Change Proposal Report
In NURS FPX 6218 Assessment 1 Proposing Evidence Based Change on efforts to communicate effectively with other people and communicate effectively with others It is essential to be conversant in their languages and dialects. In the context of healthcare, the language barrier could negatively impact the quality of care provided and, eventually, the cost (Al Shamsi et al. 2021). The health provider known as Ballad Health serves twenty-nine counties that are located within the Appalachian Highlands (About us,2023). Based on information supplied by the United States (U.S.) Department of Commerce (n.d.) The percentage of Hispanics or Latinos that reside in the vicinity of the services offered by Ballad Health is 1.5 up to 6.5 percent. Meanwhile, Asians range between 0.5 to 2.6 percent.
NURS FPX 6218 Assessment 1 Proposing Evidence Based Change
Ballad Health currently provides interpreter support by using Remote Video Translators (VRI) along with interpreters in the facilities of Spanish as well as American Sign Language (ASL) and by telephone, which supports over 200 dialects (Communication aid and assistance to interpreters to 2023). The current staff has stated that they don’t know which options are offered or only have a small number of technologies that enable clear and reliable communication with patients. As a result of the modifications to equip Ballad Health facilities with technology tools to assist interpreters, Healthcare experts will be in the position to provide the highest quality of care to every patient, irrespective of what they speak or what the language.
Executive Proposed Change
Peripheral Neuropathy is a significant concern for diabetics. Its symptoms are discomfort and loss of sense, as well as anesthesia. This condition is, called diabetic peripheral neuropathy (DPN), is the main cause of disability in the majority of patients suffering from diabetes. It also results in the increase of 25% in possibility of developing foot ulcers or leg Amputations (Hicks and Selvin 2019 and 2019). In order to combat the severe consequences of this disease, it is necessary to take intense actions that ensure complete diagnosis and treatment for diabetes with regular HbA1c testing together with an examination of the foot and treatment of the painful symptoms. Definitely, you are looking for the second assessment of this class. For this, please follow NURS FPX 6218 Assessment 2 Assessing Health Needs of Community.
Within the health care system of the communities in Colorado, peripheral neuropathy is now the main concern of people with diabetes. It can cause signs such as painful ankle Amputations, foot ulcers, and the development of foot ulcers. Realizing the enormous impact of diabetic peripheral neuropathy on the condition of the patient, NURS FPX 6218 Assessment 1 Proposing Evidence Based Change is vital to create efforts to improve the medical services offered to patients within this area. Implementing recommended methods, for example, frequent foot examinations in line with recommendations from the American Diabetes Association (Professional Practice Committee 2021) and also enhancing the control of glycemic levels through adjustments to food and medicines to slow the development and progression of peripheral neuropathy could be avoided (Alahakoon and co. 2021).
Desired Outcomes
Changes in the treatment of diabetes, such as a proper evaluation of feet, the proper footwear and education for diabetics will aid in achieving a variety of objectives that are desired:
NURS FPX 6218 Assessment 1 Proposing Evidence Based Change
- Preventing Neuropathy complications: The proper management of the diabetic and peripheral neuropathy may aid in preventing issues like the growth of infections, delays in healing foot ulcers, and leg Amputations (Selvarajah and colleagues. 2019, 2019.).
- Enhanced Sensation levels of glucose may enhance perception of physical stimulus, and could also help protect against the damage due to peripheral nerve injury (Agarwal and colleagues. 2019, 2019,).
- Better mobility and maintaining limb function: Lifestyle changes and the control of blood sugar levels can increase flexibility, balance, and coordination and reduce the chance of falling while also allowing patients with the condition to stay active (Zilliox as well as Russell in 2019).).
To get desired outcomes, you need adequate resources, which include funding and cooperation among specialists to be able to carry out the changes. The stakeholders include healthcare professionals and other sources externally, including Medicare as well as Medicaid programs. These organizations make crucial roles in helping and supporting the changes (Duru and Co. 2020).
Health Care System Comparative Analysis
A comparative analysis of treatment options for peripheral neuropathy across the different healthcare facilities provided by the National Health Service (NHS) in the United Kingdom and the Australian healthcare system has provided useful insights. Both healthcare systems focus on routine exams of feet, education for patients as well as prevention methods to treat peripheral neuropathy that is due to diabetes. Utilizing similar methods, like education programs, and online platforms could boost the efficacy of treating the disease within Colorado.
