Preliminary Care Coordination Plan

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Healthcare Concern

Type 2 Diabetes is a chronic disease that usually develops for years without having any clinical symptom. Apart from the United States, this is one of the most common type of diabetes around the world with the other two being Type 1 and gestational diabetes. According to the CDC ( 2019), Type 2 diabetes accounts for about 85-95% of the diagnosed cases in the United States.  Also, diabetes, in addition to other diseases of affluence that includes cardiovascular and obesity disease, is one of the major health concern in the United States. Statistics indicate that by 2025, the number of patients living with diabetes all over the world is going to increase to over 330 million (CDC, 2019). This will account to about 6.5% of the global population, and by 2035, it is possible that the number could rise to about 600 million.  In the united states, about 100 million adults are living with pre-diabetes or type 1 and 2 diabetes, according to the Center for Disease Control and Prevention statistics.  It is estimated that the number will continue to rise over the years.

Type 2 diabetes is a chronic disease that usually develops for years with no clinical symptom. It is one of the most common types of diabetes all over the world with other common types being gestational or type 2 diabetes.  This is because Type 2 diabetes accounts for 85% -95% of all the diagnosed cases (CDC, 2019).  This also includes other diseases of affluence that include cardiovascular and obesity diseases, which are a major healthcare concern in the 21st century.  

By 2025 it is also estimated that the number of patients administered to hospices due to the growing condition of diabetes is going to increase (CDC, 2019).  One of the main factors that contribute to the constant increase is the number of people with Type 2 diabetes is due to the changes in lifestyle, acculturation when it comes to immigrant Americans a and social and economic advancement including quick urbanization (Dellinger, 2018).  Some of these conditions are due to a sedentary lifestyle which does not conform to ensuring healthy nutrition that also includes eating large quantities of processed food, sugar, stress, and exhaustion.  The issue does not only apply to immigrant and minority groups but to Anglo Americans with medium or low social status of the common American (Goodlin, 2018).  The main issue is that the condition applies to the general American population, regardless of social status.  In this regard, diabetes is a health concern and an economic one as well because the biggest population falls among the middle-aged of professional and economic activity. 

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Health Goals for a care coordination plan in collaboration with the Patient.

In the United States, diabetes is growing to be a serious disease which can often be managed using physical activity diet and the appropriate use of insulin in addition to several medications to control the patient blood sugar. In this regard, the Patient under hospice care is often at risk of increased risk of several health complications that include vision loss, premature death, stroke, heart disease, amputation of the toes, legs or feet and kidney failure. 

One of the major care plan when it comes to hospice care for a patient with Type 2 diabetes will be to ensure that he or she avoided hypoglycemia which can be more important than only looking at the glycaemic control according to researchers.  In reference to the Goodlin, (2018) about 12% of diabetic patients under hospice care with Type 2 diabetes often reside in a nursing home will experience hypoglycemia in a couple of 180 days of admission and a glucose reading which should be under 70mg/dL.  In regard to severe hypoglycaemia, a glucose reading under 50mg/dL is likely to be experienced at about 5% of hospice patients in respect to nursing homes in about 180 days of admission as per Dekalb Medical Center, Address 2701, North Decatur Road Decatur,  GA 30033-5995, Tel (404) 294-8500.

It is possible that the risk can be greater for a patient that receives insulin were the cumulative incidence of about 38% is going to be much greater for hypoglycemia, and 18% of people in sever episode in about 180 days of admission, this includes the risk occurring during the first 20 days. The incidence of Hyperglycaemia is about 9%