NURS FPX 4900Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations PS Intervention Strategy 

Globally diabetic care management requires patient and family-provided self-management. Diabetes self-management education enabling the patient about medication adherence, blood glucose monitoring, crucial changes in dietary and exercise patterns (Pamungkas et al., 2017).  Education about the outcomes of the physical health, psychological and behavioral wellbeing of the patient and his family (Pamungkas et al., 2017). The education of family members is also important regarding dietary and medication measures, controlling, cholesterol and glucose concentrations. Insulin administration education reduces the load of hyperglycemia. (Zaharieva, D.P. and Riddell, 2017).

Policy Requirement 

Implementation of a screening program is necessary to prevent the early detection of disease. The high prevalence of diabetes and its microvascular complications in the younger generation has put an alarming need of the policy. The health sectoral early detection of the possible future risk can mitigate the disease before its progression (Khalil et al., 2017).  Technology-enabled diabetic self-management and assessment with self-management education of the patient and family members are required (Greenwood et al., 2017). 

Barriers To Strategy 

Patients with microvascular compilations often have long hospital stays for neuropathy and nephropathy complications. The intervention and strategy of treatment are often multifactorial. The health care providers ahs reported that they find certain barriers in the incorporation of the appropriate strategy. The main barrier observed is the lack of communication and decision-making ability of the family members (You et al., 2015). Often a crossroads is reached, the family members cannot make the tough decision. The implementation of appropriate measures requires communication and efficient decision-making ability. The provision of educational reinforcements and efficient technological tools has been a barrier in generating awareness and providing self-management diabetes alleviation guidelines (Adu et al., 2019).

NURS FPX 4900Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations PS

References

Khalil, H.,(2017). Diabetes microvascular complications—A clinical update. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 11, pp.S133-S139.

Zoungas, S., Woodward, M., Li, Q., Cooper, M.E., Hamet, P., Harrap, S., Heller, S., Marre, M., Patel, A., Poulter, N. and Williams, B. (2014). Impact of age, age at diagnosis, and duration of diabetes on the risk of macrovascular and microvascular complications and death in type 2 diabetes. Diabetologia, 57(12), pp.2465-2474.

Zhang, W., Liu, H., Al-Shabrawey, M., Caldwell, R.W. and Caldwell, R.B.