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Approximately 38 million Americans have type 2 diabetes, an incurable condition marked by increased circulating blood glucose stages, of whom 90–95% are type 2 diabetics (CDC, 2023). A strategy that emphasizes leadership, collaboration, interaction, and deliberate change management throughout all treatment stages is necessary to treat this widespread illness effectively.

Physicians need to commit resources, educate personnel, and give priority to based on research diabetic care. Medical facilities must evaluate and optimize these characteristics to improve consequences for the millions of US citizens who have type 2 diabetes. A comprehensive approach that includes communication between providers and patients, interdisciplinary teamwork, realistic change administration, and supporting policies is necessary for successful administration.

Definition of Patient Health Problem

52-year-old man Karev has had unmanaged diabetes of type 2 for five years. He suffered from lethargy, poor eyesight, and slow-healing wounds after seeing his doctor for primary care. Karev’s father died at the age of 65 from cardiovascular disease, and his mother had type 2 diabetes. Karev has inadequate diabetic management, with hemoglobin A1C readings averaging 8.9%, although being on metformin and glipizide treatment.

Having a BMI of 32, he is overweight and finds it difficult to cut down on salt, refined sugars, and fats that are saturated in his diet. Karev has not experienced any severe consequences regarding his Type 2 diabetes, although he was hospitalized once for ketoacidosis due to diabetes. He has a greater chance of developing peripheral neuropathy, kidney failure, and heart attack; nonetheless, if the condition is not effectively managed, go ahead with drug changes, better eating habits, physical activity, weight reduction, and constant observation.

NURS FPX 4900 Assessment 1 Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

Following two hours of watching Karev’s contacts with healthcare professionals and their collaboration with him on diabetic self-care, it is clear that he needs more information and involvement about lifestyle modifications and close commitment to medications and monitoring his glucose levels. Karev is going to require continuous support as well as finances to take charge of his chronic illness and enhance his long-term wellness results (Tri Rima Setyawati et al., 2023).

Relevance of Problem

Type 2 diabetes is a common and complicated health condition that is particularly important to my job as a baccalaureate-prepared nurse. Type 2 diabetes necessitates careful clinical surveillance, counseling for patients on changes to their lifestyles, adherence to medicines, and a comprehensive approach to therapy because of its many consequences and complications https://www.ahajournals.org/doi/abs/10.1161/CIR.0000000000001040.

With my background in consumer campaigning, promotion of health, clinical research, and teamwork, I will be prepared to assist individuals like Karev in successfully managing their diabetes of any kind. Since type 2 diabetes accounts for approximately 90% of instances, I will deal with several people who have this condition. I can control this complex illness with expertise, coordinate services, conduct scientifically sound decisions, and provide individuals with type 2 diabetes with informed guidance because of my schooling in nursing.

Analysis of Evidence

The academic literature provides enough evidence that uncontrolled blood glucose levels are associated with severe hazards associated with type 2 diabetes. According to review experts ‘ recommendations, a multimodal treatment method is necessary to maintain an A1C of under seven percent (Oh et al., 2022).

The research implies that pharmaceuticals may not be adequate for people such as Karev, who have a previous record of inadequate glucose management and hospitalization linked to hyperglycemia. Compared to metformin alone, a randomized controlled study revealed that combined use of metformin plus an exercise program focused on weight reduction and increasing aerobic activity led to a significantly better A1C.

Furthermore, a comprehensive review of research revealed nurses’ critical role in treating type 2 diabetes by offering counseling, learning, and integrated care throughout contexts to enhance performance (Juanamasta et al., 2021). When this data is applied to Karev’s situation, it becomes clear that he needs a customized treatment plan that includes medicine to optimize his blood sugar levels and an appointment with a nutritionist to support weight reduction and a lower-c


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