RUNNING HEAD: IMPROVING THE QUALITY OF LIFE FOR PEOPLE WITH DIABETES
Case Management Process for Diabetes
Instructor: Linda M. Schultz, PhD, CRRN
Improving the Quality of Life for People with Diabetes
Diabetes is rapidly becoming a national epidemic. An estimated eighteen million Americans have diabetes and the number is growing, especially among children. The Center for Disease Control (CDC) reports that between 1990 and 1998, the incidence of diabetes rose by 70% in the population aged 30-39 by 40% among those 40-49, and by 31% in the 50-59 age group.
Traditional methods of health care delivery do not adequately address the needs of individual people or populations with diabetes. For example, in a survey of the care received by patients of primary care providers in the outpatient setting, people with diabetes were receiving only 64% to 74% of the services recommended by the American Diabetes Association Provider Recognition Program. A chart audit covering one year in a health maintenance organization (HMO) setting showed that, despite the ADA recommendation of two to four glycated hemoglobin (GHb) measurements per year, values were documented for only 44% of people with diabetes and annual urine protein measurements were performed on only 48% of patents. Many chronic complications have been implicated with the diagnosis of diabetes. For example, retinopathy in which there are no warning signs, nephropathy, the kidney’s filtering ability lessens and allow waste to remain in the blood, hypertension and eventually renal failure (American Diabetes Association).
In essences reducing illness, disability, and premature death and improving the quality of life for people with diabetes is a major public health objective. According to Healthy People 2010, their...