, T., & Barker, K. (2019). Interventions for self-management of type 2 diabetes: An integrative review. International Journal of Nursing Sciences, 6(1), 70–91. Web.
Copeland, B., Korenda, L., Korba, C., & Shukla, M. (2016). Turning the tide on diabetes management How leaders in health care are using multi-faceted approaches. Deloitte, 1–20.
Konchak, J. N., Moran, M. R., O’Brien, M. J., Kandula, N. R., & Ackermann, R. T. (2016). The State of Diabetes Prevention Policy in the USA following the affordable care act. Current Diabetes Reports, 16(6). Web.
Sassen, B. (2018). Nursing: Health education and improving patient self-management. Palgrave Macmillan.
Vana, P. K., & Tazbir, J. (2021). Kelly Vana’s nursing leadership and management. Wiley-Blackwell.