1 Diabetes Program Needs Assessment JaMara McDuffie Southern New Hampshire University Professor Barbara Cliff 2 Diabetes Program Needs Assessment Diabetes is a chronic, non-communicable disease that disproportionately affects the community's poor and middle-class residents. It has resulted in expense issues as well as a lack of commitment in its administration. Those with diabetes have to spend more money purchasing insulin and other controlling drugs (Dyson et al.,2018). The diabetes program caters to the requirements of diabetics and those at risk of developing diabetes. The research will look at current clinical management and find flaws in how people with diabetes and those at risk of developing the condition are cared for. People living with diabetes face stigma and have a limited knowledge of the necessity for quick measures to prevent complications like diabetic retinopathy. Based on the outcome of intervention mapping that I used to assess the diabetes management in the community and the surrounding hospitals, there is still confusion in the behavioral and lifestyle modifications to manage and prevent diabetes in the poor and the elderly (Raveendran et al.,2018). People aged 65 and up who have diabetes have had difficulty getting screened for diabetic retinopathy, a consequence of diabetes mellitus, because they are afraid of the light used in screening being damaging to them. Low stigma and misunderstanding about what diet diabetes patients and healthy people should eat highlight the need of diabetes screening and teaching not only in the hospital but also in the community. Testing people at risk of diabetes using a glucometer and implementing diabetic screening equipment on those who can't afford it will ensure that acceptable glycemic control may be maintained on a budget. Diabetes patients have a weakness of having low levels of selfefficacy and raised levels of stress, depression, and anxiety that negatively impact their public life (Malcolm et al.,2018). Planning for social support and comprehensive care before, during, 3 and after the program's implementation will guarantee that diabetes is effectively managed and that health-care spending on treatment is kept to a minimum. The program is developed with an understanding that goal for the management of diabetes is avoiding acute decompensation and late identification of complications. Patients presenting themselves at the emergency departments with already developed complications of diabetes like diabetic retinopathy have been rampant. Therefore, the development of the program will decrease complications, decrease mortalities and maintain a high quality of life through early detections and prevention (Raveendran et al.,2018). The later mentioned problems have been of concern in the situational management of diabetes in the community. Knowing how to control diabetes helps the diabetes patient save money and reduce the number of emergency admission and hospital visits (Raveendran et al.,2018). Proper management of the illness starts with knowing the right time to take the prescriptions. The patient is the one who is most active in caring for her health, thus management planning must include them heavily. Controlling one's glycemic level makes a person feel healthy, and any variations should be reported as once. I choose to conduct additional research on this disease based on two basic ideas of diabetes treatment. Self-regulation theory, a personal model in the management of diabetes, determines the behavior and emotional responses of a person to a disease (Eades et al.,2018). The theory guides diabetes by posing questions about what diabetes is, what causes it, why it develops, and what the clinical indications of diabetes are. The self-regulation approach also aids the diabetic in determining how long diabetes will last, the success of treatment measures, and the potential implications of the illness. 4 Adults and adolescents have held ideas and misconceptions regarding their diseases, according to previous studies. People's own opinions make it difficult for them to follow the medical and nursing management standards that are supplied to help them manage their situation. Personal beliefs have a role in the development of diabetes complications since most beliefs lead to a lack of self-care and a reduction in health-care activity. Some people use the personal diabetes model to manage their diabetes at home. Occasionally, management fails owing to a lack of knowledge or understanding. Education will help reduce the behaviors that do not promote diabetes management (Shariful,2018). The dual-process approach emphasizes the need of including the patient in the treatment process. Because diabetes patients must be actively involved in their care, the approach instructed me on this subject. Questioning the patient about diabetes parallels, for example, will get them more involved in-patient education and give them a better knowledge of their diabetes. The idea aids the patient in developing a diabetes management strategy that works for them. In conclusion, individuals must have a thorough grasp of diabetes in order to adequately care for themselves. Diabetes is tough to manage because of the myths and misunderstandings that surround it. The supply of clear instructions and suitable education aids in the management of misunderstandings and the reduction of diabetes's complications. I will guarantee that the general public has access to sufficient information. 5 Reference Dyson, P. A., Twenefour, D., Breen, C., Duncan, A., Elvin, E., Goff, L., ... & Watson, K. (2018). Diabetes UK evidence‐based nutrition guidelines for the prevention and management of diabetes. Diabetic Medicine, 35(5), 541-547. Eades, C. E., France, E. F., & Evans, J. M. (2018). Postnatal experiences, knowledge, and perceptions of women with gestational diabetes. Diabetic Medicine, 35(4), 519-529. Malcolm, J., Halperin, I., Miller, D. B., Moore, S., Nerenberg, K. A., Woo, V., & Catherine, H. Y. (2018). In-hospital management of diabetes. Canadian Journal of diabetes, 42, S115S123. Raveendran, A. V., Chacko, E. C., & Pappachan, J. M. (2018). Non-pharmacological treatment options in the management of diabetes mellitus. European Endocrinology, 14(2), 31. Shariful, I. M. (2018). Theories applied to m-health interventions for behavior change in lowand middle-income countries: a systematic review: telemedicine and e-Health. The diabetes program is a community health improvement effort that will help to reduce the community's difficulties. The research will necessitate resources to assist the community, state, health-care professionals, and study partners in implementing and evaluating the program to prevent and manage the disease. Strategy resources required for the program are diabetes clinical care improvement and lifestyle coaching and training resources (Allweiss,2019). Community health workers will assist in patient follow-up for the study, diabetes self-education and support staff will assist in educating patients on support needs for diabetes management, and pharmacists will assist in assessing the types of antidiabetics that are commonly used in the population are all human resources for this study. The study will also require diabetes screening instruments such as a glucometer and vital sign monitoring equipment. For preserving and tracking patient information, electronic health record technology and patient monitoring technologies are required. The financial study requirement will be in accordance with the budget for my program that has been set and authorized by the budgeting committee. Telehealth application in the study will assist me in diabetic retinopathy screening and implementing lifestyle change programs (Pyatak et al.,2021). I'll use the equipment for people who can't afford resources like glucometers and glucometer strips that can be purchased separately. A sample of the population to apply the resources will also help me restrict the amount of money I spend on acquiring and using resources to achieve my objectives. Some of the papers that gave an inadequate direction for my research have caused concern for the study. In my pilot research, I had to go above and beyond to compare the actual community experience with the data that existed in the community. However, the program's current progress has been uneventful. I've figured out how to overcome the majority of my research's flaws and roadblocks. References Allweiss, P. (2019). Diabetes and disasters: recent studies and resources for preparedness. Current diabetes reports, 19(11), 1-6. Pyatak, E. A., Hernandez, R., Pham, L., Mehdiyeva, K., Schneider, S., Peters, A., ... & Spruijt-Metz, D. (2021). Function and Emotion in Everyday Life with Type 1 Diabetes (FEEL-T1D): A fully remote intensive longitudinal study of blood glucose, function, and emotional well-being in adults with type 1 diabetes. JMIR Research Protocols.
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