Collaborative Strategies to Address Diabetes Mellitus Assignment Sample

• Subject Name : Healthcare

Collaborative Strategies to Address Diabetes Mellitus in Indigenous Australian People

The Australian communities of Aboriginals and Torres Strait Islanders are disadvantaged communities and health disparity is one of the major issues faced by these Indigenous Australian communities (Waterworth et al., 2015). The effect of colonization has directly lead to poor health status with an increased mortality rate. For example, the expected lives of Indigenous males and females are respectively 10.6 and 9.5 years lesser than their counterpart Australians and for all the other age groups under 65 years, the age-specific mortality rate in Indigenous people is at least double of that in the non-Indigenous population (Waterworth et al., 2015). The Aboriginal and Torres Strait Islander peoples have had poorer health experiences because of their historical and socio-economic sufferings.

The high prevalence of mortality and morbidity has increased complication of the patients by increasing prevalence for the chronic health condition. Out of all the infectious and non-infectious diseases, diabetes mellitus/diabetes is one of the major issues faced by the older individual of the Indigenous community (Johnson et al., 2015). Interprofessional partnerships and strengths-based approaches with Indigenous communities can promote the formation of a mutually respectful and supportive collaboration to address the issue of diabetes in Indigenous Australian people. This essay aims to explain how a nurse working in an Indigenous Australian community can contribute towards the facilitation of such collaborations using certain strategies, to promote better health in the people of Indigenous Australian communities.

Diabetes is considered to be a major metabolic disorder that has increased the complications of the individual, who is detected by the misbalance in the insulin secretion. Metabolic abnormality directly linked to the hyperglycaemia that increases the microvascular complications. There are two major types of diabetes mellitus i.e. type 1 and type 2 and these are differentiated based on their respective phenomena. Type 1 diabetes occurs when the pancreatic beta-cell has destructed, leading to insulin deficiency and it usually occurs as an autoimmune disorder that leads to increase blood glucose level. On the other hand, type 2 diabetes occurs when the body is not able to maintain the normal insulin concentration or it has become resistant toward the action of the insulin, leading to increased blood glucose level (Punthakee et al., 2018).

The prevalence of diabetes mellitus in Australia has increased in the last few decades. The data predicts that about 1 million adult individuals in Australia have diabetes and men are at higher risk for the disease. The major portion of Australia affected by diabetes is a remote area that contributes approximately 6%, followed by major cities contributing about 5% and last in the inner area which contributes approximately 4%. The data predicted that those elderly individuals, who are affected by diabetes, have majorly increased chances of mortality (Australian Institute of Health and Welfare [AIHW], 2019).

Diabetes prevalence in the Indigenous population is about 12% that has directly contributed to the lifelong disorder that leads to increased health-associated complications. One of the factors responsible for increasing the prevalence of diabetes in Indigenous communities is their poor dietary intake that directly leads to disturbed metabolism and increased risk for diabetes. Increased alcohol consumption is also one of the major factors increasing the prevalence of diabetes. Many other factors have led to the deteriorated health status of the individual include increased smoking, social disruption and increased stress (Waterworth et al., 2015).

Many intervention programs have been initiated by different government agencies to reduce the chances of diabetes occurrence. Centre for Disease Control and Prevention (CDC) (2019) proposed the National Diabetes Prevention Program to reduce the complication by improving the lifestyle of the individuals. This included different aspects of life-improving physical activity to improve metabolism. Dietary recommendations and reduction in weight are among the interventions that directly help to reduce diabetes-related complications. Another program was proposed by the AIHW (2020) that aimed to promote a healthy lifestyle program to improve the health status of the Indigenous population. The main focus of this program is to reduce alcohol consumption in the Indigenous individuals and anti-tobacco program to reduce the rate of smoking. The program aims to provide the training to the individual that can be utilized to manage nutrition intake, manage daily routine of exercise and reduce the weight.

The term interprofessional collaboration in medicinal services is utilized to characterize the condition when human services suppliers from shifting proficient foundations team up and work in associations to give the best nature of care to their patients (Vega & Bernard, 2017). The reason for this idea is that better consideration can be conveyed if care suppliers think about one another's just as the patient's perspective. At the end of the day, and interprofessional coordinated effort is a method of moving toward the patient's consideration by a group based point of view to improve the patient result. As per Jakubowski and Perron (2018), medicinal services associations ought to have blunder free correspondence, participation and coordination between the experts, because to give viable and safe consideration to a patient, ability in the investigation fields of all the clinical experts in the group, independent of their orders.

