PROBLEM million people diagnosed with diabetes and nearly 86

PROBLEM STATEMENT

Diabetes is one of the top 10 leading causes of death in the United States (National Center for Health Statistics, 2016). This multi-factorial chronic disease requires continuous glucose monitoring, behavior modification, and daily self-management. However, due to the complicated illness management and a lack of preventative approach, the morbidities and mortalities continues to rise (Powers et al., 2015). The recent statistics have shown that in the U.S. alone, there are 29 million people diagnosed with diabetes and nearly 86 million living with a pre-diabetic condition (Kirtland, Cho, & Geiss., 2015). The medical cost for diabetes management also heavily burdens the US federal budget. The estimated cost of diabetes in 2012 was $245 billion, including diagnoses, medical cost, management, and prevention (American Diabetes Association, 2013). Therefore, need for the implementation of comprehensive diabetes self-management education and support for diabetic patients is indicated.

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One of the Healthy People 2020’s leading health indicators is the clinical preventive services by achieving the reduction of Hemoglobin A1c (Hgb A1c) greater than 9 percent among adults 18 and over with diabetes (Healthy People 2020, 2017). In order to address this issue, the Polk Dalton clinic has implemented the Point-of-Care education project. The project includes, assessing barrier of diabetic management among patients with diabetes and help them to develop individualized care through promoting reactive interaction between both healthcare providers and the patients. These elements allow healthcare providers develop a daily healthcare plan to achieve long term self-care management goals.

 

SPECIFIC AIMS

The purpose of this project is to evaluate the effectiveness of the Point-of-Care education program for patients with diabetes at the Polk Dalton clinic to decrease the rate of health issues and complications related to uncontrolled patients. The primary aims are to:

·       Determine the demographics of diabetic patient population in the Polk Dalton clinic (Age, gender, financial status, marital status, age).

·       Assess the knowledge and confidence level of glycemic control management after 3 and 6 months among patients participating in a Point-of Care diabetic education.

·       Assess Hemoglobin A1c level after 3 and 6 months among patients participating in a Point-of Care diabetic education.

Concluding statement

Diabetes (DM) continues to threaten the health of the nation. Despite the advanced diabetic research, education, and medicine, the prevalence of diabetic patients continues to increase. Due to the dynamic nature of DM and the management process, patients often face new complicating factors, which leads to inadequate self-management. Evaluating the effectiveness of the Point-of-care diabetic care education at the Polk Dalton clinic may allow healthcare provider in this clinic to improving the diabetes management and bring positive changes in the health delivery system that can improve patient safety and the overall health outcomes.

 

 

 

References

 

Baptista, D. R., Wiens, A., Pontarolo, R, Regis, L., Reis, W.C., and Correr, C.R. “The Chronic Care Model for Type 2 Diabetes: A Systematic Review.” Diabetology & Metabolic Syndrome 8 (2016): 7.

 Hakkarainen P, Sund R, Arffman M,. (2017). Working people with type 1 diabetes in the Finnish population. BMC Public Health. 2017;17:805. doi:10.1186/s12889-017-4723-8.

McCance, K. L., & Huether, S. E. (2014). Pathophysiology: The biologic basis for disease in adults and children. St. Louis: Mosby

Kirtland, K. A., Cho, P., & Geiss, L. S. (2015). Diabetes Among Asians and Native Hawaiians or other Pacific Islanders–United States, 2011-2014. MMWR: Morbidity & Mortality Weekly Report, 64(45) 1261-1266. doi:10.15585/mmwr.mm6445a2

National Center for Health Statistics. (2016). Health, United States, 2015: With Special Feature on Racial and Ethnic Health Disparities. Hyattsville, MD. 1-435.

Powers, M.A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. Hess., Maryniuk, M.D., Siminerio, L., Vivian, E. Diabetes Educator 43(1) 40-53.