Diabetes has become a health condition that it is affecting many citizens in the United States. Diabetes is among the lifestyle illness that America has been fighting against for decades. The health sector has made improvements in the medication methods of diabetes which has resulted in a good outcome. D.T, a forty-two-year-old woman, has been having diabetes over the past two years. She did not seek medical attention to establish the status of her condition. D.T has not been taking medication because she perceives that she is healthy. It is essential to formulate a management strategy that will assist D.T to enhance the quality of her life. The cultural practices of the victim are imperative to design a plan that covers their beliefs. Health promotion assists in implementing healthy practices among individuals. The follow-up and referral method is essential to determine the right medication of a patient.
Evidence-based Management Plan for Diabetes
Diagnostics
Concerning D.T's family history, her old brother and maternal grandfather were examined and found to have diabetes when they were the age of years. Over the past three years, D.T has been suffering from various infections, but she has not sought medical assistance. She has been treating herself with over-the-counter fungal cosmetics along with salt bath. D.T is addicted to nicotine because she smokes a packet of cigarettes every day. She started to take cigarettes at the age of sixteen years. Besides, D.T is suffering from high blood pressure, but she is under medication. The treatment administered by the physicians is not improving her condition. It is prudent for D.T to change her medication to enhance its effectiveness. Lastly, the presence of infections in the groin area and under her breast is an indication of a disease that has severe consequences. D.T does not do physical exercises to reduce her blood and fat levels. She eats food rich in fats and fine sugar.
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The patient education plan
D.T does not admit her diabetic condition because she believes she is healthy. She has taken any treatment despite acknowledging her diabetic condition. The first purpose of the education strategy is to assist D.T to appreciate the consequences of diabetes on the health of individuals. It is essential for her to begin taking treatment for diabetes. Secondly, she smokes cigarettes every day which is a behavior she should stop because of its contribution to her illness. D.T’s condition is not only brought by her family history but also her poor health conditions. It is significant to make sure that she stops smoking as time progresses (American Diabetes Association, 2015). The purpose of education is to make sure that the patient gains an understanding of the concept of her state and implement the fit lifestyle for healthy living (Sanchez, 2011).
The physical exercises and unhealthy foods are some of the factors that significantly influence the development of various illnesses. The education plan will consist of the different types of foods that the individuals should eat and the approach in which the physical exercises should be carried out. The program should give an outline of the importance of eating a balanced diet and physical activities (Powers et al., 2015). D.T should consume foods that contain a variety of fruits and vegetables because they are rich in vitamins which help in replacing the worn out tissues in the body. Besides, eliminating fast foods in D.T’s nutrition will assist in reducing the fats in her body. It will lead to the reduction of blood levels in D.T’s body. In the long-term, it will result in improving her overall health condition.
Cultural and Lifespan Considerations
At the age of forty-two years, D.T is still a young woman. She was found to have diabetes in her 30s, but her old brother and maternal grandfather were examined to have the illness in their 40s. When formulating the education plan, it is essential to take into account the matter that D.T is a young woman and has to live. This makes it significant to give D.T a chance to improve the processes that will result in the development of her health status. For example, D.T is young to begin road work for the development of her condition. It is essential for D.T to take part in the physical exercises to make sure that all the body parts function in a compelling way (Greehalgh, Howick & Maskrey , 2014).
Culture is essential making health decision for formulating appropriate plans that help in administering the proper medication to the victims. D.T is a Caucasian lady; it is significant to make choices that are in line with her beliefs and practices. D.T could have used self-management process to treat her condition due to the Caucasian methods. The education program will be aligned with the cultural expectations of D.T which will result in the improvement of her response towards her condition (Greehalgh, Howick, and Maskrey , 2014). A culture is a tool for giving direction on the strategies that a physician should create for the patient to get medical assistance.
Health Promotion
D.T’s medical state is not unique in the healthcare industry. Other people have illnesses that have been brought by their poor diet which include hypertension and cancer. The appropriate method for reducing the consequences of the diseases among people is transforming their lifestyles. Many individuals are exposed to health challenges as a result of taking drugs in large amounts. The foods that individuals consume contribute to the development of diabetes among other diseases. The patients do not enjoy perfect health after they get long-term conditions such as blood-pressure, diabetes, and cancer (Greehalgh, Howick & Maskrey , 2014). The termination of unhealthy diets and development of physical exercises leads to improving the victim’s quality of life.
Follow-up and Referral for D.T
The infected individual should seek medical attention in the hospital after two weeks for extensive analysis. In case there are no changes, the patients should go to referral facilities to access advanced medical care. Further, in situations where the state of the patient gets worse, there is a need for the patient to consult another health care center to examine their illness. The healthcare professionals are responsible for diagnosing an individual’s condition until they get the suitable medication. The patients should follow-up on the status of their disease for them to be relieved of pain and negative consequences of the diseases. The monitoring is essential in monitoring a patient's health progress (Boyden et al., 2014).
In conclusion, diabetes is brought by unhealthy diets and family history of the victims. Diabetes needs to be controlled to reduce its adverse effects on the individual. The first step to control the disease is to carry out a diagnosis of the patient’s health to establish the right illness. An education plan is essential to enlighten the victim on the background information of the disease and the preventive measures. The healthcare employees should take into account the cultural practices of the patient for them to design a strategy that fit into their culture. The follow-up and referral are crucial in the determination of the suitable treatment that is needed by the patient.
References
American Diabetes Association. (2015). Standards of medical care in diabetes—2015 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association , 33 (2), 97.
Boyden, T. F., Brook, R. D., Jackson, E., Rubenfire, M., & Eagle, K. (2014). Implementing new guidelines in the management of blood cholesterol. The American journal of medicine , 127 (8), 705-706.
Greenhalgh, T., Howick, J., & Maskrey, N. (2014). Evidence-based medicine: a movement in crisis?. BMJ , 348 , g3725.
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Journal of the Academy of Nutrition and Dietetics , 115 (8), 1323-1334.
Sanchez, I. (2011). Implementation of a diabetes self-management education program in primary care for adults using shared medical appointments. The Diabetes Educator , 37 (3), 381-391.
