NURS-FPX6030 CAPSTONE 5
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By treating diabetes in a full and individualized way, this intervention plan aims to stop the growing number of people aged 75 and above who have type 2 diabetes (T2DM). The plan's goal is to handle all the issues that crop up when T2DM is treated in older people. Approaches to intervention include normal evaluations, evaluations of frailty, patient-centered holistic healthcare, diet and lifestyle therapies, and a long-term lifestyle intervention initiative. With this plan, people will learn more about diabetes, stay healthy, and get help for older people who have type 2 diabetes.
Evaluation Plan
For people aged 75 or older with T2DM, the action plan's main goal is to make their well-being and health better in every way. At first, the main goal is to get better control of glucose, which is determined by decreasing HbA1c levels to achieve set targets. For the elderly with diabetes to stay healthy and avoid problems related to their disease, this clinical finding is very important. The approach also aims at dealing with levels of weakness, with the primary objective of decreasing them through individual ways of making changes. It is thought that making the elderly with T2DM stronger will help them live a better life and be more independent (Strain et al., 2020).
The goal of the evaluation plan is to look at how the action affected many areas, such as quality improvement, safety, instruction, oversight, and health promotion. With this study method, the first test will give you an overview of where you stand with the topics. Monitors will be in place all the time during the intervention to ensure that standard rules, frailty checks, and lifestyle medications are followed. After the workshop, there are and are going to be assessments that include both analyzing numbers and reading notes from people who were there. Levels of HbA1c and rates of weakness will be changed and used to measure how well the strategy worked. Patient feedback surveys will tell you a lot about how the care was received. According to Milky & Thomas III (2020), patient happiness is a key indicator of quality of care and is becoming more important. Careful attention is paid to how the strategy affects clinical outcomes, as well as the well-being and joy of the elderly with T2DM in general, in the evaluation plan. The plan aims to help create a complete model of care that can be used in different healthcare situations by meeting the many needs of this group of people. The intervention's effectiveness will be decided by a thorough review, which will help guide future changes and make sure it can be used in a variety of settings.
Discussion
Advocacy
The nurse is very important when it comes to pushing for and making changes in healthcare, especially those that aim to enhance the standard and experience of care (Scott & Scott, 2021). When it comes to taking care of older people with T2DM, the nurse is a strong supporter of patient-centered care, putting the needs of this group of people first. The action plan makes it clear that it is the nurse's job to encourage collegial cooperation by helping healthcare team members talk to each other and work together. The nurse makes sure that all of the needs of older people with T2DM are met by pushing for standardized assessment methods, frailty exams, and integrated care models. The intervention plan has a big effect on nursing practice because it focuses on person-centered care models and uses methods from different fields, like psychology and gerontology. This diverse method helps the nurse learn more about how people age and how that affects their diabetes care. The nurse's job goes beyond just providing medical care; they also need to learn cultural skills so they can care for older people in a way that respects their different backgrounds and tastes (Scott & Scott, 2021). The plan emphasizes smooth transfers, planned care, and considering social, informational, and organizational elements. These all make interprofessional teamwork stronger.
The action plan improves care standards and brings in evidence-based practices, which are good for the healthcare field as a whole. The plan helps improve health results and patient happiness by focusing on customized treatments and taking cultural factors into account. Long-term lifestyle changes programs and the use of technology are in line with current healthcare trends, making the system more efficient and easier to access (Guibert & Vázquez, 2022). In the end, the nurse's support and leadership in putting the intervention plan into action improved the care for older people with T2DM and set a standard for future progress in managing diabetes in the healthcare field.
Future steps
The current project that looks at how to handle T2DM in the elderly is a good start for making diabetes care better for this group. But there are a few things that could be done in the future to make a bigger difference in the lives of the people who are meant to be helped. The first thing that should be done is to keep evaluating and improving the action plan based on comments, new studies, and technological advances. Sugandh et al. (2023) say that ongoing evaluation and improvement of the intervention plan gives context, looks at how the intervention was carried out, and finds any new unintended pathways. This is important for understanding what happened in practice and finding ways to make things better. If the plan is updated often, it can be modified to suit the needs and wants of the elderly with T2DM as they change. To broaden the project's benefits, more attention can be paid to teaching and getting the community involved. Building connections with nearby community organizations, senior centers, and community organizations can help with promotion and make people more aware of diabetes and how to deal with it. New technologies like smart tech and mobile apps can also make it easier to watch from away and collect data in real-time (Vailati et al., 2020). These tools are part of the intervention plan because they help elderly individuals who have trouble getting around get help and push them into taking care of themselves.
