Benchmark - Constructing the Written Evidence-Based Proposal: Final

Constructing The Written Evidence-Based Proposal: Final
Student’s Name
Institution
Supervisor’s Name
Date
Background to the study
Diabetes is a chronic disorder that involves a very complex process of treatment and caring of patients suffering from both type 1 and type 2 conditions, especially for the elder group. This calls for the patient to learn to exercise self-monitoring of their sugar level, dietary notifications, exercise and the administration of insulin among other medications. When patients decide to default on the prescribed treatment schedule it creates a problem as this is a chronic illness. In the recent years, there have been various interventions to ensure adherence CITATION AMD07 \l 1033 (Delamater, 2007). All these studies, like the Diabetes Control and Complication Trial and others have shown that to achieve an optimal glucose level patients have to be under the therapy of adherence, diet measures and exercises to minimize the long term complications that come with non-adherence.
Barnes, et al. (2004) defines adherence as the ‘active and voluntary collaborative engagement of patients in an acceptable behavior course to come up with a therapeutic results. " with regard to this project, it has been realized that non-adherence is most common among the elder group, making the required 77% optimal glycemic control a challenge. The following change project proves that some of the reasons or non-adherence included the age, gender, family factors, duration of the disease, the poor relationship between the patient and service provider, financial challenges and side effects caused by the medication CITATION RDB01 \l 1033 (Blanca, Blanca, & Ernesto, 2001). Various researchers have tried to come up with methods that ensure adherence especially in type 1 Diabetes Mellitus; some which have been self-monitoring of the blood glucose level using a glucometer and usage of insulin through an insulin pump. There are other measures for elder groups like structured interviews, self-reports and patient questionnaires CITATION PSC01 \l 1033 (Ciechanowski, Katon, Russo, & Walker, 2001).
There is however, a lot to explore and implement regarding adherence among elder groups as the healthcare delivery is different from the other age groups. There is also need to collect more data on patient non-adherence among elder groups. This is because once better adherence is achieved, then there will be an improved treatment of elder diabetic groups, reduction of the cost of healthcare and realistic intervention outcomes. In this regard, this project aims at creating better habits for the non-compliant diabetic patients using an effective education program CITATION PSC01 \l 1033 (Ciechanowski, Katon, Russo, & Walker, 2001). The program will also involve teaching nurses on mechanisms they can use to educate patients and ensure follow up in the communities.
Problem Statement
Among the common chronic illnesses, diabetes continues to be a global health problem which though preventable, has devastating consequences for patients who fail to adhere to medication. Diabetes is characterized by high blood glucose levels that result from defects in production of insulin, its action or combined. The g...