NURS FPX 4900 Assessment 2 PS

Assessing the Problem; Patient, Family, or Population Health Problem Solution, Considerations

Introduction

Diabetes is hyperglycemia which if stay consistent or chronic leads to microvascular complications. Its interventions approaches are multisectoral including, pharmaceutical, dietary, lifestyle, and managemental interventions. The costs of the health care system are immense expending billions of dollars annually. There are many strategies to prevent diabetics from going into complications.  

NURS FPX 4900 Assessment 2 PS

Root Cause Analysis

The global evidence supports the narrative that diabetes is an emerging epidemic. It is impacting almost every age group, ethnicity, and region across the world. The main issues of diabetes are hyperglycemia, high cholesterol, weight, and later complications. The complications of diabetes are divided into microvascular and macrovascular complications. Microvascular complications include the damage of the small blood vessels. It causes mainly neuropathy, nephropathy, and retinopathy. The macrovascular complications include cardiovascular disease, stroke, and peripheral artery disease (Papatheodorou et al., 2018). The health care costs and the rate of rehospitalization are also high in diabetics (Comino et al., 2015). The morbidity of diabetes affects the quality of life of people to large extent (Corrêa et al., 2017). These factors require early and immediate measures for the screening, diagnosis, and therapeutic interventions of diabetes. 

Solution Of The Problem

The interventions of diabetes and the management of its complications are multisectoral. In-hospital care settings the nurses are the stakeholder of the health care provisions. It is the role of nurses to provide safe, quality, and efficient care to the patients. In the case of diabetics, individual-centered care practice is required. It is due to tot eh fact that every diabetic has a different set of complications associated with it. Nurses can implement various resources of the health care practice to enhance the quality of care and patients’ health outcomes.

Leadership

The health care practice for diabetic care requires a person-centered or patient-centered approach to interventions. The leadership model based on the theory of transformational leadership provides the qualities of leading in such a situation. Leadership is a complex phenomenon that requires practice skills, knowledge, and vision (Williams, 2011). The autocratic leadership takes hold of the situation and provides the necessary information rather than depending on the team members. (Williams, 2011). The reasoning approach of the model is based on the analysis of the current health and the previous intervention outcomes. The situational leader will analyze the current health and issue effective strategy (9 Lynch, 2015). As the issue of different ethnicity, language difference reported as a barrier to effective care can be minimized in this model (Fitriani et al., 2018). The transactional leader will manage and find a mutual coordination system. The hyperglycemia of the diabetics is fluctuating which will deem suitable for a similar situation leadership. The frequent diagnosis of the blood glucose profile, cholesterol levels, hypertension, weight, eye checkup, kidney clearance rate, foot sensation, and neuropathy analysis is required. If the diabetic is having a deviation from the normal range, it will require immediate measures. The transactional leader will coordinate with the team and patient for the further implementation strategy. It will generate a patient satisfactory and evidence-based knowledge implementation practice with positive health outcomes.  Transformational leadership puts an example of coordination and mutual work for patient safety and quality health. It supports and motivates the team workers to take transformations steps (Huynh et al., 2018). 


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