Carole could be referred to financial resource organizations like Women, Infants, and Children (WIC) to help her with some financial concerns. WIC helps moms and children under five with nutritional education, health referrals, and breastfeeding support and provides extra nourishment. Type 2 diabetes is a severe global public health issue that disproportionately affects the poor, especially Native Americans and Alaskans. In 2009, people eligible for the Indian Health Service (IHS) had a 16.1% age-adjusted diabetes prevalence, more than double that of non-Hispanic white individuals (Jiang et al., 2013). Large-scale public health interventions in Native American communities, such as the Diabetes Prevention Program (DPP), have proven that lifestyle modifications can prevent or delay the onset of diabetes for people at risk (Jiang et al., 2013). Healthy lifestyle change in the Native American community highly relies on trust and community collaboration. This will ultimately promote a positive outcome. Patient Info 44-year-old Native American and European female ten weeks post-partum diagnosed with gestational diabetes at 30 weeks pregnant with persistent hyperglycemia.

References

Alfadhli, E. M., MD, FRCP. (2015). Gestational diabetes mellitus36(4), 399–406. https://doi.org/10.15537/smj.2015.4.10307 Doenges, M. E. (2019). Nursing care plans guidelines for individualizing client care across the life span (10th ed.). F. A. Davis Company. Jiang, L., Manson, S. M., Beals, J., Henderson, W. G., Huang, H., Acton, K. J., & Roubideaux, Y. (2013). Translating the diabetes prevention program into American Indian and Alaska Native communities. Diabetes Care36(7), 2027–2034. https://doi.org/10.2337/dc12-1250 Kalbfleisch, P. J. (2009). Effective Health Communication in Native Populations in North America. Journal of Language and Social Psychology, 28(2), 158–173. https://doi.org/10.1177/0261927X08330607 Kumar, C. P. (2007). Application of Orem’s self-care deficit theory and standardized nursing languages in a case study of a woman with diabetes. International Journal of Nursing Terminologies and Classifications18(3), 103–110. https://doi.org/10.1111/j.1744-618x.2007.00058.x Mayo Clinic. (n.d.). Patient care & health information-Diabetes. Retrieved June 4, 2022, from https://www.mayoclinic.org/diseases-conditions/diabetes/diagnosis-treatment Mendes, L. C., Carvalho de Sousa, V. E., & s de Oliveira Lopes, M. V. (2011). Accuracy of diagnosis of the defining characteristics of ineffective family therapeutic regimen management. Acta Paul Enferm24(2), 219–224.

NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map

Patient and Family Educational Services. (n.d.). Communicating with your American Indian/Alaska native patient [pdf]. Culture Cues. https://www.lacrosseconsortium.org/uploads/content_files/files/American%20Indian.pdf Stotz, S. A., Charron-Prochownik, D., Terry, M. A., Marshall, G., Fischl, A. R., & Moore, K. R. (2020). Stopping gestational diabetes in American Indian and Alaska native girls: Nutrition as a critical component to gestational diabetes risk reduction. Current Developments in Nutrition.