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Nursing

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Nov 24, 2024

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Presentation Outline I. Introduction A. Opening statement: Diabetes is a growing concern for many elderly individuals, but the lack of resources and support to manage it is equally concerning. B. A succinct overview of diabetes in the elderly C. Purpose of the presentation: Discuss a specific service need and propose a policy change. II. The Need A. Explanation of the service need: Elderly individuals with diabetes face a number of challenges that can make it difficult for them to manage their condition effectively. B. Statistics to support the need C. Examples of specific challenges: financial barriers, transportation, access to education and resources, isolation and loneliness. III. Proposed Policy or Program Change A. Explanation of the policy change: To address the service need, a policy or program change is necessary to ensure that elderly individuals with diabetes have access to the support and resources they need to manage their condition effectively. B. Benefits of the policy change C. Implementation plan: Steps that need to be taken to ensure the policy change is successful.

IV. Conclusion A. Recap of the service need and proposed policy change B. Call to action: Encouraging the audience to take action and support the policy change C. Closing statement: To improve the quality of life for elderly individuals with diabetes, we must make changes to ensure they have access to the support and resources they need. Specific Social Problem affecting your target Population Lack of access to healthcare services is a major social issue affecting elderly individuals with diabetes. In particular, the high expenses of prescription drugs, medical procedures, and doctor visits mean that many older people cannot afford essential medical care (Borba et al., 2019). Additionally, many older adults reside in rural locations with limited access to medical professionals and facilities, making it challenging to get the care they require. As such, older adults' general health and quality of life may suffer due to this lack of access to healthcare services, which may also pave the way for future, more significant health issues. Describe an unmet service need of your identified target population . One unmet service need of elderly people with diabetes is the lack of access to affordable, high-quality diabetes education and support programs. In particular, diabetes management calls for continuing education and assistance, but many elderly people struggle to find services that are both affordable and easily accessible (Borba et al., 2019). These people's general health and quality of life may suffer as a result, as might emotions of frustration, bewilderment, and isolation. Additionally, a lack of access to these resources can raise the risk of complications from diabetes, including heart disease, stroke, and kidney disease (Borba et al., 2019). Thus, elderly individuals with diabetes may have easier access to the tools they need to control their condition and have healthier, more rewarding lives if this unmet need is filled.

Explain why it is important to meet this population's needs and improve conditions . Giving elderly people access to cost-effective, high-quality diabetes education and support programs will help them better manage their illness and lower their risk of complications associated with diabetes (Cicek & GÖKDOĞAN, 2021). Consequently, this may result in better health and a higher quality of life for these people. Besides, giving senior people with diabetes access to resources and assistance increases their chances of managing their illness well, which can cut down on the need for costly operations and hospitalization (Borba et al., 2019). Most importantly, the healthcare system and specific patients may experience significant cost savings. Due to their difficulties managing their health, many older people with diabetes feel alone and frustrated. Thus, giving these people access to tools and support can help them connect with others experiencing similar things, which can lessen their loneliness and enhance their overall social and emotional well-being. Moreover, many elderly people with diabetes have poor incomes or encounter other obstacles that keep them from getting the help they require to adequately manage their condition (Borba et al., 2019). Regardless of a person's socioeconomic situation or other considerations, addressing this unmet need can help eliminate health disparities and increase access to care for all people. Articulate a vision of change to improve conditions or opportunities for elderly people with diabetes . I aim to make the world a place where senior citizens with diabetes can access excellent, cost-effective support and education services. I envision a world where Healthcare professionals collaborate senior diabetic patients to deliver individualized, efficient care tailored to their specific needs. I also envisage a scenario where regardless of their financial situation or location, diabetes education and support programs are widely accessible, affordable, and available to all

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older people with diabetes. Besides, I envision seeing seniors with diabetes with access to the resources and assistance they need to lead healthy, satisfying lives and feel empowered and supported in managing their illnesses (Sinclair et al., 2019). Furthermore, I picture a world where the stigma and difficulties related to diabetes are lessened, and senior people with diabetes are praised for their fortitude and courage. I foresee the healthcare system changing by emphasizing patient-centered treatment that caters to everyone's needs, including those of those with diabetes. By working toward this vision of change, we may enable elderly people with diabetes to lead healthy, full lives, free from the difficulties and hindrances that prevent them from receiving the care they require. I believe that by working with healthcare professionals, local governments, and advocacy groups, we can build a society where everyone with diabetes has access to the tools and assistance they need to manage their illness successfully. Explain how alignment between policy, service, program and practice is necessary to meet the identified service need. Meeting the recognized service needs of senior people with diabetes requires alignment between policies, services, programs, and practices because it guarantees that all facets of the healthcare system are cooperating towards a common objective. In particular, a comprehensive, integrated system that can successfully meet the needs of senior people with diabetes is created when policy, service, program, and practice are all in line. For instance, the policy may subsidize programs for diabetes education and support, but if such programs are not offered in the neighborhood, the need is not being met (Lane, Palley & Shdaimah, 2019). On the other side, if there are programs that are neither affordable nor accessible to senior people with diabetes, the need is not being met by the programs in a satisfactory manner.

