care plan for chronic illness

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Description

The Impact of Chronic Illness

Identify one person from the illness group you chose in Week 1. The person should not be a patient at the facility in which you work. You can use friends, family members, or coworkers. Do not use the person’s name in the paper but only initials. Administer the questionnaire you created in Week 1 to that person. Compile the data and analyze the responses to better illustrate where this person, his or her family, and friends are in relation to accepting the diagnosis in relation to the standard health or illness definitions. The analysis should also include coping skills, treatment, and support aspects of the illness. Identify how this will direct care plan development for the chosen illness group.

Compile a report of your interview with the questions you created, the responses you received, your analysis, and your interpretation of how it will affect planning care for the group in a 4- to 5-page Microsoft Word document.

Support your responses with examples.

Assignment components

Unsatisfactory

1

Emerging

2

Proficient

3

Exemplary

4

Score

Identified a person with the chronic illness.

Lacked the identification of a person with the chronic disease

Minimal identification of a person with the chronic illness.

Identified a person with the chronic illness.

Identified a person with the chronic illness thoroughly and in detail.

[Score x 8 = 32pts]

Administered questionnaire and analyzed the results.

Administered questionnaire with no analysis of the results

Administered questionnaire and analyzed the results incorrectly.

Administered questionnaire and analyzed the results.

Administered questionnaire and analyzed the results thoroughly and in detail.

[Score x 8 = 32pts]

Discussed responses to illustrate where the patient, his or her family, and friends are in relation to accepting the diagnosis and discuss the impact on the family from responses.

Discussed one response to illustrate where the patient, his or her family, and friends are in relation to accepting the diagnosis and discussed one impact on the family from responses.

Discussed two responses to illustrate where the patient, his or her family, and friends are in relation to accepting the diagnosis, and discussed two impacts on the family from the responses.

Discussed more than two responses to illustrate where the patient, his or her family, and friends are in relation to accepting the diagnosis, and discussed more than two impacts on the family from the responses.

Discussed more than two responses to illustrate where the patient, his or her family, and friends are in relation to accepting the diagnosis, and discussed more than two impacts on the family from the responses thoroughly and in detail.

[Score x 7 = 28pts]

Discussed how your analysis will direct care plan development for the chosen illness group.

Discussed analysis that did not have a direct care plan development for the chosen illness group.

Discussed analysis that will minimally have a direct care plan development for the chosen illness group.

Discussed how your analysis will direct care plan development for the chosen illness group.

Discussed how your analysis will direct care plan development for the chosen illness group thoroughly and in detail.

[Score x 7 = 28pts]


Written components.

Introduction is limited

or missing entirely.

Poorly organized document.

Transitions are infrequent, illogical, or missing entirely.

Conclusion is limited or missing entirely.

Writing contains numerous errors in spelling, grammar, or sentence structure that severely interferes with readability and comprehension.

No attempt at APA

formatting.

Introduction is present

but incomplete or underdeveloped.

Poorly organized document that interferes with readability and comprehension.

Transitions are sporadic.

Conclusion is present, but incomplete or underdeveloped.

Writing contains numerous errors in spelling, grammar, or sentence structure that somewhat interfere

with readability or comprehension.

APA format is attempted to paraphrase, quote, and cite, but errors are significant.

Introduction has a clear

opening, provides background information, and states the topic.

Loosely organized document that may have to be inferred.

Transitions are appropriate and help the flow of ideas.

Conclusion summarizes main argument and has a clear ending.

Writing follows conventions of spelling and grammar throughout. Errors are infrequent and do not interfere with readability or comprehension.

APA format is attempted to paraphrase, quote, and cite, but few errors are present.

Introduction catches the

reader’s attention, provides compelling and appropriate

background information, and clearly states the topic.

Well organized document with an appropriate introduction.

Transitions are thoughtful and clearly show how ideas relate.

Conclusion leaves the reader with a sense of closure and provides concluding insights.

Writing follows conventions of spelling and grammar throughout that helps establish a clear idea and aid the reader in following the writer’s logic.

APA format is used throughout when appropriate or called for.

