The American Nurses Association’s standards guided the formulation of this capstone project. According to these standards, the nurse should uphold professional competency when assessing, diagnosing, formulating, and initiating care plans and during follow-ups (MO.gov, n.d.). Also, nurses should embrace interdisciplinary collaboration and uphold healthcare ethics in their routine (MO.gov, n.d.). Furthermore, nurses should uphold the provisions of various standard treatment guidelines when managing different patient populations. These provisions enabled me to develop evidence-based interventions to manage the patients with type 2 DM. In addition, they enabled me to include various members of the interdisciplinary team in the management of the disease.
The Health Insurance Portability and Accountability Act of 1996 enabled me to leverage healthcare technology in patent management. This Act advocates for the privacy, security, and confidentiality of electronic patient information (Edemekong et al., 2022). The Act directs healthcare providers and other covered entities to prevent unauthorized access to personal health information unless when permitted by law (Edemekong et al., 2022). These provisions enabled me to protect and explore strategies for protecting personal health information when using telemedicine.
The intervention embraces pharmacological approaches and lifestyle changes. The pharmacological interventions are based on the American Diabetes Association’s guidelines. The pharmacological intervention aims to adequately control plasma glucose levels (Chung et al., 2020). Tight glycemic control improves patients’ safety by lowering the incidence of diabetic complications (Chung et al., 2020). Furthermore, tight glycemic control lowers the incidence of emergency department visits and minimizes hospitalization (Chung et al., 2020). This helps to lower healthcare costs incurred in the management of diabetes mellitus. This intervention acknowledges the need for patient education on medication adherence.
Notably, lifestyle changes are also based on the American Diabetes Association’s guidelines. To begin with, the Mediterranean-style diet promotes weight loss and improves glycemic control (Chung et al., 2020). This diet embraces fresh fruits and vegetables, carbohydrates with a low glycemic index, olive oil, and seafood (Chung et al., 2020). Additionally, aerobic exercises optimize insulin sensitivity and improve glycemic control (Chung et al., 2020). Furthermore, physical activity reduces the risk of other comorbidities, such as hypertension, that would worsen the prognosis of the disease (Chung et al., 2020). As such, lifestyle modification improves patient safety, minimizes hospitalizations, and lowers healthcare costs.
The Agency for Healthcare Research and Quality provides benchmark data on the quality of care and safety of patients with diabetes mellitus in the USA. The quality and disparity report targets all states. They report on thematic areas such as patient safety, holistic care, quality of care, and public access to healthcare (AHRQ.gov, n.d.-b). Also, the report focuses on ethnicities, poverty levels, and other social determinants of health (AHRQ.gov, n.d.-b). This data forms the basis of quality improvement plans. In this context, healthcare facilities gauge the performance of their metrics versus other healthcare facilities.
Telemedicine is an example of healthcare technology used in the management of type 2 diabetes mellitus. It promotes continuous patient monitoring, improves medication adherence, and promotes the timely initiation of interventions (Aberer et al., 2021). Continuous glucose monitoring systems and tele-retinal screening are examples of telemedicine technologies that promote remote patient monitoring (Aberer et al., 2021). They allow patients to gain control over their disease. Also, they eliminate the need for in-person visits. Smart pens, glucose diaries, mobile reminders, and alarms are examples of telemedicine technologies that optimize medication adherence (Aberer et al., 2021). Video conferencing and audio calls are examples of technologies that promote timely interventions (Aberer et al., 2021).
The interdisciplinary team accomplishes care coordination for patients with type 2 DM. This team comprises nurses, physicians, pharmacists, dieticians, and laboratory technicians; the team performs roles such as screening, formulation of evidence-based care plans, and patient education. Furthermore, the team is involved in availing accurate laboratory diagnostic results. This collaboration increases the quality of ca