In order to satisfy the needs of senior people with diabetes, resources must be available, accessible, and inexpensive for all those who require them. Most importantly, this is ensured by aligning policy, service, program, and practice. Additionally, it guarantees that the healthcare system is collaborating to deliver thorough, efficient treatment that addresses all areas of a person's health and well-being. As such, we can develop a system that successfully addresses the requirements of seniors with diabetes and enables them to lead healthier, more satisfying lives by ensuring alignment across policy, service, program, and practice (Lane, Palley & Shdaimah, 2019). Propose a viable change strategy to improve conditions or opportunities (e.g. change in policy, program or practice) to meet the target population's identified service needs. Implementing a comprehensive diabetes education and support program that is widely available, easily accessible, and reasonably priced for all older people with diabetes is one effective change strategy to improve conditions for elderly people with diabetes. In particular, the program will include policy changes to guarantee that the program is financed and widely accessible. For instance, this can be accomplished by engaging in advocacy work and collaborating with decision-makers to develop a favorable policy climate that gives the needs of elderly people with diabetes top priority (Lane, Palley & Shdaimah, 2019). Besides, the initiative will include program development to fulfill the requirements of senior people with diabetes in all communities by building a network of diabetes education and support services, including physical and online resources. As such, healthcare professionals training in diabetes care and education would work in these initiatives.

The program would encompass the development of partnerships between healthcare providers, community organizations, advocacy groups, and other stakeholders to ensure that the needs of elderly individuals with diabetes are met. In particular, this would entail collaborating with medical professionals to incorporate diabetes education and support into their procedures and with community organizations to offer assistance and resources to older persons with diabetes (Lane, Palley & Shdaimah, 2019). In addition, the initiative would incorporate continuous assessment and improvement to ascertain that the program is fulfilling the requirements of elderly people with diabetes and having a good effect on their health and well- being. We can make sure that elderly people with diabetes have access to the tools and assistance they need to manage their illness successfully and have healthier, more satisfying lives by putting into place this comprehensive diabetes education and support program. This program would be a major step toward meeting the unmet service needs of elderly people with diabetes and improving living conditions for this vulnerable group. Explain the “logic” of the change initiative: purpose, inputs, activities, outputs, and impact. The logic of the change initiative to improve conditions for elderly individuals with diabetes is as follows: Purpose: The change initiative's goal is to give elderly people with diabetes access to comprehensive, reasonably priced diabetes education and support programs that are tailored to their specific requirements (Lane, Palley & Shdaimah, 2019). Inputs: Policy change, program development, partnership building, and continuing evaluation and improvement are some of the inputs for the change endeavor.

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Activities: The activities of the change initiative include advocating for policy change to support diabetes education and support programs, creating and implementing a network of diabetes education and support programs, forming alliances with healthcare providers and community organizations, and carrying out ongoing evaluation and improvement to make sure the program is meeting the needs of elderly people with diabetes (Lane, Palley & Shdaimah, 2019). Outputs: The change initiative's outcomes include a comprehensive program for diabetes education and support that is easily accessible, cheap, and available to all senior people with diabetes, as well as better health and well-being for those who participate in the program. Impact: The change project has a positive impact on the health and well-being of elderly people with diabetes, as well as on the difficulties they have in receiving the care they require. Elderly diabetics, their families, and communities will be affected, as well as healthcare professionals, decision-makers, and society at large (Lane, Palley & Shdaimah, 2019). By making life better for senior people with diabetes, we can help them lead happy, healthy lives and make sure they have the resources and assistance they need to manage their illnesses effectively. Explain how the change initiative would incorporate social work values such as cultural responsiveness or advancement of social justice. Several social work values, such as cultural sensitivity and the advancement of social justice, are incorporated into the change project to enhance conditions for elderly people with diabetes. In particular, the initiative for change would be culturally sensitive by considering the particular needs and viewpoints of senior people with diabetes from various cultural backgrounds (Sinclair et al., 2019). In addition, ensuring that the program is accessible and meets the needs of