[Score x 5 = 20pts]

Week 1 paper attached in file

Unformatted Attachment Preview

Running head: DIABETES 1 Diabetes Wendy Thompson South University October 8, 2017 DIABETES 2 Diabetes Introduction Diabetes is a chronic disease that develops when the pancreas fails to produce enough insulin or when the body’s ability to utilize the insulin produced diminishes. Insulin is the hormone that is responsible for regulating blood sugar in the body, and hence its lack of or its usefulness is not “identified,” the body ails. The state of having a constant high blood glucose level is regarded as hyperglycemia while its opposite is known as hypoglycemia. Either state can and usually cause serious damage to the body’s systems when left unattended either through medication or interventional management techniques. Diabetes was, in the past, regarded as an “old people” disease but that notion has been shelved as even newborn have been found to be suffering from it. It is no longer age-specific and affects peoples of all ages and class. The effect of diabetes is vast especially to both the person afflicted and the persons responsible for taking care of the sick person. The chronic characteristic of diabetes is found in its persistence and lack of a definite solution, either through medication or intervention measures. Usually, when a person is diagnosed with diabetes, it becomes a life condition that they have to learn how to manage through an improved lifestyle characterized by dieting and exercising and sometimes intake of medicine. The effect of diabetes as a 2020 objective makes it an essential and crucial condition in understanding its impact on the general population and the nation as a whole. Morbidity and Comorbidity of Diabetes There are three types of diabetes that are found in any large population like that of the United States; type 1, type 2, and gestational diabetes. Type one diabetes results from the body’s inability to produce enough insulin for efficient body utilization and requires daily administration of insulin. It is also known as insulin-dependent or juvenile diabetes. The cause of this type of DIABETES 3 diabetes is not known, and there exists no knowledge as to how it can be surely prevented from occurring. Type 2 diabetes result from the body’s inability to efficiently utilize the insulin released by the pancreas and is usually referred to as non-insulin-dependent diabetes. This is the most common type of diabetes ailing many people around the world and is generally as a result of excess body weight and physical inactivity. It was a condition that was only found in adults, but it is also being seen in children too (WHO, 2017). 8.5% of all adults that were 18 years and above in 2014 had diabetes with a statistic of 1.6 million deaths in 2015 as a result of diabetes. NHANES 1999-2004 report stated that 27% of those who have diabetes were overweight, while 67% were obese. 46% with type 2 diabetes have elevated lipid values while 67% had either uncontrolled hypertension of were under high blood pressure medication. Kidney chronic disease affects 40% of all patients who have diabetes with cardiovascular conditions being the leading cause of death for those who have diabetes. The heavy and demanding routine of diabetes patients is heavily associated with sleep disorders and depression while some of the studies suggest that some antidiabetic medications may be a cause of cancer (American Association of Clinical Endocrinologists, 2017). Impact of Diabetes Diagnosis of diabetes and its management can and usually leads to the occurrence of psychosocial problems. It is estimated that every one in every three diabetic patients often suffers from depression that hinders and impairs glycemic control, functioning, and the adherence to medical treatment. However, most of the problems associated with diabetes include sexual dysfunction, phobias, depression, adjustment disorders, eating disorders, and anxiety. Secondly, cultural issues occur that are brought about by religious convictions, lack of knowledge. Fatalism, barriers to diet and exercise interventions, language and obstacles to DIABETES 4 understanding, poverty, and skepticism. Cultural issues emerge due to treatment and management options that may differ with a patient’s cultural background especially when body weight drops and appearance changes. Diabetes also affects a family coping mechanism and its lifespan. Parents become concerned if their children might develop the condition in future and the changes that may come with it. There is also a concern in how the disease will affect life cycles such as marriage and child-bearing ability. The onset of diabetic complications leads to psychological challenges for the family members. Diabetes impacts negatively to the nation’s economy by increasing the burden of care to those responsible for the patients. This reduces their capacity and ability to function adequately and be productive members of the society. It also influences some resources the government redirects to the health sector with the aim of prevention, management and treatment research. It becomes a socially expensive affair to the state which hinders development and growth of the societies (Bedfordshire, 2017). Healthy People 2020 Goals and Objectives The goal is to reduce the burden that diabetes places on the afflicted and affected persons while at the same time improve the quality of life for those who have or are at risk of developing diabetes. The objectives of the healthy people 2020 goals include: 1. A reduction of new cases 2. A decrease in death rates as a result of diabetes 3. A reduction in diabetes-induced amputations 4. An improvement in glycemic control among those persons who have diabetes 5. An increase of lipid control DIABETES 5 6. Improve on the current status of people, suffering from diabetes, who seek regular screening for the different opportunistic conditions that occur. 7. Increase on diabetic education 8. Increase on prevention education that teaches those at risk at how to avoid developing diabetes (Healthy People.Gov, 2017). Diabetes Questionnaire Name: D.O.B: PID#: 1. When was the first time you were diagnosed with diabetes? Year {} age {} 2. List of medication (state dosage) (Avoid this part if no insulin is taken) If insulin pump is used jump to the pump section Time of injection units and type of insulin 3. Place of injection? Is rotation of injection sites done? Yes {} no {} Problems with injection site (pitting, lumping, swelling, etc.) 4. Do you regularly exercise? Yes {} No {} how many times a week? Exercise types Time of day and length of time Are there challenges with exercise-related low blood sugar? Yes {} no {} 5. Any diabetes complications? DIABETES 6 6. Do you smoke? Daily {} occasionally {} never {} stopped{} If stopped, how long ago? If you smoke, how many cigarettes per day? And for how many years? Consideration for stopping? Yes {} No {} 7. Do you drink alcohol? Yes {} No {} If yes, how much and how often? 8. Do you do blood sugar check? Yes {} No {} meter type and how often? 9. Latest results: hemoglobin A, C Month/year result Urine micro albumin month/year result Cholesterol month/year result Dilated eye exam month/year result 10. Low blood sugar lately? Yes {} No {} What time of day? Ever passed out or had had a low-blood seizure? 11. Lately, have you had symptoms of high blood sugar? Yes {} No {} which one? 12. Ever been hospitalized with infection? Yes {} No {} which one? 13. Ever been hospitalized for diabetes? Yes{} No {} If yes, date and which health institution: The problem that led to the hospitalization: 14. What is the most challenging of dietary management for you? 15. Ever had a session with a registered dietitian? Yes {} No {} when? 16. In what ways have you adapted to developing diabetes? 17. Due to your diabetic state, what have you recently felt? Angry {} sad {} scared {} stressed {} DIABETES 7 18. What are your goals while living with diabetes? 19. Have you recently visited a doctor for diabetes care? Who and when? Conclusion The effect of diabetes as a 2020 objective makes it an essential and crucial condition in understanding its impact on the general population and the nation as a whole. The understanding of diabetes, as a chronic disease, allows for the improvement of management, treatment, and prevention shortly. Today diabetes is among one of the conditions with the highest morbidity and mortality rates as lifestyles change and economic status improve. More so, it continues to cause psychosocial challenges to not only the inflicted but also the affected [persons responsible for taking care of diabetic patients. Its economic importance cannot be overlooked, and thus as outlined by the 2020 topics, diabetes management and education measures need to be enhanced to address diabetes as a chronic condition maiming our country’s workforce. DIABETES 8 References American Association of Clinical Endocrinologists. (2017). Management of Common Comorbidities of Diabetes. AACE Diabetes Resource Center. Retrieved on 7 October, 2017 from http://outpatient.aace.com/type-2-diabetes/management-of-commoncomorbidities-of-diabetes Bedfordshire. (2017). Diabetes - Psychological Effects & Emotional Support. Bedfordshire. Retrieved on 7 October, 2017 from http://bedfordshirediabetes.org.uk/guidelines/psychological-issues.html Healthy People.Gov. (2017). Diabetes. Healthy People 2020. Retrieved on 7 October 7, 2017 from https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes/objectives WHO. (2017). Diabetes Fact sheet. Retrieved on 7 October, 2017 from http://www.who.int/mediacentre/factsheets/fs312/en/. Updated July 2017.
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Explanation & Answer

