Family Members and Diabetes

Long-Term Management for Diabetic Patients Under the Home Setting

Aubert R.E., et.al, (1998).Nurse case Management to Improve Glycemic Control in Diabetic Patients in a Health Maintenance Organization. A randomized, controlled trial. https://www.ncbi.nlm.nih.gov/pubmed/9786807

This is a report on the research on the comparison of diabetes control in patients receiving nurse case management and patients receiving usual care. The research took a randomized controlled trial model. The research was conducted in primary care clinics in a group model health maintenance organization. It involved 121 patients with type 2 diabetes mellitus and 17 patients with type 1 diabetes mellitus. The intervention that was used in this case study was that the nurse case manager followed the written management algorithm with the direction of the family physician and an endocrinologist. If there were any changes then they would be communicated to the primary care physician. The patients received ongoing care through their primary care physicians. There were sessions for individual patient counseling by a dietitian, exercise therapist. There were group diabetes education classes and quarterly in-person follow-up visits. There were follow-up phone calls as well to remind the patients of the need to inject themselves with the insulin and to take the oral medications.

This article is central in informing the intervention that will be applied in the research process of the implementation of this capstone. It will effectively guide the follow-up methods that will be employed in the intervention in the family setting care for people with diabetes. It will also help in shaping the algorithm of the care for the patients with diabetes participating in the research. It is from the model presented in this research report that the research will decide on the number and caliber of health professionals to be used in the research.

Baty P.J., at.al. (2010). A Systematic Approach to Diabetes Mellitus Care in Underserved Populations: Improving Care of Minority and Homeless Persons. https://www.ncbi.nlm.nih.gov/pubmed/20927670

This is yet another report on the discrepancy in the diabetes care between the racial and ethnic minority groups widely documented. The report outlines the system based approaches that have been used to ensure improvement in diabetes process outcomes in four community health centers that were used in the context of the research. There was a comprehensive system-based disease management process including a diabetes registry that was implemented at the community level. The basis of the research was that diabetes care measures were followed to determine whether disparity in care could be improved with process-based initiatives.

This study is significant to the capstone under construction since it gives a fusion between the medical records system and the handling of diabetes. This idea in turn will inform the way the home records of the diabetes patients under study in this research will be taken and kept and how they will be analyzed as the research progresses.

Proposed Intervention in the capstone