The Rationale for the Proposed Change
The new guidelines, as defined in NICE guidelines as well as DFA guidelines, were designed to improve the outcomes of those who suffer from diabetes, which is characterised by peripheral neuropathy. In treating and stopping peripheral neuropathy, people with diabetes can live longer and have good mobility, and reduce the risk of amputations to the lower limbs and a better health. (Selvarajah and his coworkers. in the year 2019.). ,).
Financial and Health Implications
Making the necessary changes could have a significant financial and impact on the overall health of. The prompt identification of peripheral neuropathy could decrease the burden of financial costs on medical professionals and patients since it will lower the cost of managing neuropathy that is advanced. Treatment methods that can be cost-effective and efficient that are outlined in this program will help reduce the blood sugar levels of diabetic patients and reduce hospitalizations. Furthermore, they may help improve the standard of living for those suffering from diabetes (Rodriguez-Sanchez and Co. 2019.). ,).
Conclusion
NURS FPX6218 Assessment 1 Proposing Evidence Based Change focuses on the growing concern of peripheral neuropathy among patients with diabetes within the health system of Colorado. Drawing on the systems for health care in various countries, including the UK as well as Australian model This report recommends modifications to improve the financial and health performance of patients suffering with peripheral neuropathy.
References
Aalaa, M., Amini, M. R., Delavari, S., Mohajeri Tehrani, M. R., Adibi, H., Shahbazi, S., Shayeganmehr, Z., Larijani, B., Mehrdad, N., & Sanjari, M. (2022). Diabetic foot workshop: A technique to enhance the understanding of health care professionals in the field of foot who care for patients with diabetes. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 16(7), 102543. https://doi.org/10.1016/j.dsx.2022.102543
Agarwal, P., Sharma, B., & Sharma, D. (2019). Tarsal Tunnel Release improves the sensations that are present in the sole of diabetes-related sensory motor neuronopathy. Journal of Clinical Orthopaedics and Trauma, 11(3). https://doi.org/10.1016/j.jcot.2019.08.014
Alahakoon, C., Fernando, M., Galappaththy, C., Matthews, E. O., Lazzarini, P., Moxon, J. V., & Golledge, J. (2020). Meta-analyses and meta-analyses from randomized controlled trials report the effect of monitoring home foot temperature as well as patient education on the removal of footwear from the number of foot ulcers, which are caused by diabetes. Diabetic Medicine, 37(8), 1266-1279. https://doi.org/10.1111/dme.14323
Diabetes Feet Australia. (n.d.). Diabetes feet Australia. https://www.diabetesfeetaustralia.org/
Duru, O. K., Harwood, J., Moin, T., Jackson, N. J., Ettner, S. L., Vasilyev, A., Mosley, D. G. O’Shea D. L., Ho, S., Mangione, C. M. (2020). A national evaluation of a program for coordinated care in order in order to decrease the number of high-cost and expensive Medicaid recipients suffering with diabetes. Medical care page. 288 S14-S21. https://doi.org/10.1097/mlr.0000000000001315
NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change Hicks, C. W., & Selvin, E. (2019). The prevalence of peripheral neuropathy, as well as lower extremity disorders in people suffering from diabetes. Current Diabetes Reports, 19(10). https://doi.org/10.1007/s11892-019-1212-8
Kiyani, M., Yang, Z., Charalambous, L. T., Adil, S. M., Lee, H.-J., Yang, S., Pagadala, P., Parente, B., Spratt, S. E., & Lad, S. P. (2020). Chronic peripheral neuropathy due to diabetes: healthcare costs and associated complications between the years 2010 and 2015. Neurology: Clinical Practice, 10(1), 47-57. https://doi.org/10.1212/CPJ.0000000000000671
NICE. (2019, October 11). Overview: Diabetic foot and ankle conditions. Guidance from NICE. https://www.nice.org.uk/guidance/ng19
Rodriguez-Sanchez B. And then Pena-Longobardo. M., and Sinclair, A. J. (2019). An analysis of the efficacy of the neuropad device in helping detect early warning signs of peripheral neuropathy resulting from diabetes. The European Journal of Health Economics, 21(3) 335-349.