Attached.

Report Analysis - Outline
I.
II.

Personal Description
Diabetes Questionnaire
Analysis

III.

Illustrations
Impacts

IV.

Direct Care Plan Development


Running head: REPORT ANALYSIS

1

Report Analysis
Name
Institution

REPORT ANALYSIS

2

Report Analysis
Personal Description
J.M is a 46-year-old gentleman who works and resides here, but hails from rural Texas.
He identifies himself as a Texan and is not shy to mention to every person who cares to listen.
He married to two wives and had six children in total. The first wife lives back in Texas on his
farm while the younger and the more beautiful wife lives with him. The first wife has two
children, one boy, and one girl, while the second wife has only one child, a boy. The other three
children are from his many nightly escapades with a shopkeeper, a barmaid, and a banker. All of
his women know each other through the other three women are, not officially his, though he
supports them and their children. J.M is a wealthy businessman that owns some business allround the country. His primary business is merchant shipping, and he owns two big ships and
some boats. He is also into the transport and storage business and owns some trucks and
warehouses across the country. Apart from the official legal businesses, J.M deals in drugs
through his vast transport and merchant business.
He started having problems two years ago with his health when he noticed that he was
getting tired very easily. He also realized that he was always very thirsty and usually lacked the
determination to fulfill his obligation. At first, he thought it was his weight, so he enrolled in an
exercise class, but that did not solve the problem. When he fainted during one of the classes that
are when he was diagnosed with diabetes. Since ...


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Really helpful material, saved me a great deal of time.

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