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Essay / Care Management Plan: A Newly Diagnosed Diabetic Patient
Type 2 diabetes mellitus is a growing disease in the United States. When developing a care management plan for a new patient with diabetes, several areas of education and resources should be considered. The purpose of this article is to describe a hypothetical plan of care for a newly diagnosed diabetic, including the case management model used, initial and ongoing educational needs, and data collection and evaluation. Case Management Model Jane Doe was diagnosed with postpartum type 2 diabetes. In order to provide continued high-quality care across the continuum, a diabetes case management plan will be necessary. The plan will be the focus of a diabetes case management team that adheres to a specific set of protocols and predetermined clinical care pathways (Cohen and Cesta, 2005). Team members will include a physician, nurse case manager, with the option to consult with a dietitian, diabetic educator, and social worker. This non-unit-based, multidisciplinary team approach ensures that Jane Doe will receive expert diabetes care throughout her hospital stay as well as after discharge. The nurse case manager, along with the physician, will be responsible for developing an individualized care plan. Additionally, the nurse case manager will coordinate the recommendations of any additional team members consulted in a timely manner (Cohen & Cesta, 2005). The ultimate key to appropriate disease management is patient education; it is the tool that will allow Jane Doe to successfully manage her diabetes and lead a healthy, productive life.Education PlanInitialAs with any new diagnosis, information about the disease process and treatment can be overwhelming for the patient. The first phase of J's education...... middle of paper ...... is the goal of Jane Doe.ReferencesAmerican Diabetes Association. (2011). Superfoods for diabetes. Retrieved from http://adap-sandbox.pub30.convio.net/food-and-fitness/food/what-can-i-eat/diabetes-superfoods.htmlAmerican Diabetes Association. (2011). Living with diabetes. Retrieved from http://www.diabetes.org/living-with-diabetes/treatment-and-careBowles, K., Holland, D., & Horowitz, D. (2009). A comparison of in-person home care, home care with telephone contact, and home care with telemonitoring for disease management. Journal of Telemedicine and Telecare, (15), 344-350. doi: 10.1258/jtt.2009.090118Cohen, EL and Cesta, TG (2005). Case management in nursing: From essentials to advanced practice applications (4th ed.). St. Louis, MO: Elsevier Mosby. Worth, T. (2010). Caring for diabetes in the community. American Journal of Nursing, 110(2)