Foot ulcers are identified in 6.3% of the global population as a complication of diabetes. As reported by the International Diabetes Federation, annually around 9.1million of foot ulcers are reported among 26.1 million diabetics. The United States alone has a history of more than 3.5-million-foot ulcers reported in diabetics. This complication is lifetime and accounts for 15 to 25% of the risk of developing foot ulcers (Armstrong et al., 2017).
It is the role of health care professionals as a stakeholder of the health industry to provide efficient, safe and effective health care provisions and treatment strategies to the patients (Conway et al., 2019). The multifactorial implications of the disease on the physical health of the patient and mental health as well would require a holistic leadership ability. Situational leadership model provides leaders to act differently following the challenge or situation faced. The situational leadership role is centered around the patient care. The framework of this leadership model reflects the core attribute of the leader that is gathered around patient care. The leader will have a broad predictive vision with harmonizing to the patient care and needs. Such a leader will have compliance with the patient-centered actions. Connection with the other, family members, or the patient himself, facilitates personal involvement in the care practice. Such a leader is an enthusiast and motivates the patient to work for his health. Develops an emotional connection with the patient, listening, collaborating, and appreciating the effort patient is putting into the task (Lynch et al., 2018).
Several hypotheses have been formulated to elaborate on the possible process of developing microvascular complications. It requires addressing multiple factors to start the mitigating and management strategy, including, lifestyle, dietary habits, pharmacological, disease intervention (Khalil et al, 2017). High-quality diabetic care requires self and family intervention adaptations. The consumption of high cholesterol runs in families. The goals should be pharmacological and non-pharmacological interventions as well (Ivers et al., 2019).
Globally diabetic care management requires patient and family-provided self-management. Diabetes self-management education enabling the patient about medication adherence, blood glucose monitoring, crucial changes in dietary and exercise patterns (Pamungkas et al., 2017). Education about the outcomes of the physical health, psychological and behavioral wellbeing of the patient and his family (Pamungkas et al., 2017). The education of family members is also important regarding dietary and medication measures, controlling, cholesterol and glucose concentrations. Insulin administration education reduces the load of hyperglycemia. (Zaharieva, D.P. and Riddell, 2017).
Implementation of a screening program is necessary to prevent the early detection of disease. The high prevalence of diabetes and its microvascular complications in the younger generation has put an alarming need of the policy. The health sectoral early detection of the possible future risk can mitigate the disease before its progression (Khalil et al., 2017). Technology-enabled diabetic self-management and assessment with self-management education of the patient and family members are required (Greenwood et al., 2017).
Patients with microvascular compilations often have long hospital stays for neuropathy and nephropathy complications. The intervention and strategy of treatment are often multifactorial. The health care providers ahs reported that they find certain barriers in the incorporation of the appropriate strategy. The main barrier observed is the lack of communication and decision-making ability of the family members (You et al., 2015). Often a crossroads is reached, the family members cannot make the tough decision. The implementation of appropriate measures requires communication and efficient decision-making ability. The provision of educational reinforcements and efficient technological tools has been a barrier in generating awareness and providing self-management diabetes alleviation guidelines (Adu et al., 2019).
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