NSG 6002 Week 5 Assignment 2 Health Promotion Proposal

NSG 6002 Week 5 Assignment 2 Health Promotion Proposal

NSG 6002 Week 5 Assignment 2 Health Promotion Proposal

A community has unique health needs that can readily be addressed after a thorough assessment. The latter provides an outline of the previous efforts that aim to identify as well as quantify public health issues of concern to the community. However, the promotion of health to respond to the specific health demands involves a concerted effort that incorporates agencies and all the stakeholders of interest to the given population group (Vespa, Armstrong & Medina, 2018). Besides, the improvement of health care is a collaborative process that requires the development of a plan to enumerate community health care needs, identify specific areas for health improvement and to mobilize resources to address these care demands.

The present article is a community health promotion plan for Hyattsville which is yet to be implemented in the Joslin Center at Doctor’s Community Hospital in Lanham, Maryland. The discussion centers on diabetes as the primary illness of interest for the selected community. The proposal examines an agency used to identify the trends in the health indicators for the identified community. It will also describe healthcare needs of the community to guide in the formulation of recommendations aimed at promoting and preserving the health of the populace.

Description of Agency

The agency selected for the proposal is the Diabetes Education Center located at the Doctor’s Community Hospital in Hyattsville, Maryland. The agency is a multidisciplinary diabetes center found in Prince George’s County and enjoys full accreditation from the American Diabetes Association (ADA). The agency offers educational services on diabetes in a bid to help patients take care of their health considering that the condition has no absolute cure. Besides, the Diabetes Education Center provides a free diabetes support group that convenes their meeting on the third Monday of every month. The agency boasts on a team of highly educated staff who offer day-to-day education on diabetes management including insulin pump education. The working team in the agency comprises of physicians and nurses as frontline care providers but also make-up professionals from other cadres of health. The purpose of the agency is to strive to provide excellent services to patients diagnosed with diabetes in order to improve the quality of their lives.

Diabetes Education Center is partly funded by the ADA but also receives donations from well-wishers and through fundraising. There is also the youth and adult volunteering groups who provide skilled staff to help the agency achieve its goals. The objective of the agency solely focuses on addressing diabetes at the community level. However, it also provides diabetes-related services such as screening, personalized services to address the unique needs of patients and also provide ongoing support on how those diagnosed with diabetes can manage their condition.

NSG 6002 Week 5 Assignment 2 Health Promotion Proposal

Impact the Agency has had on the Health of the Population and how it functions as a team and community Partnership

Diabetes Education Center has mapped out strategic goals on addressing diabetes to the population of Hyattsville. The agency undertook a health survey in the 2014-2018 fiscal year and established that 5.5% of the population were people below 65 years and also comprised of those with different disabilities (Vespa, Armstrong & Medina, 2018). The premise implies that a large proportion of the population is elderly people who are most vulnerable to degenerative diseases like diabetes. Additionally, the agency reported that 15.0% of the population had no health insurance and concluded that this can readily compromise the health-seeking pattern of the affect groups.

Diabetes Education Center observed the lifestyle habits and feeding patterns of the community to conclude about their predisposition to diabetes. The agency functions as a team by collaborating with health leadership in Hyattsville to address the rising number of fast-food outlets that serve unhealthy menus that can compound the health burdens of the populace. Besides, the agency engages with the community leadership to encourage the development of pedestrian paths and sidewalks to improve the physical exercise pattern of the residence. Voluntary exercise is one of the therapeutic options advocated not only to address obesity but also to reduce instances of insulin resistance to people with diabetes.

Identified Community Need based on Agency Interview

By using the county data on disease prevalence, the population in Hyattsville is predisposed to diabetes. The premise is attributed to poor feeding habits with most fast food outlets contributing immensely to this menace in which high sugar drinks and consumption of saturated fats is the order of the day. Besides, about 68.9% of the population in the city is obese. The condition is attributed to limited mobility of the populace most of whom prefer to use a motor vehicle as opposed to walking even in short distances (Vespa, Armstrong & Medina, 2018). Concerns that obesity contributes to the development of obesity in the city cannot be debated as the synergy can readily be noted.

Epidemiology of the Community Need

Through an interview, the demographic profile of the population in Hyattsville was reported with respect to health. From the statistics, 84.7% of the total number of people in the town had health insurance coverage. 21.5% were enrolled in the U.S Medicaid program, 7.37% on Medicare while 8.7% benefited from non-group plans (Vespa, Armstrong & Medina, 2018). However, in comparison to other counties in Maryland, Hyattsville had the highest prevalence rate of diabetes calculated at 15.8%. Besides, the city had the highest prevalence rate of adult obesity estimated at 10.5%. when compared to 9.1% of the state of Maryland. The low-income related preschool obesity rate was estimated to be 16.7% slightly higher than the rates recorded for Maryland (15.5%).

Generally, the adult obesity rates in Prince George’s County where Hyattsville is located was 30.7% and this was higher than the state average recorded at 26.7%. The high prevalence rates were attributed to the high incidences of overweight and obesity in the city. The average body mass index (BMI) of the populace was 28.8 kg/m2 for Hyattsville and this was similar to values at the state level. Besides, the overweight levels were rated at 32.1% in the city of Hyattsville when compared to the estimates of 34.1% at the state level (Vespa, Armstrong & Medina, 2018). Overall, the general health condition in Hyattsville was 54.7% slightly lower than the state of Maryland recorded at 56.2%.

