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Diabetes Policy

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There is increasing health as well as the economic burden of diabetes and this has made the prevention approaches against this disease to be a major public health priority. Therefore, the public health policies need to move upstream towards the prevention or at least ensuring that there is a delay in the onset of type 2 diabetes. Several research studies have shown that intensive lifestyle modification and weight loss as essential approaches towards the reduction of the risk of developing type 2 diabetes (Burd et al., 2020). This discussion is therefore focused on the selected policy of community-based physical exercise and nutritional awareness programs to help in addressing the issue of diabetes in society.

This policy is providing the necessarily needed contract between the healthcare provider and community members including those who have already been diagnosed with diabetes disease. The policy supports the use of web-device to share key information with the community members about their diabetes conditions while at the same time monitoring the conditions of the individuals who have already been diagnosed with the disease (Cha, et al., 2017). The policy helps foster behavioral changes in terms of physical exercise, adoption of healthy behaviors by stopping smoking habits, and the improvement in the nutritional or eating habit of the population.

This policy is cheaper in terms of healthcare costs in managing the diabetic condition and the prevention of individuals with pre-diabetes condition from progressing to a diabetes condition. Usually, the lack of knowledge about diabetes conditions exposes individuals to a high risk of developing the disease. The diagnosis of individuals with this condition leads to complications such as cardiovascular diseases. The rise in the infection means that there is a rise in admission and an increase in morbidity and mortality (Cha, et al., 2017). The diagnosis of diabetes also leads to the long stay of the individuals in the facility thus raising the medical costs.

The major barriers associated with poor participation in physical exercise and healthy eating is linked with the lack of access to a low-cost community-based program, limited knowledge, reduced level of motivation, functional limitation, financial limitations, and environmental limitations. However, the primary intervention targeted at improving both physical and nutritional lifestyles in the community through education, health promotion programs, and low-cost nutrition programs helps in the improvement in the health outcome among the community members (Burd et al., 2020). This is important in the reduction of the cost associated with the diagnosis of this condition.

The cost of the policy since the implementation of such programs in the community occurs in the local facilities for example churches, multipurpose community facilities, senior centers, and faith-based organizations. These are public properties that can be used to educate the community about the disease, the importance of physical exercise, and the provision of the necessary resources that helps in the adherence to the guidelines concerning the nutritional requirements (Center for Disease Control and Prevention, n.d).

Healthcare professionals are required to ensure that the delivery of healthcare services is done in an equal manner without any form of discrimination. Diabetes patients especially in remote areas have the right to access quality healthcare. The healthcare ethical principle of beneficence and justice requires that the well-being and safety of the community members are promoted and they are provided with healthcare services that are beneficial to them. The policy is ensuring that the issue of health disparity related to diabetes management is addressed. It helps in empowering and mobilization the community resources and the residents. It ensures that there is an implementation of a systematic, sustainable, and clinically sound strategy to promote healthy behaviors, screening, prevention, health promotion, and treatment of both pre-diabetes and diabetes individuals (Liu & Kohlen, 2018). The policy is ensuring that there is the creation of an evidence-based strategy that yields the results for the community development thus helping in revealing the challenges that are being experienced by the community concerning the prevention, control, and management of the diabetes condition.

The relationship between this policy and others either in state, federal, national, or global

The policy of community-based physical exercise and nutritional awareness program is similar to the policies that are being implemented in the United States to ensure that the population or the community members are provided with diabetes self-management education and support. In the United States, such policies are aimed at providing evidence-based education to provide patients with the skills and knowledge that are needed to help in the management of their diabetes conditions (Center for Disease Control and Prevention, n.d). This policy helps reduce the healthcare costs that are associated with hospital readmissions and complications while at the same time ensuring that there is an improvement in the overall healthcare outcomes of the patients.

One of the states that have developed the policy is Arkansas which has developed the Arkansas Diabetes Prevention and Control Program. This program is funded by the Center for Disease Prevention and Control (CDC). It is intended to help in the reduction and the prevention of the burden of the diabetes condition in this state (Liu & Kohlen, 2018). The program has managed to bring together public and private partners for example in 2001 to ensure that the DSMES program is established in the counties that were being underserved. Through this effort, there has been the recruitment of the facilities and the provisions of the resources to the implementation of the program.

The proposed policy of community-based physical exercise and nutritional awareness program is similar to the program in Arkansas since it helps in ensuring that the individuals and communities with higher cases of diabetes and are being underserved are provided with the necessary help to ensure that there is a reduction in health disparity (Akanni eta al., 2017). It is also aimed at providing the knowledge as well as the skills that are needed to help in the successful management of the disease for the individuals who are already been diagnosed with the condition and prevention of exposure for the pre-diabetes individuals and others.

Advocacy Role

As a Christian, there are important roles to play in ensuring that the implementation of this policy is successful. One of them is through ensuring that there is a provision of the site where the community members can gather to receive knowledge about the nutritional and the physical exercise aspects in control and managing diabetes. As a nurse, the advocacy role would be played through sharing the information on physical exercise and nutrition and their importance in the prevention, control, and management of the diabetes condition. Another advocacy role would be to persuade the pharmacy to match the prices of the diabetic medicine to match with the economic status of the patients to enable them to receive the medication needed (Liu & Kohlen, 2018). Another advocacy role is planning educational assemblies, hand-out flyers, the performance of health screening, and the dispensation of the medication.

References

Akanni, O., Smith, M. L., & Ory, M. G. (2017). Cost-Effectiveness of a Community Exercise and Nutrition Program for Older Adults: Texercise Select. International Journal of Environmental Research and Public Health, 14(5), 545. https://doi:10.3390/ijerph14050545 Burd, G., Albright, S. A., Zina, A., & Alley, D. (2020). Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare Expansion of the National Diabetes Prevention Program Lifestyle Intervention. The Milbank Quarterly, 98(1), 172-196. https://doi.org/10.1111/1468-0009.12443 Center for Disease Control and Prevention. (n.d). Diabetes Policy Brief: Providing Diabetes Self-Management Education and Support For Rural Americans. https://www.cdc.gov/ruralhealth/diabetes/policybrief.html Cha, S.-A., Lim, S.-Y., Kim, K.-R., Lee, E.-Y., Kang, B., Choi, Y., & Ko, S. (2017). Community-based randomized controlled trial of diabetes prevention study for high-risk individuals of type 2 diabetes: lifestyle intervention using a web-based system. BMC Public Health, 17(1), 387. https://doi.org/10.1186/s12889-017-4283-y Liu, P.-Y., & Kohlen, H. (2018). Tensions in Diabetes Care Practice: Ethical Challenges with a Focus on Nurses in a Home-Based Care Team. In Care in Healthcare. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-61291-1_11