Skip to content 
Ready to turn inspiration into action? Explore our help with Capella Flexpath assessments now and transform your vision into reality with our expert assistance.
Change Strategy and Implementation
Specific to the history of the patient, secondary infections are observed more often among patients suffering from diabetes mellitus. These hyperglycemic conditions in diabetes hampers the immune system hence increasing the occurrences of secondary infections (Berbudi et al. , 2020). In diabetes individuals, infections of the urinary system and feet as well as respiratory system infections are common and make up most of the cases (Romesh, 2022). NURS FPX 6021 Assessment 2 infection threatens diabetic patients more than the non-diabetic patients since their risk is two times higher. The antibiotic that is given in the treatment of secondary infection depends on the site of the infection, therefore; Over the years, the efficacy of antibiotics has been affected by patients’ resistance attributed to the misuse while medicines are helpful in preventing reinfections (Woldemariam et al. , 2019). This evaluation has recommended change tactics, such as psychological and pharmaceutical interventions in an effort to strengthen one’s immune system. It will be quite effective and useful to remind that clients with dm may be able to more effectively ward off these secondary infections if their immune system is optimized.
NURS FPX 6021 Assessment 2 Case study
Mr. Alex is 66 years old and a Type II diabetes patient. In addition to this, due to diabetes, the immunity of Mr. Alex was low. Secondary infections may develop in him. Diabetes mellitus which is the condition prevalent in this group was attacking him with a urinary tract infection last month (Yenehun et al. , 2021). Backtrack of infections, has a result in reflection of the antibiotic resistance though in actuality doctors are prescribing the medicines. This disease was not a problem before, and because of these circumstances, he is becoming sicker. His ‘young kid’ also died in a vehicle accident last year and this has also affected his psychological well-being. The implementation of the psychological support intervention will enable him to support his immune system and reduce on frequentation of antibiotics which are resultant of Type II diabetes and commonly lead to secondary infections.
Data Table Reflecting the Current and Desired States
Clinical Outcomes
Mr. Alex was diabetic and this put him in a vulnerable position by compromising his immune system and thus was at a higher risk to get secondary infections due to hyperglycemia. He was mentally ill, and thus his immunity system was weakened before the attack of the diseases. According to Ishikawa and Furuyashiki (2022), there was a correlation between the impairment of immune system functions with people with mental disorder. Mr. Alex gets antibiotic resistance because antibiotic usage is misused. NURS FPX 6021 Assessment 2 Toniolo et al. (2019) found out that the level of resistance of diabetic patients to Vancomycin is high. In order to reduce the probability of the formation of more severe diseases in Mr. Alex, it is necessary to look for ways to boost his immunity.
NURS FPX 6021 Assessment 2 Proposed Change Strategies
Nonetheless, due to hyperglycemia, the immune system of diabetes patients becomes compromised, and therefore, this group of patients is more vulnerable to developing secondary infections. Toniolo et al. , (2019) established that they also had a high rate of antibiotic resistance. Therefore, the methods stated above for change call for the use of psychological interventions so as to enable the patients with diabetes to gain control over hyperglycemia and also enhance the immune status of the patients in order to prevent secondary infections. Because of this, the patient will have to monitor their blood glucose levels and stick to a healthy diet and exercise regime.
Click here to get: NURS FPX 6021 Assessment 1: Concept Map Carol Smith
It is recommended that the patient performs daily exercise for at least 25-30 minutes. Amanat et al. (2020) describes how exercise may help those with type 2 diabetes manage the need of their bodies to keep blood sugar high and also support the body’s immunity from the detrimental effects of high blood sugar by enhancing the body cells’ responsiveness to insulin. The idea is presented that enhancing the immune system and the related psychological therapies are offered (Schakel et al. , 2019). In their publication dated 20 February 2020, Shields et al. , argue that mind-body interventions such as CBT appears to boost the health of the immune system. In an effort to know how these patients may possibly decrease their probabilities of contractions of secondary infections, patients with diabetes ought to regulate their hyperglycemia and also work with psychosocial therapies.