Literature Review

Cohen and Boersma, (2019) addresses strategies used by adults diagnosed with diabetes to minimize cost on their prescription medication Maryland. The research which was carried in 2018 involved the enrollment of 10.1% of adults between the age of 18 and 64 diagnosed with diabetes in the state. The population selected comprised of both men and women who were monitored for 12 months (Vespa, Armstrong & Medina, 2018). When compared with adults not diagnosed with diabetes the study indicated that adults with diabetes incurred higher out-of-pocket costs on medication. Men were more likely to forfeit the use of prescription medication as opposed to women. However, the research further reported that adults with diabetes opted to stop using their medication as an option to minimize the overall cost of care in diabetes management (Cohen & Boersma, 2019). Apparently, this approach did not yield a bundle of evidence on improved care as the conditions for the patients worsened due to non-adherence to medication regimen prescribed. The approach used to reduce medication costs is not consistent with the decision of the ADA since it affects the prognosis of diabetes.

A study by Bhupathiraju and Hu, (2016) addresses the epidemiology of obesity, diabetes and cardiovascular diseases. The purpose of the research is to explore the multifactorial relationship between obesity and diabetes and how this illness has an effect on the development of heart diseases. This study used literature material obtained from medical databases such as CINAAL and EBSCOHOST to monitor the trends of American adults of all races diagnosed with obesity. Literature materials obtained were those published between 2010 and 2015. The research also enrolled overweight children and adolescents aged 2-19 years. The inclusion criteria were children with a body mass index (BMI) in the range of 85th and 95th percentile as per the Centers for Disease Control and Prevention (CDC) growth charts (Bhupathiraju & Hu, 2016).

In all the studies, there was a significant association between obesity and diabetes. Research respondents who had obesity were at significant risk of developing diabetes but not the other way round. A high prevalence of diabetes was noted among Asians, African Americans, and Latinos. Findings from the study also linked abdominal obesity to increased risk of cardiovascular diseases (CVDs) among participants (Bhupathiraju & Hu, 2016). Of note, the burden of diabetes and heart complications have direct synergy with obesity and overweight. The study article concludes by suggesting the priority of care to manage obesity so as to reduce associated complications mainly diabetes and CVDs.

Identification of available Resources in the Community and Gaps in Services needed to address the need

The community health promotion will be readily implemented at the Joslin Center located at Doctor’s Community Hospital in Lanham Maryland. The facility is endowed with adequate testing kits to monitor the glucose level of enrolled patients. Besides, the care unit has a dispensing pharmacy that ensures regular supply of prescription medications especially those on scheduled refills. Notably, the care facility has qualified medical personnel to help patients integrate the aspect of health and wellness in managing diabetes (Vespa, Armstrong & Medina, 2018). Promoting healthy habits on medication and proper nutrition are aspects that significantly contribute to diabetes management to patients of all ages.

Within the community of Hyattsville city, there are several recreational parks and pedestrian walkways. Convenience stores in the town also have ample picking spaces and sections where children can play. With this, the aspect of physical activity can be readily addressed as the population can be educated on the benefits of exercise in managing diabetes. Doctors and health workers at the Joslin Center who recommend physical activity as part of the therapy plan will encourage patients to utilize the sidewalks and recreational parks to improve their patterns of exercise.

One aspect of serious concern to the community is access to quality care by patients. It is important to note that not all populations have health insurance to cushion them in times of need. Besides, a substantial population (12.7%) live below the poverty line and this compounds to the challenge of access to quality care (Cohen & Boersma, 2019). The largest population below the poverty index are females between 25 and 34 years. Limited financial resources for the elderly and other vulnerable population predisposes them to the risk of diabetes as well as complications associated with the ailment. Poverty directly correlates with limited education for the population. Due to inadequate knowledge on diabetes management, the vulnerable populations are at high risk of developing other comorbidities of the condition which in overall compromises the quality of their health outcomes.

Recommendations

In the assessment of the community, there is a need to address diabetes conditions as a way to improve their health and also to avoid associated complications. The Diabetes Education Center as one of the agencies charged with managing diabetes proposes several recommendations to the community. Part of these recommendations focuses on long-term strategies to support quality healthcare to the population.

  1. Establishment of weight reduction programs within the Joslin Center care facility.

The initiative will help to monitor the physical activity patterns especially for patients who have diabetes secondary to obesity. The weight reduction programs should be scheduled weekly based on tolerance of patients (Cohen & Boersma, 2019). The premise will go along to improve prognosis of diabetes and minimize the possibility of insulin resistance which is common among diabetic patients.

  1. Increase access to health for the vulnerable population especially those who have mobility issues.

Poor access to medication due to distance affects compliance with medication use especially those who require refills. Discharge instructions should, therefore, be made to refer patients to health facilities within their reach (Bhupathiraju & Hu, 2016). Patients also need to be encouraged to enroll in health insurance policy they can afford to enable them access quality care.

References

Bhupathiraju, S. N., & Hu, F. B. (2016). Epidemiology of obesity and diabetes and their cardiovascular complications. Circulation research118(11), 1723-1735. doi:10.1161/CIRCRESAHA.115.306825

Cohen, R. A., & Boersma, P. (2019). Strategies used by adults aged 65 and over to reduce their prescription drug costs, 2016-2017. https://www.cdc.gov/nchs/data/databriefs/db349-h.pdf

Vespa, J., Armstrong, D. M., & Medina, L. (2018). Demographic turning points for the United States: Population projections for 2020 to 2060. Washington, DC: US Department of Commerce, Economics and Statistics Administration, US Census Bureau.