Nursing Assignment | Optimizing Care in Chronic Condition
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Added on 2020-05-28
Nursing Assignment | Optimizing Care in Chronic Condition
Added on 2020-05-28
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Running head: OPTIMISING CARE IN CHRONIC CONDITIONOptimising care in chronic conditionName of the student:Name of the University:Author’s note
1OPTIMISING CARE IN CHRONIC CONDITIONPart A: Executive summary of policy and evidence supporting optimal care delivery forpeople with diabetes: Diabetes is a chronic disease condition resulting in uncontrolled blood sugar and seriousdamage to other body system with time. The burden of the disease is understood from the factthat diabetes has been the direct cause of 1.6 million deaths worldwide in 2015 (World HealthOrganization. 2017). In Australia, about 1.2 million people have been diagnosed with diabetesand the rate increased from 4.4% to 5.1% in 2014-2015 (Health.gov.au. 2016). The Australiangovernment implemented many policies to provide optimal care for people with diabetes andmeet complex health care needs of affected people. Some example of diabetes related policiesinclude the Diabetes Australia National Policy Priorities 2010 and the Australian NationalDiabetes Strategy 2016-2020. The Australian National Diabetes Strategy 2016-2020 is an example of national responseto diabetes across all levels of government and it was endorses by the Australian HealthMinister’s Advisory Council (AHMAC) on 2nd October 2015 (Health.gov.au. 2018). The mainvision of the National Diabetes Strategy is to strengthen all sectors in implementing coordinatedapproach to reduce social, human and economic impact of diabetes in Australia. It aimed toreduce the social and economic burden of diabetes by preventing and managing diabetes,improving diabetes service and use of primary care service, recognition of patient needs andcoordination of health care resource at all levels. The guiding principles for this goal includedcollaboration and cooperation, coordination and integration, facilitation of person-centered care,measurement of health behavior and minimization of health inequalities. To reduce the quality oflife of people living with diabetes, the Australian government planned developing agreed clinicalguideline, local care pathways and preventive programmes to support people with diabetes. The
2OPTIMISING CARE IN CHRONIC CONDITIONnational strategy also focused on improving access to self-management education programmeand peer support programme (Department of Health 2018). Evidence suggest that diabetes self-management education significantly improves the glycated hemoglobin (A1C) level in diabetespatient (Chrvala, Sherr and Lipman 2016). In addition, the focus on implementing integrated careservice is effective as Doherty et al. (2016) showed that integrated medical, psychological andsocial care in diabetes can reduce psychological and social co-morbidities of diabetes andimprove patient’s satisfaction level. Another evidence of policy aiming to fulfill complex health care needs of people withdiabetes includes the National Policy priorities 2010 that focused on better management andprevention of diabetes for all Australians. It priorities care of people with diabetes by severalstrategies like better accessibility to insulin pump, management of diabetes in aged care services,health literacy for people with diabetes and controlling junk food and sugar beverage advertisingand marketing. It was a comprehensive policy that addressed all types of risk factors and issuesthat increases challenges for people with diabetes (Diabetes Australia 2012). Hence, diverserange of intervention targeting lifestyle, physical activity, diet and other areas are effective insupporting people with diabetes and prevent diabetes. The above review of policy steps andevidence for providing optimal care are all patient centered care strategy, that hold promotes inreaching desired glycemic targets and improving patient’s quality of life (W Powell et al. 2015). Part B: Recommendation for patient and family’s care within one particular local healthdistrict within Sydney:The main purpose of this section is to provide recommendation for care of patient andfamily with diabetes in one particular health district within Sydney. The recommendations for
3OPTIMISING CARE IN CHRONIC CONDITIONcare is based on analysis of case scenario of Joel, a 13 years old teenager, who has beendiagnosed with type 1 diabetes recently and informed by the executive summary presented inpart A. Joel lives with his mother Kate and 16-year old sister in Western Sydney Local HealthDistrict. After the diagnosis of Type 1 diabetes, Joel’s mother is focused on supporting Joel’shealth holistically. This can be done by the implementation of patient-centered care plan for Joel.Patient centered care plan is the main determinant of high quality care and it improves thelikelihood of equal access to services and achieving good patient outcome. It is necessary forsupporting people with chronic illness to enhance satisfaction care, empower patient andholistically address health needs of patient (Berghout et al. 2015). Constant monitoring and careof patient and providing access to appropriate resource to influence health behavior are essentialto provide holistic care to patient. Patient-centered care is favored by all patient group (de Boer,Delnoij and Rademakers 2013). To recommend appropriate local health services to provideoptimal care to Joel, it will be necessary to identify social, health and psychological issues forJoel and suggest services to patient accordingly. The main health issue for Joel is the diagnosis of Type 1 diabetes and lack of knowledgeabout managing the condition effectively. He dislikes taking medications and wants to ceasetreatment so that he can live like a normal teen. Based on this information, Joel is in need ofsupport from local health care services for controlling his blood sugar level. Western Sydney is adiabetes hotspot and after the establishment of Western Sydney Diabetes (WSD) initiative,various private and non-government sector have come up to work with people with diabetes. AsJoel is a newly diagnosed diabetes patient, providing him the right treatment is important. Henceto control blood sugar level of Joel, it is recommended that he and his mother Kate should bereferred to general practice services or out-patient clinic to get relevant medication to manage
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