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Assessment 2: Policy Proposal

Student Name

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Capella University

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Course Name

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Prof Name
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March 8, 2024
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Policy Proposal rv
The inadequate assessment of foot and HbA1c levels, hindering early interventions and
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prevention of future complications, is a primary contributor to the elevated mortality rate among
diabetes patients. Effective self-care practices are essential for individuals with chronic
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conditions to mitigate risks and improve outcomes (da Rocha et al., 2020). At Mercy Medical
Center, a diminishing frequency of foot and HbA1c evaluations is observed, potentially leading
to increased healthcare costs, mortality rates, reduced quality of life, and poor prognoses
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associated with diabetes-related complications.


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Need for Policy and Practice Guidelines


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Examining dashboard information uncovers a decrease in eye tests and HbA1c assessments at
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Leniency Clinical Center, falling beneath public midpoints. In 2020, just 41% of diabetic patients
went through eye tests, contrasted with the 75% public normal. Likewise, HbA1c testing rates
were less than ideal, with 48.3% of patients surveyed in 2020, beneath the 79% state normal.
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These patterns present monetary and personal satisfaction chances, as deficient taking care of
oneself administration prompts clinic readmissions and expanded care costs (NHQDR
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Information Instruments | AHRQ Information Devices, 2020). Resolving this issue is pivotal to
lighten the weight on the two patients and medical care establishments.

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Proposed Policy Guidelines
To redress what is going on, basic to carry out approaches empower routine foot and HbA1c
assessments. Benevolence Clinical Center ought to advocate for evaluations three times each
year to recognize confusions early and work with ideal mediations. This proactive methodology
lines up with public suggestions, adding to worked on understanding results and fulfillment (Lee
et al., 2021). The proposed rules center around down to earth procedures, patient distinguishing
proof, and booked subsequent meet-ups to guarantee extensive diabetes the executives.

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Evidence-Based Strategies

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Research supports the efficacy of regular foot and HbA1c assessments in reducing diabetic
complications. Employing a SMART framework for interventions can enhance care,

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emphasizing symptom assessment, medication management, appointment scheduling, result
analysis, and effective patient communication (Hiong et al., 2020). Organizational policies

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should prioritize appropriate staffing to maintain an optimal patient-to-nurse ratio, ensuring
efficient care delivery and adherence to quality standards (Azami et al., 2018).

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Stakeholder Involvement in Implementing Proposed Strategies
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The success of the policy relies on the commitment of Mercy Medical Center's leadership and
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staff to embrace change. An interdisciplinary team, comprising professionals from various
healthcare domains, will lead the implementation, with nursing directors playing a crucial role in
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providing essential information (Grunberger et al., 2021). Training programs for staff, coupled
with awareness campaigns through posters, will ensure uniform adherence to guidelines.
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Conclusion
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The inadequate assessment of foot and HbA1c levels poses a significant threat to diabetes
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patients' well-being. Implementing proactive policies and evidence-based strategies, supported


by stakeholder involvement, is essential to mitigate complications, reduce costs, and enhance
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overall quality of life. Mercy Medical Center's commitment to change and adherence to these
proposed guidelines will contribute to improved diabetes care and patient outcomes.
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References
Azami, G., Soh, K. L., Sazlina, S. G., Salmiah, M. S., Aazami, S., Mozafari, M., & Taghinejad, H.
(2018). Effect of a nurse-led diabetes self-management education program on glycosylated
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https://doi.org/10.1155/2018/4930157

Breuing, J., Joisten, C., Neuhaus, A. L., Heß, S., Kusche, L., Haas, F., Spiller, M., & Pieper, D.
(2021). Communication strategies in the prevention of type 2 diabetes and gestational diabetes

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in vulnerable groups: A scoping review. Systematic Reviews, 10(1), 301.
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Cole, J. B., & Florez, J. C. (2020). Genetics of diabetes mellitus and diabetes complications.
Nature Reviews. Nephrology, 16(7), 377–390. https://doi.org/10.1038/s41581-020-0278-5

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da Rocha, R. B., Silva, C. S., & Cardoso, V. S. (2020). Self-care in adults with type 2 diabetes

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mellitus: a systematic review. Current Diabetes Reviews, 16(6), 598–607.
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from a selected public hospital in Malaysia. Sciences, 10(16), 96-108.


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Lee, S., Liu, T., Zhou, J., Zhang, Q., Wong, W. T., & Tse, G. (2021). Predictions of diabetes
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Diabetologica, 58(2), 171–180. https://doi.org/10.1007/s00592-020-01605-6

Miller, R. C., & Rodriguez, H. P. (2021). Interdisciplinary primary care team expertise and
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151–161. https://doi.org/10.3122/jabfm.2021.01.200187

Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing?
Call Us Now (612) 234-7670
Email Us Contact@nursewritingservices.com
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NHQDR Data Tools | AHRQ Data Tools. (2020). Ahrq.gov. https://datatools.ahrq.gov/nhqdr

Oni D. (2020). Foot self-care experiences among patients with diabetes: a systematic review of
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Pourkazemi, A., Ghanbari, A., Khojamli, M., Balo, H., Hemmati, H., Jafaryparvar, Z., &
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Wang, M., & Hng, T. M. (2021). HbA1c: More than just a number. Australian Journal of General
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Yoroidaka, A., Kurita, S., & Kita, T. (2022). HbA1c measurement may save COVID-19 inpatients
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from overlooked diabetes. Journal of Diabetes Investigation, 13(11), 1925–1933.


https://doi.org/10.1111/jdi.13869
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