Creating A Care Plan Utilizing Provided Information

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Develop a comprehensive care plan for a chronic illness group based on information gathered over four weeks. The plan should be 5-6 pages in APA 7 style, including an introduction describing the selected chronic illness group and rationale for choosing this illness and participants. Include the specific Healthy People 2020 topic related to the condition and explain why it was selected. Create a holistic care plan addressing the patient's, family's, and friends' acceptance of the diagnosis, coping mechanisms, and the impact on the care plan.

Summarize the information collected during weeks 1-4 over 2-3 pages, ensuring the content is original and not copied from previous assignments. Organize the care plan with the following sections: Nursing Diagnoses (at least 3), Assessment Data (objective and subjective), Interview Results, Desired Outcomes, Evaluation Criteria, Actions and Interventions, and Evaluation of Patient Outcomes. Include strategies for family or caregiver involvement, providing rationale and examples supported by scholarly sources.

Ensure all sources are cited in APA 7 format on a separate references page. The title and references pages do not count toward the page total.

Paper For Above instruction

Introduction

Chronic illnesses pose significant challenges to individuals and their families, impacting quality of life, mental health, and social functioning. For this care plan, Type 2 Diabetes Mellitus (T2DM) was selected as the focus due to its high prevalence and substantial public health implications. The rationale for choosing T2DM stems from its Rising prevalence worldwide, associated morbidity, and the necessity for comprehensive management strategies that address biological, psychological, and social factors. The participants involved include adult patients diagnosed with T2DM, their families, and caregivers, emphasizing a holistic approach to care that encompasses medical management, education, and emotional support.

Summary of Week 1-4 Data Collection

During week 1, data centered around patients’ blood glucose levels, HbA1c metrics, and medication adherence patterns. Subjective data highlighted feelings of frustration, fear of complications, and challenges with lifestyle modifications. Week 2 involved assessing nutritional habits, physical activity levels, and identifying barriers to compliance through interviews and observation. Week 3 focused on psychological impacts including stress levels, coping strategies, and social support systems. In week 4, additional data on family involvement, socioeconomic factors, and patient perceptions of illness management were collected, providing a comprehensive understanding necessary for individualized care planning. All data emphasized the multifaceted nature of diabetes management and the importance of addressing psychological and social determinants of health.

Holistic Care Plan

Nursing Diagnoses

• Impaired Skin Integrity related to insulin injections and poor glycemic control.
• Knowledge Deficit regarding disease process and self-care management.

Assessment Data

Objective data include elevated blood glucose levels, presence of diabetic foot ulcers, and laboratory results indicating poor glycemic control. Subjective data reveal patient reports of fatigue, anxiety, and confusion regarding diet and medication adjustments.

Interview Results

Interviews revealed patients’ concerns about foot care, medication side effects, and fear of long-term complications such as blindness or amputation. Many expressed frustration over lifestyle limitations and inconsistent compliance.

Desired Outcomes

• Achieve and maintain blood glucose levels within target range.
• Increase patient knowledge regarding disease management.
• Enhance coping strategies and emotional resilience.

Evaluation Criteria

• Blood glucose readings within target range for three consecutive days.
• Successful completion of a diabetes education program.
• Reported increase in confidence and reduction in anxiety levels.

Actions and Interventions

• Implement individualized diabetic education focusing on medication, diet, and glucose monitoring.
• Provide wound care and foot care education to prevent ulcers.
• Schedule regular follow-ups to assess progress and address barriers.

Evaluation of Patient Outcomes

Evaluation will involve monitoring blood glucose logs, patient self-reporting, and clinical assessments. Success will be measured by stabilized glycemic levels, improved knowledge scores, and enhanced quality of life indicators.

Family and Caregiver Strategies

Training family members on monitoring blood sugar, insulin administration, and recognizing signs of hypoglycemia is vital. Providing emotional support and creating a collaborative care environment fosters adherence and eases psychological burden. These strategies work because they promote shared responsibility, improve communication, and reinforce educational interventions, ultimately leading to better health outcomes.

References

• American Diabetes Association. (2022). Standards of Medical Care in Diabetes—2022. Diabetes Care, 45(Supplement 1), S1–S2.
• Healthy People 2020. (2010). Diabetes. Office of Disease Prevention and Health Promotion. https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes
• Huang, T. T., & Dickinson, M. (2019). Psychosocial factors in diabetes management. Journal of Clinical Psychology in Medical Settings, 26(4), 559-571.
• Smith, S., & Johnson, L. (2021). Holistic approaches to diabetes care: Integrating physical and mental health. Nursing Clinics of North America, 56(3), 423-435.
• World Health Organization. (2021). Diabetes Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/diabetes