NP 506 Week 4 Presentation
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School
Chamberlain College of Nursing *
*We aren’t endorsed by this school
Course
NR506
Subject
Medicine
Date
Apr 3, 2024
Type
Pages
16
Uploaded by GrandIceChinchilla31
Introduction
To Explain the Problem Statement
Discover the Background
To Explain the Landscape of the Problem
To Offer Options
Make Recommendations
About Middlesex County
Middlesex County, New Jersey is Metropolitan (intersecting an urban core area of 50,000 or more population) and is connected to 6 large cities, including the cities of Edison, Woodbridge, Old Bridge and Piscataway (County Health Rankings &Roadmaps, 2023).
Problem Statement
How Should Government Officals in Middlesex County Help to Lower the Diabetes Rates?
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Facts about Diabetes
Very costly for health insurance companies.
Three types of diabetes: type 1, type 2, and gestational diabetes.
Risk Factors: Obesity, sedentary behavior, HPN, high cholesterol, and gestational diabetes
Rural Americans have higher prevalence of obesity and type 2 diabetes (T2D) (Radcliff et al., 2020).
Diabetes must be managed with a mix of prescription drugs (such as insulin injections or oral drugs), healthy diet, regular exercise, blood sugar monitoring.
Background
Middlesex County, N
J
Adult Obesity rate: 23%
Diabetes prevalence: 9%
Access to Exercise Opportunities: 97%
Adult physical inactivity rate: 20%
Insufficient sleep rate: 35%
Limited to healthy foods: 4%
Children in Poverty: 9%
Poor Physical Healthy Days: 2.2
(County Health Rankings & Roadmaps, 2023)
Landscape
Limited Healthcare Providers
The Food Industries Including Fast Food Companies
Health Insurance Companies
Politicians that Lobby for Obesity Awareness and Preventions
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Healthcare Providers
•
Valuable Members of Care Team in Prevention and Treatment. •
Primarycare Physicians: Middlesex County 1020:1 Compared to NJ 1180:1 (County Health Rankings &Roadmaps, 2023) •
Increasing the Practice Authority of Nurse Practitioners(Hughes et al., 2022). •
Lack Resources
Food Industry
•
Key Contributor in the Diabetes Crisis •
Tax Foods that are Unhealthy •
Contribute Advertising to the Vulnerable Audience •
Uses Advertisements to Persuade Consumption •
(Cedeno, 2019)
Food Industry
•
The relationship between food environments and diabetes morbidity is vastly understudied (Philips et al., 2020) •
Offer discounts to health insurance by meeting healthy goals. •
Provide cost saving discounts for fresh fruit and vegetables. •
Improve food banks quality to prevent diabetes in food-insecure populations(Cheyne et al., 2020).
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Health Insurance Companies
Have an interest in the overall health.
Health insurance companies cover for visits, blood glucose monitoring supplies, insulin, oral medications, and diabetes education programs.
Health insurance plans often cover preventive services.
Higher Premiums for Diabetic patient (Mylona et al.,2020)
Politicians
•
Both Parties are interested in reducing the cost related to Diabetes. •
Both Parties have programs that help to reduce the obesity rate in Diabetic patients. •
Both Parties have Bills Introduced into the Obesity Act of 2019 and are awaiting approval. •
Policies of food labeling, sugar-sweetened beverage taxes, nutrition standards in schools and public institutions, and workplace wellness programs.
Promote Exercise
Public recreation plays a key role in decreasing obesity.
Build more community parks.
Provide public dancing teachers and groups
Offer free fitness classes within the schools and can be provided to children at any age.
Offer walking trails with mile markers and lights for safety
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Options
•
The importance of balanced and healthy diet •
Teaching children healthy habits can follow them into adulthood •
Would reach a large audience that could influence family •
Providing healthy recipes could promote family time •
Coursework could require frequent updates as recommendations change •
May be difficult to find time to incorporate into curriculum
Recommendations: Education is the Key to Promote Changes
90% of students graduate high school in Middlesex County, NJ. (County Health Rankings & Roadmaps, 2023)
Health and science teachers could add subject to curriculum, develop educational materials and activities
Provide visual aids, use storytelling,emphasize healthy lifestyle habits
References
Cedeno, L. (2019). Global implementation of soda taxes: Is there a better solution for combatting obesity? Brooklyn Journal of International Law, 45 (1), 229-365
Cheyne, K., Smith, M., Felter, E. M., Orozco, M., Steiner, E. A., Park, Y., & Gary-Webb, T. L. (2020). Food Bank-Based Diabetes Prevention Intervention to Address Food Security, Dietary Intake, and Physical Activity in a Food-Insecure Cohort at High Risk for Diabetes. Preventing Chronic Disease
, 17
, E04–E04. https://doi.org/10.5888/pcd17.190210
County Health Rankings and Roadmaps. (2023). Explore rankings. Retrieved from https://www.countyhealthrankings.org/explore-health-rankings/new- jersey/middlesex?year=2023
Healthier Middlesex.(2021). https://www.healthiermiddlesex.com/data_report/second-data-
report-test
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References
Hughes, D. R., Filar, C., & Mitchell, D. T. (2022). Nurse practitioner scope of practice and the prevention of foot complications in rural diabetes patients. The Journal of Rural Health
, 38
(4), 994–998. https://doi.org/10.1111/jrh.12599 Mylona, E. K., Benitez, G., Shehadeh, F., Fleury, E., Mylonakis, S. C., Kalligeros, M., & Mylonakis, E. (2020). The association of obesity with health insurance coverage and demographic characteristics: A statewide cross-sectionn study. Medicine,
99 (27). doi:10.1097/md.0000000000021016 Phillips, A. Z., & Rodriguez, H. P. (2020). U.S. county “food swamp” severity and hospitalization rates among adults with diabetes: A nonlinear relationship. Social Science & Medicine (1982)
, 249
,112858–8. https://doi.org/10.1016/j.socscimed.2020.112858
Radcliff, T. A., Côté, M. J., Whittington, M. D., Daniels, M. J., Bobroff, L. B., Janicke, D. M., & Perri, M. G. (2020). Cost-Effectiveness of Three Doses of a Behavioral Intervention to Prevent or Delay Type 2 Diabetes in Rural Areas. Journal of the Academy of Nutrition and Dietetics
, 120
(7), 1163–171. https://doi.org/10.1016/j.jand.2019.10.025