Justification of Change Strategies
The motivation that we have is evidence based transformation techniques. It is possible to decrease hyperglycemia through proper dieting and adequate physical activity (Mirahmadizadeh et al. , 2020). Vasile (2020) posited on his literature review that psychological therapies have boosted the immune function and lowered inflammation. As it was noted by Vasile (2020), psychological therapies were extend their capabilities to decreasing the immune system malfunctioning to 18%. Massey et al. (2019) also elicited that reduction of hyperglycemia is also associated with psychological health of the diabetes patients. Indeed the said measures would be of greater benefits to patients with diabetes because it reduces the possibility of having subsequent infection.
Change Strategies Lead to Quality Improvement concerning Safety and Equitable care
To enhance the safety of patients, it is necessary to develop new strategies of hyperglycemia management which can decrease the likelihood of further infections (Massey et al. , 2019). Thus, the principles of justice which were mentioned above mean that psychological therapies include the assessment of health issue. NURS FPX 6021 Assessment 2 preventing the likelihood of the subsequent infections and the enhancement of the immunity is another function of the psychotherapeutic models. Hence, it is effective in cutting down the spending on medicine by minimizing the use of antibiotics. Furthermore, the health of this specific population will improve. For this reason patient centered care focuses on the individual’s needs in an effort to enhance the experience of the patient in question. This manner takes into consideration each aspect of the Quadruple Aim; patient, employee, community, and financial health.
Interprofessional Considerations
To help the patient adhere to the recommended interventions, the linear interprofessional collaboration among the doctors, nutritionists, and psychologists and the nurses is that the patient will be instructed on behavioral change to increase physical activity and improve diet. It will be useful for treatment principles to be developed with reference to the specific patient. In this way, through the enhancement of doctors’ and patients’ interactions, health IT serves to implement change plans (Vos et al. , 2020). creates a culture of togetherness among the health care workers which leads to proper working and servicing within the required standard. Bachynsky (2019) also argues that literature reveals that interdisciplinary teams might enhance patient safety as well as the quality of care.
Conclusion
In NURS FPX 6021 Assessment 2 everyone with diabetes is potentially a candidate for a secondary infection. It is thought that the patient’s immune reaction and overall health may be promoted by psychotherapy as well as dietary and lifestyle changes. Implementation of change projects is a process that essentially depends on interprofessional collaboration. That is why all employees of the healthcare system starting from psychologists, doctors, and nurses must all work together to ensure that patients are protected.
References
Amanat, S., Ghahri, S., Dianatinasab, A., Fararouei, M., & Dianatinasab, M. (2020). Exercise and Type 2 Diabetes. Physical Exercise for Human Health, 91–105. https://doi.org/10.1007/978-981-15-1792-1_6
Bachynsky, N. (2019). Implications for policy: The triple Aim, quadruple Aim, and interprofessional collaboration. Nursing Forum, 55(1), 54–64. https://doi.org/10.1111/nuf.12382
Berbudi, A., Rahmadika, N., Tjahjadi, A. I., & Ruslami, R. (2020). https://doi.org/10.2174/1573399815666191024085838
Doupis, J., Festas, G., Tsilivigos, C., Efthymiou, V., & Kokkinos, A. (2020). smartphone-based technology in diabetes management. Diabetes Therapy, 11(3), 607–619. https://doi.org/10.1007/s13300-020-00768-3
American Diabetes Association. (2019). 5. Diabetes Care, 43(Supplement 1), S48–S65.
https://doi.org/10.2337/dc20-s005
Amiel, S. A., Potts, L., Goldsmith, K., Jacob, P., Smith, E. L., Gonder-Frederick, L., Heller, S., Toschi, E., Brooks, A., Kariyawasam, D., Choudhary, P., Stadler, M., Rogers, H., Kendall, Berbudi, A., Rahmadika, N., Tjahjadi, A. I., & Ruslami, R. (2020).
Lakshmi Nagendra, Boro, H., & Velmurugan Mannar. (2022). Bacterial infections in diabetes. Nih.gov; MDText.com, Inc.
https://www.ncbi.nlm.nih.gov/books/NBK579762/
Yenehun Worku, G., Belete Alamneh, Y., & Erku Abegaz, W. (2021). Prevalence of bacterial urinary tract infection and antimicrobial susceptibility patterns among diabetes mellitus patients attending zewditu memorial hospital, addis ababa, ethiopia. Infection and Drug Resistance, Volume 14, 1441–1454.
https://doi.org/10.2147/idr.s298176
