Identification Of Issue Significant To Nursing Practice II

Submission Ide: 8873e36e-1f80-4560-bc16-ba7b58c58da5

42% SIMILARITY SCORE 6   CITATION ITEMS 10   GRAMMAR ISSUES 0   FEEDBACK COMMENT Internet Source   0% Institution   42%

Makoya Suomie

Capstone Project Topic Selection and Approval

Summary

 879 Words  

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Community Education

Problem Description

Diabetes is a serious health condition affecting many people in the United States.

Community Education

Student's Name

Grand Canyon university

NRS-493-0505

DR. Vernon Thacker

02/21/22

Diabetes involves a metabolic disorder that happens because of elevated levels of bloodstream

glucose. Type 2 is the most common diabetes type and happens when the human body becomes

resistant to insulin or when the body does not generate adequate insulin (Rooney et al., 2021).

Without interventions for lifestyle changes, including the community teaching on the topic to

reverse the condition, patients are at risk of developing more chronic health complications.

Community teaching programs to improve the population’s understanding of the need for healthy

diets, regular body exercise, and maintaining a healthy weight can assist in bringing to normal

the levels of blood sugar (Echouffo-Tcheugui & Selvin, 2021). When poorly controlled, diabetes

mellitus results in severe consequences, leading to a broad rage body tissue and organs damaged,

including kidney, heart, nerves, and eyes. According to Moonesinghe et al. (2018), diabetes risk

factors include overweight, large waist size, unhealthy diets, 45 years and above, inactivity,

ethnicity and gestational diabetes, smoking, and obstructive sleep apnea.

Context

Diabetes is very prevalent in the United States, with 37.3 million Americans suffering

from the condition. However, 8.5 million people in the country are unaware that they have

diabetes (Zhu et al., 2019). This demonstrates that 14.7% of the US population is diabetic. The

prevalence of diabetes increases with age: 29.2% of people aged 65 years and above are diabetic.

18.9% of American aged between 45 and 64 years have diabetes, while 4.8% of those aged

between 18 and 44 suffer from the condition too. About 15.4% of male adults have prediabetes,

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while 14.1% are women. According to Zhu et al. (2019), diabetes shows disparity along ethnic

and racial lines, with the disease being more prevalent among the Black non-Hispanic group with

a prevalence of 17.4%, followed by Asian non-Hispanic, Hispanic with 15.5%, and then the

Whites non-Hispanic ethnic group with 13.6% prevalence.

Impact of Diabetes

Diabetes has both health and psychological effects on the patient. The patients are at

higher risk of stroke, heart disorder, and cancer. The condition can lead to psychological distress,

including signs and symptoms of depression, apathy, anxiety, and insomnia. Diabetes patients

experience hyperglycemia, which can impair pancreatic beta-cell function and contribute to

impaired secretion of insulin. As a result, there is a vicious hyperglycemia cycle contributing to

an impaired state of metabolism. Chronic hyperglycemia leads to nonenzymatic glycation of

lipids and proteins. Glycation damages the kidney, peripheral nerves, and retina (Lim et al.,

2021). This damage causes the classic diabetic complications of nephropathy, diabetic

retinopathy, preventable outcomes of dialysis, blindness, and amputation.

Significance of the Problem

Despite the high prevalence of diabetes in the United States, 8.5 million of the patients are

unaware that they live with the condition. Early diagnosis and increasing awareness are

important measures to address this health problem. Reversing diabetes is central to preventing

 Student: Submitted to Grand Canyon University

 assist, assistance (help): assist  help

 Student: Submitted to Grand Canyon University

 Spelling mistake: Moonesinghe

 Student: Submitted to Grand Canyon University

 Word repetition: Diabetes ...  Diabetes

 Spelling mista...: nonenzymatic  non enzymatic

 Spelling mistake: glycation  location

 Spelling mistake: Glycation  Location

 Student: Submitted to Grand Canyon University

associated health conditions and deaths. Diabetes prevalence is expected to increase if effective

interventions are not implemented. Technological advancement has changed the lifestyle of

many people, especially young people. In the past, most recreational activities involved outdoor

games, but today, the technology has to lead to films and video games, which makes people

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remain indoors with minimal physical activity, causing overweights, a risk factor for diabetes

(Sallar & Dagogo-Jack, 2020). The problems open more areas for further research, especially on

what causes the problem. Identifying appropriate interventions to prevent the problem is critical

to the healthcare system.

Proposed Solution

Increasing focus on community education on diabetes is an evidence-based intervention

for preventing and reversing diabetes. Health educational intervention encouraging diabetic

patients to eat healthy diets, engage in regular physical activity, lose excess weight, and avoid

smoking will help reverse the condition and prevent the associated chronic complications and

deaths. The community teaching plan can educate prediabetic patients on the best way to keep

their cholesterol and blood pressure under control (Sallar & Dagogo-Jack, 2020). Diabetes is

prevalent in the US; therefore, the community teaching intervention will help medical

professionals improve awareness of the condition and encourage the community to adopt healthy

lifestyles and diets, therefore preventing type II diabetes, which is among the leading causes of

death in the US.

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References

Echouffo-Tcheugui, J. B., & Selvin, E. (2021). Prediabetes and what it means: the

epidemiological evidence. Annual Review of Public Health, 42, 59-77.

Moonesinghe, R., Beckles, G. L., Liu, T., & Khoury, M. J. (2018). The contribution of family

history to the burden of diagnosed diabetes, undiagnosed diabetes, and prediabetes in the

United States: analysis of the National Health and Nutrition Examination Survey, 2009–

 Spelling mistake: overweights  overweight

 Spelling mistake: Sallar  Smaller

 Student: Submitted to Grand Canyon University

 Spelling mistake: prediabetic  diabetic

 Spelling mistake: Sallar  Smaller

 Student: Submitted to Grand Canyon University

2014. Genetics In Medicine, 20(10), 1159-1166.

Rooney, M. R., Rawlings, A. M., Pankow, J. S., Tcheugui, J. B. E., Coresh, J., Sharrett, A. R., &

Selvin, E. (2021). Risk of progression to diabetes among older adults with prediabetes.

JAMA internal medicine, 181(4), 511-519.

Sallar, A., & Dagogo-Jack, S. (2020). Regression from prediabetes to normal glucose regulation:

state of the science. Experimental Biology and Medicine, 245(10), 889-896.

Zhu, Y., Sidell, M. A., Arterburn, D., Daley, M. F., Desai, J., Fitzpatrick, S. L., ... & Ferrara, A.

(2019). Racial/ethnic disparities in the prevalence of diabetes and prediabetes by BMI:

Patient Outcomes Research To Advance Learning (PORTAL) multisite cohort of adults

in the US. Diabetes Care, 42(12), 2211-2219.