Technology, Care Coordination, and Community Resources Considerations
Part 1
Health care technology has evolved rapidly in recent years, and this has had a profound impact on the care of patients with diabetes. Coordination of care has become increasingly important as different specialists are now able to share information and work together more effectively. Diabetes is a chronic condition that requires ongoing medical attention. In order to effectively manage the disease, it is essential to have coordinated care between multiple providers. A coordinated care team can help to ensure that patients receive the necessary screenings, medications, and lifestyle support. In addition, coordinated care can help to identify potential complications early, preventing serious health problems down the road. For these reasons, the role of coordination of care is essential in the treatment of diabetes. By working together, healthcare providers can help patients to manage their diabetes and live long, healthy lives.
In addition, community resources such as support groups and educational materials have become more widely available and can play a vital role in helping patients to manage their diabetes. While medication and regular doctor visits are important for managing diabetes, community resources can also play a vital role in treatment. Support groups provide an opportunity for people with diabetes to share information and give and receive support from others who understand what they are going through. Educational materials can help people with diabetes learn about how to best manage their condition and understand their medications. When people with diabetes have access to these resources, they are more likely to stay compliant with their treatment plan and experience better health outcomes. All of these factors can help to improve the quality of care for patients with diabetes and lead to better health outcomes.
Part 2
For my second 2 hours of my practicum I again met with my patient and his son. I learned from them about how it had been going since meeting with the dietician, who helped the patient plan a diet that meets his needs. I learned also what the patient had been reviewing on the Internet about his condition, about support groups in the area, and about what he could do to self-manage his care. I answered questions that the patient and his son had about these issues. We looked at websites that discussed support groups for people with diabetes, and we looked at how web forums can be used so that the patient does not even have to leave his home to get support, share stories, and engage with others who are like him. We also again looked at the CDC (2022) website and the articles by the American Diabetes Association (2018), Carpenter and Smith (2018), Forouhi and Wareham (2019), as well as one by Reaven et al. (2019) that I had mentioned in my last visit and that the patient had looked up and read.
The plan to address the problem has not changed based on my experiences in this second session. However, it has shown me how important technology can be for a patient engaged in self-care. The role of technology and support group forums in helping a person self-manage diabetes has been increasingly recognized in recent years. A growing body of research has shown that these tools can help people to better monitor their blood sugar levels, track their medication use, and make necessary lifestyle changes. In addition, support group forums provide a valuable source of information and support, which can be especially helpful for people who are newly diagnosed with diabetes. While Self-management of diabetes requires a significant amount of responsibility and commitment, the use of technology and support group forums can play a valuable role in supporting people with this chronic condition.
Impact of Healthcare Technology
The impact of health care technology on the patient with diabetes is significant. By enabling patients to more effectively monitor their blood sugar levels, health care technology has made it possible for people with diabetes to better manage their condition. In addition, health care technology has also played a role in the development of new treatments for diabetes, such as insulin pumps and continuous glucose monitors. These advancements have helped to improve the quality of life for people with diabetes and have made it possible for people with diabetes to live longer, healthier lives.
There is a great deal of evidence in the literature regarding the advantages and disadvantages of specific technologies useful in the treatment of diabetes. For example, some research studies have shown that insulin pumps can be very effective in helping to control blood sugar levels, while other studies have shown that pump therapy can be associated with a higher risk of diabetic ketoacidosis (Reaven et al., 2019). Similarly, some studies have shown that continuous glucose monitors can help improve glycemic control, while other studies have raised concerns about the accuracy of these devices. Overall, there is still much debate in the literature about which technologies are most effective for the treatment of diabetes, and more research is needed in this area (AuYoung et al., 2019).
In my nursing practice, I often see diabetic patients who struggle to control their blood sugar levels. Many of these patients use technology, such as glucose monitors and insulin pumps, to help manage their condition. The evidence is consistent with the technology use I see in my practice. For example, a recent study found that people with diabetes who used technology had better blood sugar control than those who did not use technology. This finding is consistent with what I see in my practice. Patients who use technology are often able to better control their blood sugar levels and avoid complications from their diabetes.
Barriers
The application of new technologies to the treatment of diabetes represents both an opportunity and a challenge. On the one hand, new technologies can provide powerful tools for managing diabetes and improving patient outcomes. On the other hand, these technologies can also be expensive and may require special training to use effectively. As a result, it is important to carefully consider the potential barriers and costs associated with the use of specific technologies before integrating them into a diabetes treatment program. Otherwise, the benefits of these technologies may be outweighed by the challenges they pose. In the context of this program, it is not foreseen that there will be any significant barriers in the use of technology as these tools are commonly accepted and evidence-based.
Care Coordination
Care coordination is an important aspect of managing diabetes. An effective care plan will include a team of health care professionals who can provide comprehensive care. Utilizing community resources can also be beneficial in assisting the patient in self-management of their diabetes. Education on proper nutrition, exercise and stress management are important components of diabetes management. Additionally, access to social support networks can help the patient to better cope with their chronic condition. Coordinating care and utilizing community resources can effectively address the needs of the diabetic patient (Carpenter & Smith, 2019). All of this is consistent with what I have seen in my own practice. The only barrier I see is trying to gain support from an online group if the members are not very active. That could be a problem, but with some luck and effort, the patient may find the right forum that meets his support needs.
State board nursing practice standards with regard to technology are not sufficiently defined at this time. However, Kentucky does recommend a program for controlling and preventing diabetes that will be and has been helpful thus far. In Pikeville, Kentucky, where this practicum is taking place, standards have begun to embrace telemedicine, which will open up more doors for the patient in terms of organizing coordinated care.
In terms of ethics, as a nurse, I am guided by a set of ethical principles that relate to the provision of care. These principles include beneficence, which calls for me to do what is in the best interests of the patient; autonomy, which respect the rights of patients to make their own decisions about their care; and justice, which requires that I distribute scarce resources in a fair and equitable manner. When addressing the problem of diabetes, these principles will inform my approach in a number of ways (Carpenter & Smith, 2018). First, I will use technology to help patients manage their condition and improve their outcomes. Second, I will coordinate care with other health care providers to ensure that patients receive the services they need. Finally, I will work with community resources to promote public health and prevent the development of diabetes. By adhering to these principles, I will be able to provide high-quality care that meets the needs of my patients.
References
American Diabetes Association. (2018). Economic costs of diabetes in the US in
2017.Diabetes care,41(5), 917-928.
AuYoung, M., Moin, T., Richardson, C. R., & Damschroder, L. J. (2019). The diabetes
prevention program for underserved populations: a brief review of strategies in the real world.Diabetes Spectrum,32(4), 312-317.
CDC. (2022). Type 2 diabetes. Retrieved from
https://www.cdc.gov/diabetes/basics/type2.html
Carpenter, R., & Smith, M. J. (2018). Living with diabetes in Appalachia: a focus group
study.Holistic nursing practice,32(4), 196.
Forouhi, N. G., & Wareham, N. J. (2019). Epidemiology of diabetes.Medicine,47(1),
22-27.
Reaven, P. D., Emanuele, N. V., Wiitala, W. L., Bahn, G. D., Reda, D. J., McCarren, M.,
… & Hayward, R. A. (2019). Intensive glucose control in patients with type 2 diabetes15-year follow-up.New England Journal of Medicine,380(23), 2215-2224.
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