all elderly people with diabetes, regardless of their cultural background, means that it will be designed to be inclusive and culturally sensitive and involve the development of partnerships with community organizations that serve diverse populations. By addressing inequities in healthcare outcomes and access for elderly people with diabetes, the change project would also advance social justice. For instance, financial obstacles, problems with transportation, and a lack of access to diabetes education and support programs are just a few of the significant obstacles that many elderly people with diabetes must overcome in order to receive the care and assistance they need to effectively manage their condition (Sinclair et al., 2019). Besides, the program would work with community organizations and healthcare providers to ensure that elderly people with diabetes receive the care they require, as well as by making diabetes education and support programs widely accessible, affordable, and accessible to help address these disparities. In order to advance social justice and cultural responsiveness in healthcare, as well as to ensure that the change project is effective and serves the requirements of older people with diabetes, these principles must be incorporated into it (Sinclair et al., 2019). Most importantly, the change project will assist to improve conditions for elderly people with diabetes and ensure that they have access to the tools and support they need to effectively manage their illness by taking these principles into account. Refer to Social Work Disposition #12: Standard: Social Workers’ Ethical Responsibilities to the Broader Society in this portion of your outline. Note strengths, weaknesses, opportunities and threats that might influence the adoption or achievement of the change initiative and how these might be addressed.

The standard, "Social Workers' Ethical Responsibilities to the Broader Society" (Disposition #12), emphasizes the crucial part that social workers play in advancing social justice and arguing for legislative reform. It is crucial to consider the advantages, disadvantages, opportunities, and dangers that could affect the change initiative's adoption and success in enhancing conditions for elderly diabetics. Strengths: The change initiative's strengths include the possibility of better health outcomes for older diabetics and the chance to remove obstacles to enrollment in diabetes education and support programs (Sinclair et al., 2019). The program would also encourage strong collaborations among policymakers, community organizations, and healthcare providers, which might advance social justice and enhance the health of all senior diabetics. Weaknesses: Limitations in funding and resources, potential resistance to change from healthcare professionals, community organizations, and policymakers, and the possibility of cultural misinterpretations or opposition from elderly people with diabetes from various cultural backgrounds are some of the weaknesses of the change initiative. Opportunities: The change effort has the potential to expand public knowledge of diabetes, the needs of senior people with diabetes, and the formation of new partnerships and collaborations to promote social justice and enhance the health of elderly people with diabetes. Threats: The change initiative faces threats from a lack of political will to address the needs of elderly people with diabetes, a lack of funding to scale up the program, and the possibility of cultural misinterpretations or resistance from elderly people with diabetes from different cultural backgrounds (Sinclair et al., 2019). Strong relationships with healthcare professionals, community organizations, and policymakers will be necessary to address these strengths, weaknesses, opportunities, and

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threats, as well as to ensure that the program is serving the requirements of seniors with diabetes (Sinclair et al., 2019). In order to meet the needs of senior people with diabetes and achieve social justice, social workers will also be crucial in promoting policy change, increasing public knowledge of and understanding of diabetes, and collaborating with healthcare professionals, neighborhood groups, and lawmakers. Recommendations for action: What steps could be taken to achieve the envisioned change? It is important to forge strong partnerships with healthcare professionals, community organizations, and legislators to guarantee that the program is serving the needs of senior people with diabetes and that all stakeholders are cooperating to promote social justice and enhance health outcomes. Besides, engaging in continuous review and improvement will ensure that the program addresses the needs of elderly people with diabetes and ascertains any required adjustments to increase its efficiency (Sinclair et al., 2019). Moreover, increased community involvement, public education campaigns, community outreach efforts, and collaborations with lawmakers, community organizations, and healthcare professionals can all help to increase public understanding and awareness of diabetes. In addition, social workers can play a crucial role in pushing for legislative changes that would increase senior diabetics' access to support and education programs. Ensuring cultural sensitivity and responsiveness through collaborating with healthcare professionals ensures that the program is accessible and culturally sensitive and includes community organizations that serve various communities in its creation. In order to guarantee that elderly people with diabetes receive the care they require, it is important to work together

with healthcare professionals and community organizations to overcome barriers to accessing diabetes education and support programs (Sinclair et al., 2019). Thus, the change project has the potential to be successful in achieving social justice and improving conditions for elderly people with diabetes by implementing these actions. To improve the quality of life for elderly individuals with diabetes, it is crucial that we take action and make changes that ensure they have access to the support and resources they need.

References Borba, A. K. D. O. T., Arruda, I. K. G., Marques, A. P. D. O., Leal, M. C. C., & Diniz, A. D. S. (2019). Knowledge and attitude about diabetes self-care of older adults in primary health care. Ciencia & saude coletiva , 24 , 125-136. Cicek, S. C., & GÖKDOĞAN, F. (2021). Effect of education and monitoring on developing foot care of elderly with diabetes mellitus. Clinical and Experimental Health Sciences , 11 (3), 471- 480. Lane, S. R., Palley, E. S., & Shdaimah, C. S. (2019). Social welfare policy in a changing world . Sage Publications. Sinclair, A. J., Abdelhafiz, A. H., Forbes, A., & Munshi, M. (2019). Evidence‐based diabetes care for older people with type 2 diabetes: a critical review. Diabetic Medicine , 36 (4), 399–413.

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