Thesis

Diabetes education program proposal for a local community hospital

In 2012, the American Diabetes Association reported nearly one in three adults and children in the United States will one day be affected or currently are affected everyday with the complications of an always manageable and often preventable disease. If rates of diagnosis continue to increase at the current rates, it is estimated that over half of all Americans will have pre-diabetes or be diagnosed with diabetes by 2020. Diabetes education plays a key role in the management and prevention of type 2 diabetes, but is a widely unused resource mainly due to limited access and health literacy barriers. Low income, underinsured Hispanic Americans are a particularly vulnerable population, with one of the highest rates of diagnosis of type 2 diabetes. A local community hospital serves a large population of low income Hispanic residents with type 2 diabetes mellitus but does not offer a diabetes education program. A diabetes education program was designed using established learning theories and nursing care theory techniques, with appropriate literacy level presentation, and culturally appropriate information. Factors such as administrative and community support was addressed, as well as funding and advertising. A plan for evaluation of the program effectiveness was constructed, monitoring attendance, improvement or decline in diabetes management, and hospital admission and re-admission rates of its Hispanic patients with diabetes.

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