NURS FPX 4065 Assessment 2 outlines a care coordination plan for pediatric Type 2 diabetes, focusing on SMART goals, cultural considerations, and community resources for improved health outcomes.
Preliminary Care Coordination Infographic
Children with Type 2 Diabetes are growing in their severity and become a health risk. It is most common in regions that are not able to access health-related programs and solutions to boost healthy living. It can cause an adverse impact on health that extends far beyond health and well-being. It can also affect the psychological well-being of the family, its interactions, and the development of social interactions (Pappachan and Co. 2024). Effective coordination of health services is vital in preventing diseases and their complications, in addition to encouraging healthy lives. The focus of this task lies on the study of ways to increase the well-being of the groups and the development of Specific, Measurable, feasible, pertinent, and timely (SMART) goals that are appropriate for this group, as well as an evaluation of the resources in the community to ensure a healthy and efficient community.
Analyzing the Selected Health Concern and the Associated Best Practices for Health Improvement
The development of Type 2 diabetes among young patients is now considered to be a significant public health problem, especially for people living in regions that aren't easily accessible or have access to preventative health services could cause problems (Pappachan too.. 2024). Children who suffer from Type 2 diabetes are at risk of developing long-term kidney disorders, along with kidney damage and loss of sight when not properly treated (Serbis and Co. 2021 ). This is a medical condition that should be treated and controlled from the beginning, together with ongoing medical treatment, to enhance both mental and physical health.
NURS FPX 4065 Assessment 2 Preliminary Care Coordination
The various methods have been tested to be successful within the realm of healthcare for children, in accordance with studies. First, it is important to assess the level of controlling glycemic levels using the measurement of HbA1c and perform periodic blood glucose monitoring when needed (Mukonda and Co. 2025). In addition, a workout focused on sports or play exercise during the day could aid in reducing the level of insulin sensitivity as well as weight (Kanaley as well 2022). The 3rd option is nutritional counselling for families that may promote healthy eating habits since caregivers are motivated to participate in the preparation of meals as well as giving instructions on snack and meal schedules (Runtulalo in addition, 2024). In addition, the well-organized diabetic self-management (DSME) programs help children and their parents to develop the knowledge and skills needed to control their diabetes in the future, as well as improve their overall well-being (Heise as well 2022).
Physical and Psychosocial Considerations
The treatment method for children with physical or pharmacologic issues like type 2 DM includes the use of medicines such as insulin and metformin if needed, in addition to the monitoring of blood glucose levels, as well as other conditions like obesity or hypertension monitoring (Serbia and the co. 2021).
Cultural Considerations
The care coordinator must be aware of specific culture-specific differences that exist in various situations within the communities. Cultural values and heritage can affect the way people view illnesses and treatments, as well as the changing of diets (Swaleh and Yu 2020). Therefore, beliefs that come from various cultures, like eating food from a local area or being distrustful of medical professionals, can impact the way that they handle it. It is advised to look at the significance of an eating plan that is tolerant of cultural values and the manner that language is used whenever needed, and being involved in the family of health professionals who are knowledgeable about family. For healthcare professionals, the phrase "cultural sensitivity" refers to the sensitivity to cultural beliefs or values and the specific means of communication that could impact the level of trust and the outcome in terms of overall health.
SMART Goals
To ensure the successful treatment of Type 2 diabetes in pediatric patients in a medical setting, it is vital to define clear and attainable objectives. They should include mental, physical, and cultural elements of the patient and their family members about the illness. These goals will help improve the health goals over time, as well as be consistent with the SMART goals program that provides a family-focused, full, and comprehensive treatment.
Goal 1: Improve Glycemic Control (Sundberg et al., 2021)
- Particularly, reduce the HbA1c level in children who suffer from type 2 diabetes by implementing individualized health Strategies.
- It's a logical goal to lower HbA1c levels down to a maximum of 1 per cent below the base.
- It's a possibility. This could be accomplished through continuous surveillance of the blood sugar level, as well as the consistency of dosage.
- It is vital to remember that having better control of glycaemic levels decreases the chance of suffering from complications, such as eye and kidney complications.
- Time-bound: The target is within six months from the time your program is initiated for the coordination of care.
Goal 2: Promote Psychosocial Resilience (Wu et al., 2022)
- Particular: Increase the ability of children to manage their emotions after being identified as suffering from Type 2 diabetes through structured counselling and assistance for their friends.
- It is measurable: Check your progress with self-report scores and therapy assessments, and set an aim of 30% improvement in the scores you score to help you cope.
- It's feasible to divide weekly sessions into smaller groups or even individual sessions with certified health specialists.
- Related: Concentrating on the psychological well-being of a patient may aid in improving general diabetes management as well as reduce feelings of isolation.
- Time-bound: Observe improvements in tangible ways during the first 12 weeks following intervention by psychosocial intervention.
