Topic > Care Management Plan: A Newly Diagnosed Diabetes Patient

Type 2 diabetes mellitus is a growing disease in the United States. When developing a care management plan for a new diabetic patient, several areas of education and resources should be considered. The purpose of this article is to describe a hypothetical care plan for a newly diagnosed diabetic, including the case management model used, initial and ongoing education needs, and data collection and evaluation. Case Management Model Jane Doe was diagnosed with type 2 diabetes after giving birth. In order to provide ongoing high-quality care across the continuum, a diabetes case management plan will be necessary. The plan will be the focus of a diabetes case management team that adheres to a specific set of predetermined protocols and clinical care pathways (Cohen & Cesta, 2005). Team members will include a physician, a nurse case manager, with the option to consult with a dietitian, a diabetes educator and a social worker. This non-unit-based, multidisciplinary team approach ensures that Jane Doe will receive care from diabetes experts throughout her hospital stay and after discharge. The nurse case manager, along with the physician, will be responsible for developing an individualized care plan. Additionally, the nurse case manager will coordinate recommendations from any other team members who are consulted in a timely manner (Cohen & Cesta, 2005). The fundamental key to adequate management of the disease is patient education; this is the tool that will allow Jane Doe to successfully manage her diabetes and live a healthy, productive life. Initial Education Plan As with any new diagnosis, information about the disease process and treatment can be overwhelming for the patient. The early stage of J's education... middle of paper... is Jane Doe's goal. References American Diabetes Association. (2011). Superfoods for diabetes. Retrieved from http://adap-sandbox.pub30.convio.net/food-and-fitness/food/what-can-i-eat/diabetes-superfoods.htmlAmerican Diabetes Association. (2011). Living with diabetes. Retrieved from http://www.diabetes.org/living-with-diabetes/treatment-and-careBowles, K., Holland, D., & Horowitz, D. (2009). A comparison between in-person home care, home care with telephone contact and home care with telemonitoring for disease management. Journal of Telemedicine and Telehealth, (15), 344-350. doi: 10.1258/jtt.2009.090118Cohen, E. L., & Cesta, T. G. (2005). Nursing case management: From essentials to advanced practical applications (4th ed.). St. Louis, MO: Elsevier Mosby.Worth, T. (2010). Bringing diabetes care to the community. American Journal of Nursing, 110(2)