Even though medicinal services experts for the most part neglect to recognize the instructive practice and arrangement of different experts, who are from various orders. To ensure better health outcomes, interprofessional coordinated effort in medicinal services is imminent (Jakubowski & Perron, 2018). This incorporates powerful joint effort among between disciplinary experts and among medical caretakers and individuals from various control and medicinal services groups and can decrease blunders just as social insurance-related expenses. To summarize these areas of competency, tolerating the morals and estimations of interprofessional practice infers coordinating while simultaneously regarding the capacity of those in various aptitude. Monitoring the master employments and duties of different partners; viably speaking with the patients, their families, and other restorative administrations specialists; and building relationship to plan, execute, and survey safe consideration, all add to the prosperity of patients and networks Strengthened between disciplinary correspondence can diminish remaining tasks at hand for all experts by disturbing information and diminishing the endeavours which in any case would have copied (Jakubowski & Perron, 2018).

Since interprofessional collaboration assumes a significant job in improving the patient result, it very well may be dared to help enhance the rate of diabetes mellitus in Indigenous Australians. Medical attendants can work as a team with human services suppliers utilizing quality based ways to deal with relieve diabetes commonness and to build up a commonly conscious relationship with their minimized network. Medical attendants are not free elements, along these lines, they need associations, where they assume the major community job to accomplish their goal of considering the patients out of luck (Bresnick, 2017). Attendants ought to be locked in uncommonly in the synergistic procedures of arranging and actualizing systems composed for the care of Aboriginal and Torres Strait Islander patients to outfit to them administrations from different social insurance suppliers.

Attendants can work as a team with multidisciplinary social insurance associations or networks giving human services benefits in Indigenous regions. A joint effort and collaboration are the significant viewpoints in nursing, medical caretakers are prepared to be the extension between the medicinal services suppliers and the patients they serve (Krueger, Ernstmeyer & Kirking, 2017). Medical attendants must discuss adequately with the experts about the treatment plans pertinent to their Indigenous Australian patients and comprehend the importance of each individual from the group.

As per the training norms, set of accepted rules and code of morals rules as spread out by the nursing and birthing assistance leading body of Australia (NMBA, 2018). Attendants are relied upon to follow protected, community-oriented and powerful social practices to advance deferential and solid associations with the Indigenous populace of Australia including Aboriginals and Torres Strait Islanders. Attendants need to give fair, comprehensive and predisposition free consideration that is aware and ok for indigenous individuals of Australia. For the execution of both preventive systems and conveyance of care to these individuals, attendants need to recognize the significance identified with the families, network, joint effort and organization in dynamic in human services to them. Attendants are committed to ensure the security and secrecy of their patients, know about and regard their social and moral convictions and qualities (NMBA, 2018).

Since there is a uniqueness in the soundness of Aboriginal and Torres Strait Islander individuals, attendants must give wellbeing support to them by utilizing impact and skill to ensure and progress solid prosperity of Aboriginal and Torres Strait Islander people just as networks. Besides, medical attendants must apply and comprehend the standards of essential general wellbeing, for example, counteraction of ailments and wellbeing training. Medical attendants ought to likewise include themselves in endeavours made to improve the strength of Aboriginals' and Torres Strait Islanders' people group and meet the necessities identified with the counteraction of sicknesses. These incorporate inoculations, screening and detailing of heath confusions (NMBA, 2018).

While working in a joint effort, medical caretakers need to embrace numerous measures (Krueger, Ernstmeyer &f Kirking, 2017). Foundation of normal group objectives is essential, which for this situation is to improve the diabetes occurrence in Aboriginals and Torres Strait Islanders. Permitting open correspondence with the patients' populace and acutely and effectively tuning in to them can altogether upgrade the nature of collaboration among medical attendants and individuals of Indigenous Australian people group. Furthermore, the collaboration can likewise be upgraded through aptitudes and instructive preparing of the individuals of the impeded network, i.e. several factors can be utilized by the nurses to improve the quality of life of the diabetic patient. Therapeutic communication is the first method that can be utilized to improve the understanding of patient regarding the disorder and related complications.

