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This capstone project is focused on an in-depth analysis of my mother’s type 2 diabetes, which was recently diagnosed at Alhambra Hospital Medical Center, where I also work as a registered nurse. My mother is 60 years old and has been experiencing excessive thirst, unintentional weight loss, and tingling sensation in her toes and fingers. Upon laboratory investigation, her fasting blood glucose test of 280 mg/dL confirmed type-2 diabetes mellitus. Her past medical history revealed she was a hypertensive patient, which was under control due to consistent medication adherence. Delving into the lifestyle and personal history, it was found that my mother had been living a sedentary lifestyle with no adequate physical activity, frequent alcohol consumption, and intake of an unhealthy diet.
I selected this problem as the focus of my project because it is a global health issue, and half of the individuals with diabetes are older (Bellary et al., 2021). Moreover, this healthcare issue is particularly relevant to me both professionally and personally, as a large number of patients admitted to my hospital have chronic diseases, including diabetes. Diabetes kills 1.6 million people globally and is considered the top ten causes of death universally (Oguntibeju, 2019). Additionally, this healthcare problem holds significant value as the patient, in this case, is my mother, and I want to deliver the best nursing practices to treat her diabetes. Therefore, I will strive to create the best solution tailored to her preferences and health needs.
Diabetes mellitus can be well treated healthcare professionals such as physicians and doctors exhibit leadership in providing patient-centered care treatments. This involves considering patients’ preferences and healthcare needs while devising care plans and interventions. Moreover, healthcare professionals such as nurses can take leadership roles such as diabetes educator roles in providing patient education on diabetes management such as guiding on lifestyle changes, including diet and physical activity, and supporting these changes (Mercer et al., 2019).
Likewise, change in management is essential to treat diabetes, such as integrating technologies to facilitate diabetes care in terms of improving medication adherence and lifestyle changes. Furthermore, organizational changes such as fostering a culture of interdisciplinary collaboration, enhanced communication, and educating healthcare professionals on patient empowerment to promote diabetes self-care are essential roles of change management in diabetes (Barbosa et al., 2021).
NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution
The proposed intervention developed for my mother includes remote monitoring of diabetes and the provision of Diabetes Self-Management Education and Support (DSMES) through telehealth. Leadership strategies such as transformational leadership influenced the development of this intervention as it directed nurses in making decisions considering patients’ health needs and preferences and led to delivering patient-centered care through the devised intervention plan (Mushtaq et al., 2021). The change management strategies, such as changes in lifestyle modification for diabetes management, informed me about providing DSMES for my mother (Kloss et al., 2022).
Nursing ethics, such as beneficence and non-maleficence, also influenced the development of this intervention. Beneficence is related to a patient’s well-being and improved health through safe and effective care treatments. Non-maleficence directs healthcare providers not to cause deliberate patient harm and to be vigilant in delivering care treatments (Jokinen et al., 2020). These nursing ethics also guided me in preparing an intervention plan that promotes the well-being of my mother and improves her diabetes without causing her any harm (Jokinen et al., 2020).
Chronic healthcare issues like diabetes require a vast patient engagement in regular glycemic control and to improve health outcomes by preventing diabetes-associated comorbidities (Hong et al., 2020). Therefore, healthcare professionals must devise strategies that promote communication with patients and enhance their buy-in to promote adherence to the proposed treatment plan. These strategies include actively listening to patients about their health concerns to build a bond of trust and rapport, which will further improve their collaboration.
Furthermore, healthcare professionals must use plain and simple language to c