Also, the project would be better if it focused more on steps that may assist those who are at risk of getting T2DM before they do. Those who are in danger of prediabetes can be found through teach-and-test programs in their communities. This way, they can get assistance early on to prevent or mitigate the progression of diabetes. The intervention plan can reach more people if it works with primary care doctors and community health workers (MacLeod et al., 2020). This will lead to a better and more complete way of treating diabetes. When it comes to care designs, the project might work with people who know a lot about taking care of older people and try out new ways to do things like residential care or video consultations. This way works with what elderly individuals are seeking and renders sure the treatment is more focused on the patient and unique to each person. To make the project useful, it needs to keep up with new tools and try new ways to do things. It may additionally serve as a model of how to improve care for elderly individuals with diabetes.
Reflection on leading change and improvement
Specifically, the project on managing T2DM in older people has had a big impact on how I think about leading change and growth, both in my work and in possible future leadership roles. As a nurse, this project has made me realize how important it is for nurses to drive good changes in the way healthcare is provided. As a result, I have a better knowledge of how difficult it is to create and carry out treatments that meet the special needs of groups of patients, like older people with T2DM. Putting together the action plan while thinking about academic underpinnings, partners, policies, and social effects has made me a better leader. It taught me a lot about how important it is for people from different fields to work together, communicate clearly, and put the needs of the patient first when trying to make changes in healthcare situations. So, I'm better prepared to push for solutions that are based on data and put the patient first in my daily work.
Once the remedy, execution, and assessment plans are finished, they provide a full outline that can be changed and used in different healthcare settings to boost quality. Goals for healthcare as a whole are met by putting a focus on person-centered care, cultural awareness, and using new tools. The project has made me more aware of how important it is to keep evaluating and improving treatments so that they can keep up with how healthcare is changing. When I become a leader in the future, I can use the skills I learned through this project to support projects that put patients first, follow ethical rules, and encourage healthcare workers to work together. Taking care of the many parts of a large healthcare action has taught me how to lead change well, considering the different needs of patients and healthcare workers. In general, this project is a key part of my ongoing development as a healthcare worker and leader dedicated to making good changes in patient care.
In conclusion, the intervention plan for managing T2DM in over 75-year-olds is a strong way to deal with the many problems this group of people faces. The plan aims to improve health promotion, quality improvement, prevention, education, and management for older people with T2DM through a comprehensive approach that includes standardized assessments, frailty assessments, patient-centered integrated care, dietary and lifestyle therapies, and long-term lifestyle intervention programs. It is crucial to maintain an eye on the approach and be open to making sure it works, as the review plan says. Seniors with T2DM are better cared for by healthcare professionals including you whose work helps, directs, and uses methods that have been clinically shown to work. Plus, you have high standards for health care. To make it even more helpful, the next step is to improve the action plan, get more people involved, make the most of the newest technologies, and pay extra attention to safety. For better care for the elderly with diabetes, the outcomes of the project and ideas for how to use and evaluate them are very helpful. They are dedicated to focusing on patients, and culturally aware, and technologically advanced healthcare methods.
References
Guibert‐Lacasa, C., & Vázquez‐Calatayud, M. (2022). Nurses' clinical leadership in the hospital setting: A systematic review. Journal of Nursing Management, 30(4), 913-925. https://doi.org/10.1111/jonm.13570
MacLeod, M. L., Hanlon, N., Reay, T., Snadden, D., & Ulrich, C. (2020). Partnering for change: How a health authority, physicians, and communities work together to transform primary healthcare services. Journal of Health Organization and Management, 34(3), 255-272. https://doi.org/10.1108/JHOM-02-2019-0032
Milky, G., & Thomas III, J. (2020). Shared decision-making, satisfaction with care, and medication adherence among patients with diabetes. Patient education and counseling, 103(3), 661-669. https://doi.org/10.1016/j.pec.2019.10.008
Scott, S. M., & Scott, P. A. (2021). Nursing, advocacy, and public policy. Nursing ethics, 28(5), 723-733. https://doi.org/10.1177/0969733020961823
Monami, M., Candido, R., Pintaudi, B., Targher, G., & Mannucci, E. (2021). Improvement of glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. Nutrition, Metabolism and Cardiovascular Diseases, 31(9), 2539-2546. https://doi.org/10.1016/j.numecd.2021.05.010
Strain, W. D., Down, S., Brown, P., Puttanna, A., & Sinclair, A. (2021). Diabetes and frailty: an expert consensus statement on the management of older adults with type 2 diabetes. Diabetes Therapy, 12, 1227-1247. https://doi.org/10.1007/s13300-021-01035-9
Sugandh, F. N. U., Chandio, M., Raveena, F. N. U., Kumar, L., Karishma, F. N. U., Khuwaja, S., ... & Sugandh, F. (2023). Advances in the management of diabetes mellitus: a focus on personalized medicine. Cureus, 15(8). https://doi.org/10.7759/cureus.43697
Vailati Riboni, F., Comazzi, B., Bercovitz, K., Castelnuovo, G., Molinari, E., & Pagnini, F. (2020). Technologically-enhanced psychological interventions for older adults: A scoping review. BMC geriatrics, 20(1), 1-11. https://doi.org/10.1186/s12877-020-01594-9
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