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- QUESTION
To better understand and address question 5 ONLY, please see attachment:
5. Indicate a follow-up plan with rationale and anticipated outcomes. Include the time frame, interventions, and professional responsible for each : will BE TOUGH in grading for CLARITY & ANALYSIS (logical and reasonable, use of 5 evidence-based guidelines, APA 6th edition format for references).
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Answer
- Follow-Up Plan
Even after diagnosis, treatment, and discharge from the mobile clinic, there will be need for a follow-up of Franks conditions to ensure the attainment of the following outcomes: -
Blood Sugar Monitoring
Every day, before and after meals, it will be vital for a registered nurse (RN) to monitor Frank’s blood sugar. Regular blood sugar monitoring will aim to evaluate his blood sugar changes and hence help in the planning for meals as well as the activities that he should participate in and the medications that he should take (Beck et al., 2017). According to the American Diabetes Association (2016), the blood sugar target for individuals with type 2 diabetes should be 7-8 per cent.
Counselling
Deploying a psychologist at least for three hours a week will be a perfect follow-up plan aimed at providing cognitive behavioural therapy to Frank. Notably, since he lives alone having divorced his two wives, he has undergone a lot of stress and financial downturn which will require the services of a psychologist. A psychologist will help to asses, diagnose, and treat any phycological problems and behavioural dysfunctions related to the mental health of Frank (Horrell et al., 2014).
Lifestyle Change
A nutritionist will need to be deployed to advise Frank on the various meals that he should take based on the results of the blood sugar levels as well as his weight (Asif, 2014). In specific, every month, Frank should be advised and monitored on the foods to take to ensure a healthy weight and address his maintain his diabetic condition.
High blood pressure monitoring
Since Frank has hypertension, a nurse practitioner will have to monitor Frank’s pressure every day. The expected outcome will be that Frank’s blood pressure will not go above the normal limits as medications will be taken if the monitoring reveals any abnormalities (Mukkamala et al., 2015).
References
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American Diabetes Association. (2016). Standards of medical care in diabetes—2016 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association, 34(1), 3. Asif, M. (2014). The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. Journal of Education and Health Promotion, 3. Beck, R. W., Riddlesworth, T. D., Ruedy, K., Ahmann, A., Haller, S., Kruger, D., ... & Aronson, R. (2017). Continuous glucose monitoring versus usual care in patients with type 2 diabetes receiving multiple daily insulin injections: a randomized trial. Annals of Internal Medicine, 167(6), 365-374. Horrell, L., Goldsmith, K. A., Tylee, A. T., Schmidt, U. H., Murphy, C. L., Bonin, E. M., ... & Brown, J. S. (2014). One-day cognitive–behavioural therapy self-confidence workshops for people with depression: randomised controlled trial. The British Journal of Psychiatry, 204(3), 222-233. Mukkamala, R., Hahn, J. O., Inan, O. T., Mestha, L. K., Kim, C. S., Töreyin, H., & Kyal, S. (2015). Toward ubiquitous blood pressure monitoring via pulse transit time: theory and practice. IEEE Transactions on Biomedical Engineering, 62(8), 1879-1901.
Appendix
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