Diabetes Report: Analysis of Diabetes Mellitus in Bottlebrush Hospital

This report analyzes the challenges faced by Bottlebrush Hospital due to the increasing number of diabetes mellitus patients, leading to extended hospital stays and increased treatment costs. The report begins with an introduction and background that highlights the prevalence of diabetes in Australia, the different types of diabetes (Type 1, Type 2, and gestational diabetes), and the financial strain on hospitals. It outlines the aims of the report, including exploring diabetes risk factors, analyzing symptoms, examining complications, evaluating hospital management strategies, and recommending ways to restrict the analysis of the most common groups of diabetes mellitus. The report also details the data analysis strategy, emphasizing the use of quantitative data analysis from hospital records to analyze patient information such as length of stay, medications, and discharge codes. It also mentions the use of qualitative analysis through literature review to understand the causes, symptoms, and risk factors of diabetes mellitus. The report concludes by summarizing the major problems faced by the hospital and the data analysis strategy used to address the problem. The report is based on the provided case scenario and includes an introduction, background, aims, data analysis strategy, and conclusion, along with references in APA 7th edition format.

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TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................3
Background..................................................................................................................................3
Aims or questions........................................................................................................................5
Data Analysis Strategy................................................................................................................6
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................7

INTRODUCTION
Diabetes has become one of the most prevalent long-term conditions occurring in
approximately 90-95% of the people in Australia. This is occurred when the body is not able to
produce the most important hormone insulin due to which the blood sugar levels in the person
rise (Thevarajah and Simmons, 2019). The report will shed light on the background of the
problem which is faced by the hospitals because of the long stay of the patients with diabetes
after surgery which increases the costs of the treatment and which is incurred by the hospitals. It
will also develop certain aims which will be achieved as the solution of the problem. The data
analysis strategy will also be highlighted for analysing the data except the primary data because
there is no extra funding for surveys and questionnaires.
Background
Diabetes mellitus is considered to be a disorder in which the body becomes unable to
produce enough insulin or respond to them which increases the blood sugar levels in the body.
This disorder not only impacts the patient but also the healthcare systems in Australia. The
prevalence and incidence of the diabetes mellitus in the people of Australia is increasing day by
day in recent years. The impact of Diabetes mellitus basically increases the social as well as the
financial costs which are basically caused by macro-vascular as well as micro-vascular
complications along with the history of the disease. There are basically three types of diabetes:
Type 1, Type 2 and gestational diabetes (Nagle and et.al., 2018). These types of diseases are
basically the type of endocrine disease. In Australia, diabetes has become the most common
disease among all the endocrine disorders. Due to this, the patients suffering from diabetes
mellitus are increasing in the hospitals. The hospitals in Australia have limited facilities and they
are now not becoming enough for the number of patients. The complications of this disorder are
many such as kidney failure, heart disease, vision loss, lower-extremity amputations etc. The
diagnosis rates and the spending related to the disorder is continuing to grow. The total health
investment and the costs for the treatment for the people having diabetes is becoming out of
pockets of them (Kilgour and et.al., 2019). The rates of insulin are also increasing day by day
which force the lawmakers and the consumers to give attention to the insulin affordability
especially for the people who are living on the same.
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Type 1 diabetes which is also known as juvenile diabetes is mostly diagnosed in the
children and the young adults when the body is unable to produce insulin. There is no particular
treatment for this type of diabetes instead it requires daily injections of insulin and monitors the
blood glucose levels. Type-2 diabetes is the type of diabetes which is most common in Australia
which is present in more than 90-95% (Simmons and et.al., 2018). This is why the blood glucose
levels rise because of not managing the insulin properly. Gestational diabetes is another type of
diabetes mellitus which develops during pregnancy and also leads to complications for both the
child and woman.
The patients also received surgery because of this but also diagnosed with the Diabetes
Mellitus and due to this, the managers evaluated that the increase in the complexity is leading to
the increase in the length of the stay of the patients which is why the costs of the treatment is
increasing. There are many adverse outcomes which occur due to this disorder and these
outcomes can only be managed by post-operative care and the surgical procedures. These
procedures require a lot of investment and money in the treatment (Kilgour and et.al., 2019). The
managers of Bottlebrush Hospital Executive are unaware of the fact that how many patients are
facing secondary diagnosis of diabetes. They even do not know the difference between the
surgical patients and the other patients.
They even do not know the difference between the length of the stay of the patients with
principle diagnosis and the secondary diagnosis. They mostly focus on the patients of their own
ward and are unaware of the characteristics and the patterns of the patients in other ward. This is
observed in Australia that the patients are suffering from Diabetes Mellitus and not with the
Gestational Diabetes or the Diabetes Insipidus. It is must for the managers of the hospitals like
The Bottlebrush Hospital Executive and the Casemix manager to restrict the analysis for the
relevant diagnostic group (Thevarajah and Simmons, 2019). It is must for them to seek guidance
and also they need to make plans for the longer-term to address the needs of the hospital.
The hospital must have the facilities to address the issues of the patients and
simultaneously must try to reduce the cases of the people suffering from diabetes mellitus. The
prevalence of type 2 diabetes is increasing day by day in Australia which leads to the growth in
