NURS FPX 6414 Assessment 2 Proposal To Administration

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Assessment 2: Proposal to Administration
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Student Name
Capella University
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Prof Name
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Nov 10, 2023
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Learning Theories and Diversity: Proposal to Administration
Title: Enhancing Type 2 Diabetes Self-Management in Healthcare

Organizations
Introduction
Type 2 Diabetes (T2D) self-management necessitates a comprehensive approach involving
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collaborative efforts from healthcare professionals, nurses, and stakeholders to effectively
manage and control the condition (Winkley et al., 2020). Given the substantial number of
individuals diagnosed with type 2 diabetes in the United States, it is crucial for patients to
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acquire the requisite knowledge and skills for effective health monitoring. This presentation
explores various aspects of diabetes self-management systems within healthcare organizations,
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including blood sugar monitoring, adherence to balanced meal plans, and the implementation of
regular exercise regimens (Agarwal et al., 2019). The study aims to elucidate the rationale and
methods behind monitoring type 2 diabetes outcomes to enhance patient care.
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Rationale for Measuring Specific Quality Outcomes
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With over 500 million individuals grappling with type 2 diabetes in the United States, measuring
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specific outcomes is paramount for facilitating patient education on self-management through
diabetes self-management education (Adam, 2018). Diabetes Self-Management Education and
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Support (DSMES) programs, for example, provide patients with educational resources and
support to effectively manage their condition. The objectives of these initiatives are to empower
community members with increased self-awareness and foster positive self-management
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behaviors.
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Moreover, the Chronic Disease Management System (CDMS) plays a pivotal role in assisting
individuals in maintaining lower blood glucose levels, thereby mitigating complications. These
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measures not only enhance the quality of life for patients but also contribute to cost reduction in
healthcare settings (Agarwal et al., 2019). Additionally, outcome measures serve as essential
benchmarks for establishing a patient’s baseline.
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Benchmarks Associated with Specific Outcomes

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Benchmarks related to type 2 diabetes, as defined by the American Diabetes Association,

suggest that the majority of individuals in the United States with the condition should aim for an
acceptance rate of less than 7% (van Smoorenburg et al., 2019). Moreover, a significant
emphasis is placed on achieving a weight reduction of up to 15% through the efficacy of
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medications (Apovian et al., 2018). Furthermore, the patient mortality rate, currently at 5%,
remains relatively high, primarily due to suboptimal hospital care quality.
Evaluation of Data Measures and Trends

Several data measures and trends must be considered when evaluating this particular line of
service. Notable data measures, supported by available evidence, include:
● Early patient mortality rates.
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● Reduced life expectancy of patients.
● A type 2 diabetes readmission rate of approximately 25% in the United States.
● A direct correlation between lower education levels and increased disease prevalence.
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● A lower likelihood of diagnosis among highly educated individuals (Wu, 2019).
● Elevated risk of type 2 diabetes among Hispanic and black Americans compared to other
ethnic groups.
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Interpretation of Data in Relation to Benchmarks
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The incidence rate of type 2 diabetes has steadily risen in numerous Western countries over the
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past four decades, with little reduction in the current decade (Winkley et al., 2020). Recent years
have witnessed a decline in the incidence rate among middle-aged and baby boomer
populations, suggesting an increased risk of the disease among younger individuals over the
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past decade. Additionally, specific blood sugar level thresholds, such as values exceeding 140
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mg/dL, are indicative of abnormal or elevated readings. Levels exceeding 200 mg/dL signify a
higher likelihood of diabetes, underscoring the significance of type 2 diabetes self-management
programs in reducing readmission rates.
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Data Spreadsheet
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The World Health Organization highlights diabetes mellitus as a substantial global health
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challenge. Between the 1980s and 2015, the prevalence of diabetes among adults doubled from
4.7% to 8.5% (Agarwal et al., 2019). Notably, diabetes has ranked as the seventh leading cause
of death in the USA since 2019, accounting for approximately 87,647 death certificates (Adam,
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2018). The following datasheet presents statistics related to type 2 diabetes across different
racial demographics in the United States, considering factors such as education and racial
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disparities.
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Conclusion
The data analysis presented here underscores a strong association between individuals’
education levels and the prevalence of diabetes in the United States. Behavioral
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self-management is critical for both healthcare professionals and patients to curb the escalating
rates of diabetes. The data evidence suggests that diabetes diagnosis rates continue to rise
steadily in many countries, including the USA, primarily due to lower patient education levels
and racial disparities.
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References
Adam, L., O’Connor, C., & Garcia, A. C. (2018). Evaluating the impact of diabetes
self-management education methods on knowledge, attitudes, and behaviors of adult patients
with type 2 diabetes mellitus. Canadian Journal of Diabetes, 42(5), 470–477.e2.
https://doi.org/10.1016/j.jcjd.2017.11.003
Agarwal, P., Mukerji, G., Desveaux, L., Ivers, N. M., Bhattacharyya, O., Hensel, J. M., Shaw, J.,
Bouck, Z., Jamieson, T., Onabajo, N., Cooper, M., Marani, H., Jeffs, L., & Bhatia, R. S. (2019).
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Mobile app for improved self-management of type 2 diabetes: Multicenter pragmatic randomized
controlled trial. JMIR mHealth and uHealth, 7(1), e10321. https://doi.org/10.2196/10321
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Apovian, C. M., Okemah, J., & O’Neil, P. M. (2018). Body weight considerations in the
management of type 2 diabetes. Advances in Therapy, 36(1), 44–58.
https://doi.org/10.1007/s12325-018-0824-8
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van Smoorenburg, A. N., Hertroijs, D. F. L., Dekkers, T., Elissen, A. M. J., & Melles, M. (2019).
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Patient’s perspective on self-management: Type 2 diabetes in daily life. BMC Health Services
Research, 19(1), 605. https://doi.org/10.1186/s12913-019-4384-7
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Winkley, K., Upsher, R., Stahl, D., Pollard, D., Kasera, A., Brennan, A., Heller, S., & Ismail, K.
(2020). Psychological interventions to improve self-management of type 1 and type 2 diabetes:
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A systematic review. Health Technology Assessment (Winchester, England), 24(28), 1–232.
https://doi.org/10.3310/hta24280
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Wu, F. L., Tai, H. C., & Sun, J. C. (2019). Self-management experience of middle-aged and
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older adults with Type 2 Diabetes: A qualitative study. Asian Nursing Research, 13(3), 209–215.
https://doi.org/10.1016/j.anr.2019.06.002
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Title: Enhancing Type 2 Diabetes Self-Management in Healthcare

Benchmarks Associated with Specific Outcomes

Benchmarks related to type 2 diabetes, as defined by the American Diabetes Association,

Evaluation of Data Measures and Trends

● Early patient mortality rates.

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