MSN FPX 6021 Quality Improvement Presentation Poster
Individuals of certain ethnicities are also at higher risk for type 2 diabetes. These comprise of:
African Americans 0NativeAmericans 0Asian Americans -Pacific Islanders –Hispanic Americans
Individuals are also more likely to experience type 2 diabetes if they have the following conditions:
acanthosis nigricans, a skin condition that makes the skin appear darker than usual
high blood pressure- greater than 139/89 mm Hg
elevated cholesterol
polycystic ovary syndrome (PCOS)
prediabetic or blood glucose levels that are higher than normal, but not at diabetes levels
triglyceride levels that are 251 or higher
Barriers to Type 2 DM management also come from high-income countries like the United States. These barriers mainly focus on the patients’ behaviors rather than considering the patients’ social and economic environment (Scheen, 2021). The application of effective interventions to avoid and manage diabetes in patients could be allowed if appropriate information of health care correlated factors are available.
Evidence on communications between access to diabetic resources could explain the variations of diabetes management over the already social inequalities and diabetes. Consequently, we need to address what obstacles patients with diabetes encounter, as well as their living situation, given that the barriers to diabetes maintenance may depend on their status. This new information will allow an improved design of interventions meant at appropriate diabetes management (Stanley,2018).
Diabetes self-management education and support (DSMES) services enables patients to access knowledge, learn skills, and provide decision making to optimize diabetes self-care and integrate the needs, life experiences, and goals of the individual with diabetes.
The general purposes of DSMES are to support informed decision-making, problem-solving, self-care behavior, and dynamic collaboration with the healthcare professional team to better the individuals’ clinical results, better health status, and welfare in a cost-effective manner (Butler & Kirk, 2020).
When trying to implement change for a patient with a prolonged diagnosis of diabetes, one method that has shown to be effective is called the Transtheoretical Model (TTM). This model is highly effective due to its many applications and stages of readiness for change, especially for nursing and its continuing evolution of practice. This model has been studied and developed for nearly 4 decades (Tatum, 2017). TTM also emphasizes on both bettering a person’s enthusiasm in those not ready to change their behavior and improve self-manage circumstances- and providing a change of behavior for people who are motivated.
THE TRANSTHEORETICAL MODEL: HELPING DIABETIC PATIENTS
MSN FPX 6021 Quality Improvement Presentation Poster
The Stages of Change
The stages of change most used across the TTM research areas comprise of:
Precontemplation—not anticipating changing the behavior to achieve the goal.
Example-Not modifying their diet or regularly exercising in the foreseeable future
Contemplation—showing intent to change the behavior to achieve the goal in the foreseeable future (inside 3 months), but not the immediate future (next 15 days);
Example- Having the individuals Hemoglobin A1c levels drop from 13 to 10
Preparation—showing behaviors and having intentions to change. The individuals’ goals and actions are in the near future and taking the necessary behavioral steps in the path to change.
Example- The individual gets a gym membership and is registered in the National Diabetes Prevention Program.
Action—A behavioral change has been made to achieve the goal. The level of the behavior has been completed within the past 3 months.
Example- The individual has hired a personal trainer and works out at the gym 5x a week. The patient has and has entirely changed his diet that is compiled of diabetic tips.
Maintenance—has been at the goal level of the behavior for 6 months or longer?
Example- The individuals Hemoglobin A1c level is now 9.0 and has followed a strict diabetic diet and exercise routine that has been maintained for over 6 months.
When trying to implement change for a patient with a prolonged diagnosis of diabetes, one method that has shown to be effective is called the Transtheoretical Model (TTM). This model is highly effective due to its many applications and stages of readiness for change, especially for nursing and its continuing evolution of practice. This model has been studied and developed for nearly 4 decades (Tatum, 2017). TTM also emphasizes on both bettering a person’s enthusiasm in those not ready to change their behavior and improve self-manage circumstances- and providing a change of behavior for people who are motivated.
THE TRANSTHEORETICAL MODEL: HELPING DIABETIC PATIENTS
The stages of change most used across the TTM research areas comprise of:
Precontemplation—not anticipating changing the behavior to achieve the goal.
Example-Not modifying their diet or regularly exercising in the foreseeable future
Contemplation—showing intent to change the behavior to achieve the goal in the foreseeable future (inside 3 months), but not the immediate future (next 15 days);
Example- Having the individuals Hemoglobin A1c levels drop from 13 to 10
Preparation—showing behaviors and having intentions to change. The individuals’ goals and actions are in the near future and taking the necessary behavioral steps in the path to change.
Example- The individual gets a gym membership and is registered in the National Diabetes Prevention Program.
Action—A behavioral change has been made to achieve the goal. The level of the behavior has been completed within the past 3 months.
Example- The individual has hired a personal trainer and works out at the gym 5x a week. The patient has and has entirely changed his diet that is compiled of diabetic tips.
Maintenance—has been at the goal level of the behavior for 6 months or longer?
Example- The individuals Hemoglobin A1c level is now 9.0 and has followed a strict diabetic diet and exercise routine that has been maintained for over 6 months.
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