Therapeutic communication helps make the patient aware of the disorder and associated risk factors that can lead to complication. The nurse can act as a caregiver to improve the quality of care by assisting during care. Patient-centred care is also one of the approaches that can be used to improve the health status of the patient. Patient-centred care helps to provide tailored care following the patient current health status (Nikitara et al., 2019). The nurse can help the patient in the self-management method that helps to reduce the dependency of the patient. The nurses can help to improve the different self-management technique that can be utilized to maintain a healthy lifestyle. The different techniques that are included in the self-management include self-glucose monitoring, dietary control, mild exercise and coping strategy for a fluctuated blood glucose level. The self-management technique helps the individual to continuously monitor and manage the fluctuated blood glucose level (Carpenter et al., 2018).

Furthermore, common regard between the individuals of the network and attendants must be guaranteed because individuals not feeling regarded can go to their guarded sides, encouraging their commitment need and much more awful. This can be guaranteed by giving Aboriginal and Torres Strait Islander individuals with social security and competency during the collaboration. Social security alludes to a domain helpful for individuals who need to have the option to ponder their convictions, morals and qualities. Such a situation gives no test, forswearing or attack to the individual's personality about what his identity is and what he needs (Thorpe, 2018). It is about mutual significance, regard, understanding and information on learning and listening together, with poise. Then again, the social ability is characterized as the capacity of taking an interest morally and viably in proficient just as close to home intercultural settings.

This needs one to know about his social essentialness alongside the world's perspectives and suggestions to make contemplated, intelligent and deferential decisions, including the capacity to work together and envision across social limits (Thorpe, 2018). Besides, attendants need to deal with clashes proactively by tuning in to the worries of the Aboriginal and Torres Strait Islander individuals and empowering profitable goals of contentions in its initial stage (Krueger, Ernstmeyer and Kirking, 2017). Medical caretakers must be the powerful pioneers all through the procedure of cooperative practice and collaboration with the hindered network of Indigenous Australians.

Aboriginal and Torres Strait Islander people group of Australia is a distraught network because of the absence of moderate quality human services and food offices to them. Since they have encountered crushed prejudicial practices, the status of their wellbeing stays more regrettable in correlation with the non-Indigenous Australians and infections including diabetes are progressively predominant among them. Various strategies targeted at improving the incidence of diabetes have been implemented by the Government, for example, programs introduced by CDC and AIHW. Additionally, interprofessional collaborative practices involving nurses can be presumed to provide some benefit in ameliorating the occurrence of diabetes in the Indigenous communities of Australia.

Nurses can collaborate with healthcare organisations or other health providing communities to promote health in Indigenous communities. Through collaborative practices and by following proper code of conduct and professional practice standards, nurses can help improve the health of Aboriginal and Torres Strait Islander people either by educating them about the risk factors associated to diabetes or by providing them multiple healthcare services, which are not presently available.

References

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Australian Institute of Health and Welfare. (2020). Healthy lifestyle programs for physical activity and nutrition. Retrieved from https://www.aihw.gov.au/search?%7B%22SearchText%22:%22diabetes%20program%22%7D

Bresnick, J. (2017, May 09). Nurses play collaborative role in care coordination, planning. Retrieved from https://healthitanalytics.com/news/nurses-play-collaborative-role-in-care-coordination-planning

Carpenter, R., DiChiacchio, T., & Barker, K. (2018). Interventions for self-management of type 2 diabetes: An integrative review. International journal of nursing sciences, 6(1), 70–91. https://doi.org/10.1016/j.ijnss.2018.12.002

Centre for Disease Control and Prevention. (2019). National Diabetes Prevention Program. Retrieved from: https://www.cdc.gov/diabetes/prevention/index.html

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Nikitara, M., Constantinou, C. S., Andreou, E., & Diomidous, M. (2019). The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review. Behavioral sciences (Basel, Switzerland), 9(6), 1-16. https://doi.org/10.3390/bs9060061

NMBA. (2018). Professional standards. Retrieved from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx

Punthakee, Z., Goldenberg, R., & Katz, P. (2018). Definition, Classification and Diagnosis of Diabetes, Prediabetes and Metabolic Syndrome. Canadian Journal of Diabetes, 42, S10–S15. DOI:10.1016/j.jcjd.2017.10.003

Thorpe, K. (2018). Ethics, Indigenous cultural safety and the archives. Archifacts, 2, 33-47. Retrieved from https://opus.lib.uts.edu.au/handle/10453/138992

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