I need someone to do this cumulative project by Tomorrow. I will attach the essays that will be needed for this project.

Evidence - Based Practice Proposal

Section - C

February 9, 2021

Section C: Proposed Solution

The solution to the issue of concern is the community-based exercise/physical activity program. The effective process of managing diabetes mellitus among the population targets the process of changing unhealthy behaviors for example sedentary lifestyle and inactivity. People including those who have not yet been diagnosed with diabetes should be actively involved in the performance of aerobic exercise regularly. Aerobic activity bouts should be ideally taken at least 10 minutes with the objective of attaining 30 minutes per day or more. The community-based exercise/physical activity program is important since it targets neighborhoods, families, and other relevant social groups to help in increasing physical activity. The program involves the use of peer-support or group-based classes to promote a more active lifestyle among the targeted individuals (Collberg, et al., 2016).

The community-based exercise/physical activity program is realistic since it simply involves the dedication of time and commitment. According to Mendes et al (2017), the implementation of a community-based exercise program for middle and older patients with type 2 diabetes is cheaper. It helps in ensuring that the costly medication for the diabetes complication is prevented. It helps in the control and management of diabetes and cardiovascular risks. The development of a long-term community-based exercise program involves a lower cost (Mendes et al., 2017).

Some of the exercise activities such as yoga can be performed by individuals at their homes. Yoga can tackle the physiological aspect of diabetes and help to manage the disease and reduce the complication (Raveendran, Deshpandae, & Joshi, 2018). It is cheaper and involves a commitment of an individual to the program to help in the management and preventing exposure to diabetes. The short-term implementation of yoga-lifestyle is assisting in the reduction of the fasting plasma glucose among individuals with type 2 diabetes (Venugopal et al., 2017). good

Organizational Culture

The organization is committed to the improvement of the overall healthy behaviors to help in the reduction of the prevention of the exposure and management of chronic illnesses. One of the policies of the facility is to ensure that patients and the community population are empowered to actively take part in the management of their health. This is done through educating the patients on healthy nutrition and how to minimize the time being taken while seated or watching television. Parents are informed about the importance of ensuring that their children are restricted from over-spending their time watching television and taking fast foods. These activities and programs are therefore aligned to the community-based exercise/physical activity program since they are both aimed at improving the well-being and health of the population (Collberg, et al., 2016). good

The expected outcomes

There are several positive expectations from the successful implementation of the community-based exercise/physical activity program concerning the issue of diabetes. The expected outcome is the rapid drop in the incidence of type 2 diabetes and its complication. This, therefore, implies that there will be an improvement in the glycemic control, lipid profile, blood pressure, anthropometric profile, and reduction in the risk of coronary artery illness such as stroke and artery disease (Collberg, et al., 2016).

Method to achieve the outcomes

The first step in the implementation of the program is taking the baseline data in terms of sugar level range, the body weight, the HbA1C, the BMI, waist circumference, fitness test, values, muscular strength, and the values of HDL cholesterol will be taken. This is followed by the assessment of the individuals to help in designing the best type of exercise. This is followed by the training of the individuals by informing them about the frequency of the exercise, teaching them how to use the mobile applications to record their data for example blood sugar values before and after exercise. The individuals will then be allowed to take part in aerobic training, resistance exercise training, flexibility training, balance training, supervised and unsupervised training, and daily movement. The program continues for the next six months while the assessment on the effectiveness of the program by comparing the current and the previous values (Collberg, et al., 2016). Who will be doing all the measurements? Your clinic?

The potential barriers to the effective implementation are lack of time to take part in the exercise, lack of commitment, the inability of the participants to have access to the recommended foods since it might interfere with the effectiveness of the exercise concerning the glycemic values, and the lack of skills to use the applications on the mobile. It should not be assumed that all the individuals are well informed about the use of the application. Therefore, proper education and follow-up are required during the implementation process (Collberg, et al., 2016).

Outcome impact

The positive outcome from the implementation of the community-based exercise will be important in improving the quality healthcare outcome and well-being of the population. It will ensure that the population is empowered in managing their health and prevention of the risk factors. It will ensure that there are changes in the consumption habit and a reduction in the level of sedentary lifestyles. It will not only help in the reduction of the complication of diabetes and the risk of being diagnosed with type 2 diabetes but also reducing exposure to hypertension and obesity (Collberg, et al., 2016).

References

Collberg, S. C., Sigal, R. J., Yardley, J. E., Riddel, M. C., Dunstan, D. W., Dempsey, P. C., . . . Tate, D. F. (2016). Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. America Diabetes Association, 39(11), 206-2079. doi:10.2337/dc16-1728

Mendes, R., Sousa, N., & Reis, V. (2017). Implementing Low-Cost, Community-Based Exercise Programs for Middle-Aged and Older Patients with Type 2 Diabetes: What Are the Benefits for Glycemic Control and Cardiovascular Risk? International Journal of Environment Research and Public Health, 14(9), 1057. https://doi.org/10.3390/ijerph14091057

Venugopal, V., Rathi, A., & Raghuram, N. (2017). Effect of short-term yoga-based lifestyle intervention on plasma glucose levels in individuals with diabetes and pre-diabetes in the community. Diabetes & Metabolic Syndrome. Clinical Research and Reviews, 11(2), S597-S599. https://doi.org/10.1016/j.dsx.2017.04.010

Raveendran, A., Deshpandae, A., & Joshi, S. (2018, August 14). Therapeutic role of yoga in type 2 diabetes. Retrieved February 09, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145966/#:~:text=Yoga%20practices%20such%20as%20cleansing,in%20significant%20positive%20clinical%20outcomes.