While Treating The Chronically Ill, A Major Challenge 772293

While Treating The Chronically Ill A Major Challenge Is Developing A

Identify a chronic illness of specific interest to you that is also identified as a Healthy People 2020 topic (healthypeople.gov). Develop a questionnaire by utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group. Discuss morbidity and comorbidity of the disease.

Discuss the impact of the chronic illness and patient morbidity on overall health of the nation. Incorporate Healthy People 2020 goals and objectives for the specific illness group. Support your responses with examples and information from library resources, textbook and lectures. On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

Paper For Above instruction

Title: Developing Patient-Centered Care Plans for Chronic Illnesses in Line with Healthy People 2020 Objectives

Introduction

Chronic illnesses remain a significant challenge to healthcare systems globally and nationally, with conditions such as diabetes mellitus, cardiovascular diseases, and chronic respiratory diseases contributing substantially to morbidity and mortality rates. The focus of this paper is on developing a comprehensive, patient-centered plan of care centered on type 2 diabetes mellitus, a prevalent chronic illness that aligns with Healthy People 2020 objectives. Emphasizing psychosocial aspects, this approach recognizes the importance of patient goals, support systems, and holistic well-being.

Rationale for Selecting Type 2 Diabetes Mellitus

Type 2 diabetes mellitus (T2DM) is a prevalent chronic condition characterized by insulin resistance and relative insulin deficiency. The rationale for choosing T2DM revolves around its widespread impact, modifiable risk factors, and alignment with Healthy People 2020 goals aimed at reducing the disease’s prevalence and complications. According to the CDC, approximately 34 million Americans have diabetes, with T2DM accounting for the majority of cases. Its chronic nature necessitates ongoing management, lifestyle modifications, and psychosocial support, making it a compelling subject for patient-centered care planning.

Developing a Questionnaire for Patient Assessment

The questionnaire aims to gather comprehensive data, including medical history, lifestyle habits, psychosocial factors, and support systems. Key areas include:

  • Medical history: Duration of diagnosis, current treatments, medication adherence, comorbidities such as hypertension and obesity
  • Lifestyle factors: Diet, physical activity, smoking, alcohol use
  • Psychosocial elements: Mental health status, emotional well-being, social support, caregiver involvement
  • Patient goals: Personal health goals, concerns, and expectations

Such information facilitates tailored interventions that respect patient preferences and social contexts, thereby enhancing adherence and outcomes.

Morbidities and Comorbidities Associated with T2DM

Type 2 diabetes carries significant morbidity, including cardiovascular disease, nephropathy, neuropathy, and retinopathy. Its common comorbidities, such as hypertension and obesity, exacerbate patient health risks and complicate management. The interrelated nature of these conditions underscores the need for holistic care approaches that address multiple health facets simultaneously.

Impact on National Health and Incorporation of Healthy People 2020 Goals

The burden of T2DM on national health is substantial, contributing to increased hospitalizations, healthcare costs, and reduced quality of life. The CDC reports that diabetes-related healthcare expenditures exceed $327 billion annually, emphasizing the importance of effective prevention and management strategies. Healthy People 2020 objectives aim to decrease new cases, improve glycemic control, and reduce complications through increased screening, education, and lifestyle modifications.

Specifically, goals include increasing the proportion of adults with diagnosed diabetes who achieve blood glucose control, reducing diabetes-related hospitalizations, and promoting healthful behaviors. Implementing patient-centered care plans that incorporate psychosocial support aligns with these objectives by addressing barriers to adherence, improving mental health, and fostering social support networks.

Psychosocial Elements and Patient Goals

Addressing psychosocial factors is critical in managing chronic illnesses like T2DM. Patients often face emotional challenges, such as diabetes distress, anxiety, and depression, which can hinder self-management. Incorporating mental health support, motivational interviewing, and peer support groups can facilitate better coping and adherence. Additionally, respecting and integrating patient goals—such as maintaining independence, achieving specific lifestyle changes, or managing symptoms—empowers patients and improves satisfaction with care.

Conclusion

Developing effective care plans for chronic illnesses such as T2DM requires a holistic approach that prioritizes patient goals and psychosocial factors. Aligning these plans with Healthy People 2020 objectives can significantly impact national health outcomes. Tailored assessments, addressing comorbidities, and integrating social and mental health considerations are vital strategies for improving quality of life and reducing disease burden.

References

  • Centers for Disease Control and Prevention. (2022). National Diabetes Statistics Report, 2022. CDC. https://www.cdc.gov/diabetes/library/features/diabetes-stat-report.html
  • Healthy People 2020. (n.d.). Diabetes. https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes
  • American Diabetes Association. (2021). Standards of Medical Care in Diabetes—2021. Diabetes Care, 44(Supplement 1), S1–S232.
  • Fisher, L., Polonsky, W. H., & Hessler, D. (2019). Addressing Emotional Aspects of Diabetes. Diabetes Spectrum, 32(2), 93–97.
  • Bayliss, E. A., & Steiner, J. F. (2019). Patient-centered care. The Journal of the American Board of Family Medicine, 32(2), 162-170.
  • Rowland, M. A., & McKee, M. (2018). Chronic illness management and psychosocial support. Nursing Outlook, 66(3), 325–330.
  • Schmidt, M., et al. (2019). Comorbidities and their management in diabetes care. Journal of Diabetes Research, 2019, 1–9.
  • Kirkman, M. S., et al. (2018). Diversity of Process and Outcomes in Diabetes Care. Diabetes Care, 41(10), 1798–1804.
  • Anderson, R. M., & Funnell, M. M. (2020). Patient empowerment in diabetes self-management. The Diabetes Educator, 46(2), 123–130.
  • Pronk, N. P., et al. (2020). Lifestyle and psychosocial factors influencing diabetes management. Journal of Behavioral Medicine, 43(3), 373–385.

Related Assignments