the commodities. This will also lead to increase in the costs of the healthcare which creates a
need for better approaches for achieving the glycemic control and managing the comorbid
conditions. There is also a need of the drug therapies which can help in enhancing the patient
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adherence and also persistence levels which are greater than the existing drugs which are
available. There is also a need of improving in adherence to the treatment guidelines and
modification in the greater rates of lifestyle. Serious unmet needs exist to improve the outcomes
of the patients which can be achieved by more tolerable and more effective drugs. There needs to
be improvement in the treatment guidelines and the drug therapies for impacting the healthcare
costs and the resource use more positively (Potter and et.al., 2020).
The increasing prevalence of diabetes impacts significantly on the use of healthcare
services especially the hospitals is the major concern for the health planners. The main risk of
hospitalisation in the people with diabetes is associated with the gender, age, household income,
BMI, smoking, health, well being and the physical activity. The treatment of the people whose
income is very low and could not afford the treatment is incurred by the hospital and managed by
the case mix manager which is becoming a major problem for the hospitals. They need to make
longer term plans for solving the problem so that they can help in minimizing the cases of the
people suffering from Diabetes mellitus and also improve the facilities in the hospital so that
they can manage the patients and provide them with the facilities so that it can lead to more
improved outcomes of the patients and the quality of life.
Aims or questions
 To explore the disorder of Diabetes Mellitus in the people along with its risk factors which
are found in patients of Bottlebrush Hospital.
 To examine the common and less common types of diabetes.
 To analyse the symptoms of the different types of this disorder i.e., diabetes mellitus due to
which the patients stay longer in Bottlebrush hospital.
 To explore the complications of diabetes mellitus.
 To evaluate the ways in which diabetes can be managed by the hospital settings of
Bottlebrush hospital.
 To analyse the problems faced by the managers by the increasing of patients suffering from
diabetes mellitus in the hospital.
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 To examine the impact of larger length of stay in hospitals regarding the financial aspects of
Bottlebrush hospital(Callaway and et.al., 2019).
 To recommend the strategies which can be used by the managers of Bottlebrush hospital to
restrict the analysis of the most common group of diabetes mellitus.
 To analyse the need for the long terms plans to address the immediate needs of hospital for
managing the higher number of people suffering from diabetes mellitus.
Data Analysis Strategy
The quantitative data analysis must be used which can help in gaining the data from the
hospital. This will help in evaluating the data of the patients which are suffering from diabetes
mellitus and how many of them are analysed after principal analysis and how many are after the
secondary analysis. This will help in achieving the aims and objectives. This can be done by
analysing the spreadsheet regarding the information of the patient such as the length of the days
they spend, drugs given to them, gender, discharge, readmit code and many more other factors.
These will be analysed for gaining the information of the patients of Bottlebrush Hospital. The
data will be presented in the form of pictures, graphs, pictorial representations, figures etc. This
will help in analysing the data through thematic analysis. Qualitative analysis can also be done in
order to know the concept of diabetes mellitus, its causes, symptoms and risk factors (Potter and
et.al., 2020). This can be done by gaining the views from various literatures regarding the
disorder and the official sites can also be used to gain its prevalence in the specific country
which is Australia. Greater amount of data can be obtained by the hospital where the detail of the
patient is mentioned along with the days they spend in the hospital as clinical stay. This will help
in gaining deep insights about the patient and their overall data which will help the hospital to
improve their facilities and also tries to minimize the analysis of such disorder.
CONCLUSION
The above report concluded about the major problems faced by The Bottlebrush Hospital
and its managers due to the increasing in the number of diabetes patients because of that the
length of their stay is increasing which is costing much greater for the hospital. The report
presented the background of the disorder and the problem which is faced by the casemix
manager to manage the financial data of the hospital. Various aims were made which were
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achieved throughout the report regarding the problem mentioned due to the patients suffering
from Diabetes mellitus. Valid and systematic data analysis strategy was highlighted which can
help in analysing the data available from the hospital in which there is no funding for collecting
the primary data through questionnaires and surveys.
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REFERENCES
Books and Journals
Callaway, L. K. & et.al., (2019). Probiotics for the prevention of gestational diabetes mellitus in
overweight and obese women: findings from the SPRING double-blind randomized
controlled trial. Diabetes Care. 42(3). 364-371.
Kilgour, C. & et.al., (2019). Postnatal gestational diabetes mellitus follow-up: Perspectives of
Australian hospital clinicians and general practitioners. Women and Birth. 32(1). e24-
e33.
Nagle, C. M. & et.al., (2018). The association between diabetes, comorbidities, body mass index
and all-cause and cause-specific mortality among women with endometrial
cancer. Gynecologic oncology. 150(1). 99-105.
Potter, J. M. & et.al., (2020). Strict preanalytical oral glucose tolerance test blood sample
handling is essential for diagnosing gestational diabetes mellitus. Diabetes Care. 43(7).
1438-1441.
Simmons, D. & et.al., (2018). The treatment of booking gestational diabetes mellitus
(TOBOGM) pilot randomised controlled trial. BMC pregnancy and childbirth. 18(1). 1-
8.
Thevarajah, A., & Simmons, D. (2019). Risk factors and outcomes for neonatal hypoglycaemia
and neonatal hyperbilirubinaemia in pregnancies complicated by gestational diabetes
mellitus: a single centre retrospective 3‐year review. Diabetic Medicine. 36(9). 1109-
1117.
Thevarajah, A., & Simmons, D. (2019). Risk factors and outcomes for neonatal hypoglycaemia
and neonatal hyperbilirubinaemia in pregnancies complicated by gestational diabetes
mellitus: a single centre retrospective 3‐year review. Diabetic Medicine, 36(9), 1109-
1117.
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