3. Objective to increase the number of cultural participations within The Practices of Nutrition (Yusof and co. in 2025)
- Specific Inspire modifications to eating habits that are respectful of cultural differences through the participation of families in nutritionally-based seminars regularly.
- Assessment: Examine the percentage of participants and make sure that regular recalls are conducted on food items to attain a reduction of 50% for processed foods and sugary items.
- Also, it is possible to consult health experts as well as dietitians within the area who know the traditions that your household follows.
- Usefulness: The respect of various cultural norms in food choices increases compliance with healthful diet programs.
- Time-bound: Seek out improvement in your diet in just 4 months.
Community Resources
The most effective and safe approach to treating patients suffering from Type 2 diabetes is heavily dependent upon community resources that give ongoing support from the hospital. One of these sources is the Young Men's Christian Association (YMCA) Diabetes Prevention Program, which offers age-appropriate exercise training, nutrition, and fitness-specific information for a vast group of people (Andreae, also, by 2024). Child Health Clinics to Endocrinology can be found across a range of rural and urban areas. They can provide diabetes patients with care that is based on the observation of blood sugar levels, medication administration, and individualized treatment programs (LePage and Co., 2020). Clinics usually collaborate with families and schools to develop care programs that meet the individual child's schedule and medical needs.
The psychological and social aspects are also important when taking care of children with diabetes. That's why the Juvenile Diabetes Research Foundation (JDRF) Peer Support Program is the initiative created to introduce kids with type 1 diabetes along with their parents to those affected by the disease as well as offer advice and assistance in the context of someone else who's in the same situation (Mistry and her coworkers. 2022). Additionally, Women, Infants, and Children (WIC) Nutrition Services provide more than just food vouchers. They also provide nutritional training and programmes that are compatible with the requirements of the families they serve (Santiago, 2024). The programs are designed in order to ensure that educational and childcare equipment, as well as educational resources, satisfy the needs of families and that they are suitable for families. They help to encourage collaboration and increase effectiveness.
Conclusion
In NURS FPX 4065 Assessment 2 successful preliminary care coordination approach for children suffering from Type 2 diabetes in community health settings requires a thorough, as well as sensitive, culturally sensitive, and family-centred method. The paper will explore how the integration of evidence-based practices, realistic and relevant health goals, as well as community resources, could dramatically improve the well-being of children and improve their prospects. Addressing the needs of both psychosocial and physical health and recognizing different cultures enhances patient participation and makes families involved in this process. When you are involved in coordinated, longer-term health care, it's possible to deal with the longer-term consequences associated with Type 2 diabetes for children as well as prevent negative impacts on the population affected.
References
Andreae, S. J., Reeves, H., Casey, T., Lindberg, A., & Pickett, K. A. (2024). A thorough review of diabetic prevention programs, which are modified to accommodate family members. Preventive Medicine Reports, 39. https://doi.org/10.1016/j.pmedr.2024.102655
Heise, M., Heidemann, C., Baumert, J., Du, Y., Frese, T., Avetisyan, M., & Weise, S. (2022). Diabetes self-management with a systematic approach as well as the relationship with awareness perceptions of the subject and anxiety about the disease: Results from a study conducted across the nation. Primary Care Diabetes, 16(3), 387-394. https://doi.org/10.1016/j.pcd.2022.03.016
Kanaley, J. A., Colberg, S. R., Corcoran, M. H., Malin, S. K., Rodriguez, N. R., Crespo, C. J., Kirwan, J. P., & Zierath, J. R. (2022). The impact of exercise and physical activity on people who suffer from the type 2 form of the disease. A consensus statement from the American College of Sports Medicine. Medicine & Science in Sports & Exercise, 54(2), 353-368. https://doi.org/10.1249/mss.0000000000002800
LePage, A. K., Wise, J. Benjamin, Bell, J. J., Tumin, D., & Smith, A. W. (2020). The distance to the Endocrinology clinic and the control of diabetes among the population of children living in rural areas. Journal of Pediatric Endocrinology and Metabolism, 34(2), 187-193. https://doi.org/10.1515/jpem-2020-0332
Mistry, S., Tonyushkina, K. N., Benavides, V. C., Choudhary, A., Huerta-Saenz, L., Patel, N. S., Mahmud, F. H., Libman, I., & Sperling, M. A. (2022). A review of the centennial celebration of results and advances in diabetes research for children and teenagers. Pediatric Diabetes. https://doi.org/10.1111/pedi.13392
Mukonda, E., van, Dave, J. A., Cleary, S., Hannan, L., Rusch, J. A., & Lesosky, M. (2025). The relation between the frequency of the monitoring of HbA1c and variations in HbA1c levels with time, as well as the achievement of targets during a group study, which was retrospective. BioMed Central Endocrine Disorders, 25(1). https://doi.org/10.1186/s12902-024-01816-w
